Emily Michell Flashcards

(39 cards)

1
Q

what are seizures

A

are uncontrolled electrical disturbances in the brain causes action protentional to fire one after another causing symptoms like loss of consciousness, shaking, stiff muscles

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2
Q

what are the s/s of seizures

A
  • blank stare
  • uncontrolled movement like jerking or twitching
  • short term confusion
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3
Q

what are some complications one with seizures could have

A
  • falls
  • head trauma
  • emotional and mental health issues
  • car accidents
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4
Q

what are some nursing interventions for a patient with seizures

A
  • knowing their triggers so you can avoid them or help the patient
  • head trauma sometimes patients with seizures can feel like its about to happen so advise them to get to a safe spot to avoid incidents
  • falls ensuring safety of the patient like pillow under patients head
  • car accidents encourage patient not to drive
  • emotional adn mental health issues advise patient to talk to someone like a therapist or support worker
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5
Q

what is depression

A

mental health disorder that affects mood, behavior, thoughts caused by imbalance of brain chemicals like dopamine, serotonin, and norepinephrine cause ppl to be in a low mood, feel sad or not worthy

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6
Q

what are the s/s of depression

A
  • loss of interest in things they once liked
  • changes in sleep like sleeping too much or too less
  • trouble thinking and concentrating
  • anxiety and restlessness
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7
Q

what are some complications that can arise with depression?

A
  • social isolation
  • suicidal thoughts
  • substance misuse
  • weight loss or weight gain
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8
Q

what are some nursing interventions for depression

A
  • get help like therapy or counselling
  • administer anti-depressant medications
  • encourage patient to voice their concerns rather than shying away
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9
Q

what is recurrent vaginitis

A

an imbalance of the vaginal bacteria normally present in the vagina causing discomfort, discharge, or itching

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10
Q

what are the s/s for recurrent vaginitis

A
  • change discharge like color, odur, amount
  • pain during urination
  • pain during intercourse
  • irritated vagina
  • spotting or light bleeding
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11
Q

what are the complications of recurrent vaginitis

A
  • skin irritation
  • pain during urination or sexual intercourse
  • can increase risk for other infections especially sexually transmitted infections
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12
Q

what are nursing interventions for recurrent vaginitis

A
  • C&S swab to detect what bacteria and best course of treatment
  • provide good peri care and go cleanest to dirtiest
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13
Q

what is the trade name for venlafaxine

A

Effexor

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14
Q

what is the drug class for Effexor

A

SNRI and anti-depressant

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15
Q

what is the action for venlafaxine

A

improves mood and depression by blocking the reuptake of serotonin and norepinephrine in the brain staying active longer

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16
Q

what is the TO of Effexor

A

reduces depression and anxiety

17
Q

what are the uses and indications for Effexor

A
  • end of life depression
  • major depression
  • social anxiety
18
Q

what is the route for venlafaxine

19
Q

what are the adverse affects for venlafaxine

A
  • serotonin syndrome (tachycardia, sweating, high BP)
  • suicidal thoughts
  • sexual dysfunction
20
Q

what are the nursing considerations for Effexor

A
  • assess for serotonin syndrome (tachycardia, sweating, high BP) and hold medication if present
  • assess patients mood, behavior, and suicidal thoughts
21
Q

what are the patient teachings for Effexor

A
  • may take 2-3 weeks to see results
  • suicidal thoughts may get worse before they get better
  • sexual dysfunction ask doctor for other options of medications
22
Q

what is the trade name for carbamazepine

A

Tegretol
Carbatrol

23
Q

what is the drug class for Tegretol

A

anticonvulsant (prevents muscle spams like in seizures)

24
Q

what is the action of carbatorl

A

blocks the overactive neurons from firing action potentials one after another does this by blocking the sodium channels (electrolytes that enter cells and cause nerves to be overactive)

25
what is the TO for tegrotol
reduces seizures and trigeminal neuralgia
26
what is the use or indication for carbamazepine
- seizures (tonic= body stiffens, clonic= body jerks) or (mixed localized=affects one side of brain or general = affects both sides of the brain) - bipolar disorder - trigeminal neuralgia - diabetic neuropathy
27
what is the route for tegretol
- PO - IV
28
what is the adverse effects for Tegretol
- agranulocytosis (low WBC) - suicidal thoughts - steven-Johnson syndrome (rash)
29
what are some nursing considerations for carbatrol
- assess for infection because of low agranulocytosis (low WBC) - assess for trigeminal neuralgia pain - assess seizures (how long, how often, what triggers it)
30
list some patient teachings for Tegretol
- avoid grapefruit juice - avoid alertness activities like driving bc medication causes drowsiness - report skin rash signs (steven-Johnson)
31
what is the trade name for miconazole
oravig
32
what is the drug class for miconazole
antifungal (reduces fungal infections)
33
what is the action for miconazole
miconazole damages the cells membrane causing it to be "LEAKY" and cell loses all its nutrients, affects fungus’s ability to keep its cell wall intact (prevention of phospholipids)
34
what is the route for miconazole
- topical - vaginal - buccal
35
what is the TO for oravig
treats candida infections by slowing down or kills fungal cells
36
what is miconazole used / indicated for
- fungal infections (ring worm, athletes foot, yeast infections) - fungal lung infection where you breath in fungal dust or spores - fungal meningitis (infection that travels through brain and spinal cord to other parts of the body)
37
what are the adverse effects for miconazole
- vaginal skin irritation - allergic reactions burning, stinging, itchiness - diarrhea (bc of GI upset)
38
what are some nursing interventions for miconazole
- assess for allergic reactions - assess bowel patterns with diarrhea (consistency, amount, odor) - assess for infections s/s drainage, sore throat, secondary infection of smt else entering the body.
39
list some patient teachings for miconazole
- use applicator for vaginal use - perform hand hygiene to prevent the spread of the infection - finish full course of treatment don't just stop taking med if you feel like it worked bc reinfection can occur - avoid other vaginal products unless doctor said okay bc it can irritate vaginal skin