step 3 32 Flashcards
1
Q
DKA workup
A
UPT CBC BMP Calcium amylase lipase EKG UA ABG Serum osms Serum ketones Regular insulin, IV Phenergan IV Discontinue oxygen
2
Q
DKA orders once admitted
A
NPO Bed rest Vitals UOP Replete K HbA1c phos BMP q4 hrs Stop 0.9NS and give 1/2 nS after 4 hours
3
Q
DKA discharge orders
A
subcu insulin
Diabetic diet
Counseling
4
Q
Emergency orders in patient presenting unconscious
A
Airway suction Pulse ox Intubation IV access Cardiac montor Thiamine D50 Naloxone
5
Q
workup of narcotic OD
A
EKG CBC BMP CXR LFT's UA UTox B-hcg Blood alcohol
6
Q
Initial treatment of narcotic OD
A
NG tube
Gastric lavage
Activated charcoal
Naloxone
7
Q
CF workup
A
Nursing orders sputum grain stain sputum culture and sensitivity blood cultures CBC-BMP CXR Sweat chloride 72-hour fecal fat
8
Q
CF treatment
A
O2 Augmentin Nebulized albuterol MVI Chest physiotherapy D5NS Regular diet
9
Q
CF orders at discharge
A
Flu shot + pneumovax
Nutrition consult
Pancreatic enzymes
Genetic counseling
10
Q
renal failure-decreased UOP workup
A
Stat fluids Foley 12 lead ABG CBC BMP mag and phos UA Uculture Urine sodium Urine creatinine
11
Q
renal failure orders once admitted
A
Discontinue nephrotoxic drugs vitals 24 hr urine protein Diabetic diet Renal Ultrasound Strict I-O's Accuchecks HBa1c SSI
12
Q
pediatric gastroenteritis workup
A
IV access CBC BMP UA IVF stool heme check stool for leukocytes stool culture breast-feeding ad lib
13
Q
PCOS workup
A
*need to rule out CAH, hyperprolactenima, Urine beta-HCG Serum testosterone total and free Serum DHEAS Serum prolactin 24-hour urine cortisol 24-hour urine 17-ketosteroids Serum TSH Serum LH Serum FSH Pelvic US Fasting lipid profile Glucose tolerance test
14
Q
PCOS remaining therapy
A
Counseling on weight loss, low fat diet, exercise
OCPs
Pap smear
15
Q
Emergency care for DT
A
pulse ox O2 Cardiac monitor IVF IV thiamine IV folic acid BLood glucose NPO 12-lead ativan seizure and aspiration precautions
16
Q
DT workup
A
CBC BMP LFTs coags Serum mag and phos ABG Utox Blood alcohol CXR (to rule out precipitating infection and aspiration) CT head (to rule out head injury)
17
Q
DT therapy at discharge
A
Rehab
AA
Counseling
18
Q
infant with jaundice workup
A
Blood type, infant and mother Direct coomb's test CRP CBC Total and indirect bili I/Os VS
19
Q
hemolytic disease of newborn workup + therapy
A
H,H q8 hrs total bilirubin q 8 hr Continue breast feeding transfer to NICU phototherpay IVF
20
Q
minimal change disease workup
A
Admit I/O's UA BMP CBC LFTs lipid panel Coags Complement CMP
