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everything Flashcards

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1
Q

stoke in broca area

A

expressive aphasia
paralyzed on R side

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2
Q

acute pancreatitis (assessment)

A

hx, etoh abuse, severe LUQ pain
tachy
restless
jaundice
increased amylase/lipase
HLD

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3
Q

alcoholic hepatitis (teaching)

A

low sodium diet
small frequent meals
no alcohol

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4
Q

Addison Crisis (HYPOGLYCEMIA) - s/s

A

s/s: weakness
fatigue
severe hypotension
n/v
dehydration
dysrhythmias

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5
Q

cirrhosis - ascites dsypnea

A

s/s: encephalopathy
portal HTN
esophageal varices
hemorrhage
(ascites causes difficulty breathing)

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6
Q

dialysis (HTN/edema)

A

fluid overload - increase BP
-limit salt intake
-track fluid
-monitor BP

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7
Q

Fractured Femur (diminished pulses)

A

6 Ps
manifestations of DVT ( warmth, tenderness, redness, swelling)

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8
Q

compartment syndrome (how is it diagnosed)

A

s/s: 6 Ps
pain, pallor, paresthesia, pulselessness, paralysis, poikilothermia

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9
Q

guillain Barre syndrome (assessment)

A

-toes to nose
-watch for shallow/rapid breathing (RESPIRATORY FAILURE)
-ask if cold/flu in last month

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10
Q

guillain barre syndrome (s/s)

A

-paresthesia
-weakness in legs
-difficulty swallowing

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11
Q

guillain barre syndrome (teaching)

A

enhancing physical mobility
promote adequate nutrition

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12
Q

when is dialysis indicated

A

high potassium
fluid overload
pulmonary edema
increasing acidosis
remove toxins from blood

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13
Q

cirrhosis (medication)

A

spirolactone

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14
Q

acute pancreatitis (s/s)

A

severe midgastric pain AFTER meal
unrelieved by antacids

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15
Q

compartment syndrome (teaching)

A

-avoid cold, DO NOT ELEVATE LIMB

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16
Q

cardiomyopathy (meds)

A

digoxin
diuretics
antidysrhythmias
antihypertensive

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17
Q

cardiomyopathy (interventions and diagnostic)

A

surgery
implanted devices (ICD, pacemaker)
- echo (EF goes down)

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18
Q

cardiomyopathy (assessment)

A

VS
assess edema and severity
JVD
crackles, pink frothy sputum, pulmonary congestion
murmur (s3 and s4)

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19
Q

cardiomyopathy

A

effects whole heart, can have both L and R HF symptoms

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20
Q

glaucoma (s/s)

A

blurry vision
halos
loss of peripheral
HA

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21
Q

pulmonary embolism (report findings)

A

hypotension
tachy
SOB
anxiety - sense of impending doom
chest pain
diaphoresis
sudden sharp stabbing pain

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22
Q

pulmonary embolism (treatment)

A

anticoagulants
give O2- FIRST TREATMENT
cardiac monitor
surgery (embolectomy, IVC)

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23
Q

diabetes insipidus

A

insufficiency of ADH (head trauma, brain tumor, CNS infection)
makes you want to SIP water
“Dry Inside”

treatment: vasopressin, desmopressin

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24
Q

DI (s/s)

A

polyuria, polydipsia
dehydration- peeing nonstop
HYPOtension
HYPOkalemia
HYPERnatremia

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25
DI (diagnostic)
water deprivation test
26
pulmonary edema (treatment)
place patient in high fowlers, feet dangling over bed - FIRST ACTION IV meds - furosemide (lasix), vasodilators (nitro...) nonrebreather mask
27
pulmonary edema (s/s)
-sign of HF pink tinged sputum hypoxia anxiety restlessness tachypnea tachycardia cyanotic
28
pulmonary edema (goal)
reducing volume overload improving ventricular function increasing O2
29
ABGs
ph: 7.35-7.45 CO2: 35-45 HCO3: 22-26
30
respiratory acidosis
-holding in CO2 (pulmonary diseases) pneumonia asthma COPD
31
respiratory alkalosis
-decreased CO2 hyperventilation pulmonary ebolism
32
metabolic acidosis
-"ass" CKD
33
metabolic alkalosis
- vomiting kussmaul respirations
34
CKD
kidneys fail, no longer reabsorb HCO3
35
tetralogy of fallot (complications)
HF endocarditis blood clots
36
Tetra of fallot (peds)
"TET" spells - knees to chest
37
hemophilia (safety)
- prevent bleeding non contact sports apply padding to sharp edges exercise to strengthen RN - frequent BP checks, rectal suppositories, temps, asprin
38
24 hour jaundice
-very common -occurs within 24 hours of life OR persists beyond 7 days -skin, mucous membranes, and sclera teaching: mothers nurse infants at least 8-12 times per day for first several days
39
scoliosis (post-op)
neuro assessments pain control assist ambulation
40
CF (teaching)
high fat/high calorie diet lots of fluid administer pancreatic enzyme W/ MEALS
41
CF (treatment)
CPT vest w/ postural drainage breathing treatment with hypertonic
42
CF (diagnostic)
sweat test
43
boggy uterus (actions)
massage void administer oxytocin
44
Variable decel (interventions)
CORD COMPRESSION reposition or knee to chest d/c oxytocin O2
45
shoulder dystocia (interventions)
Mcroberts maneuver suprapubic pressure
46
placental abruption (s/s)
abd/back pain heavy dark red bleeding decreased fetal movement
47
placental abruption (treatment)
2 large bore IV lines- hypovolemia c-section bedrest
48
plyoric stenosis (s/s)
vomiting dehydration colic frequent mucous stool
49
infant congenital heart defect (s/s)
cyanosis frequent regurgitation fatigue
50
infant congenital heart defect (teaching)
small/frequent meal O2 high calorie formula knee to chest postion
51
ulcerative colitis (s/s)
bloody/pus w/ diarrhea abdominal pain
52
ulcerative colitis (diet)
NPO first high protein, calorie, vitamin
53
ulcerative colitis (management)
provides access to bathroom, bedpan administer antidiarrheal med stool record
54
asthma (triggers)
dust, mites, mold, food, pollen
55
COPD (treatment)
smoking cessation bronchodilator O2 corticosteroids
56
COPD (treatment)
- exacerbation - O2 FIRST LINE (severe COPD) smoking cessation bronchodilator corticosteroids pursed lip breathing
57
acute respiratory distress (s/s)
-doesnt respond to O2 intercostal retractions crackles BNP levels
58
RA (meds)
early - NSAID, naproxen advanced - immunosuppressants
59
Rheumatoid arthritis
bilateral joint pain fever morning stiffness
60
alcohol withdraw (s/s)
hand tremors sweating elevated BP and HR n/v anxiety hallucinations, seizures
61
alcohol withdraw (meds)
benzos (ativan, librium, valium)
62
chemotherapy (s/s)
n/v chemo brain myelosuppresion SIADH fatigue osteoporosis - long term
63
left side heart failure
=LUNG congestion dyspnea crackles fatigue pink/frothy sputum s3 sound
64
right side heart failure
=systemic peripheral edema JVD ascites
65
valve replacement (teaching)
anticoagulants - frequent follow up labs ANTIBIOTIC prophylaxis for dental procedure - endocarditis
66
normal fetal heart rate
110-160 bpm
67
IUGR
intaruterine growth restriction
68
Gout (meds)
allopurinol -avoid asprin administer after meals
69
hypertonic fluid
whole numbers (NS/LR)
70
BPH (s/s)
urinary frequency nocturia hesitancy in starting urination recurrent UTIs
71
hyperthyroidism (complications)
graves disease thyroid storm
72
osteoarthritis (overall goal)
decrease pain and stiffness -exercise found to help
73
digoxin (s/s)
trreamtent for HF -nausea -visual disturbances -brady -confusion -potassium is monitored
74
when is a pt serum digoxin levels monitored
renal function changes
75
peritonitis (s/s)
fever abd pain paralytic ileus abd distention
76
sickle cell crisis first sign
swelling hands and feet (infants) pain - first sign of crisis
77
acute renal failure priority
fluid & electrolyte imbalance - maintain fluids
78
HTN complication
elevated BUN kidney dysfunction = associated with HTN
79
diabetes mellitus- poor compliance
pt may use urine dipstick
80
sickle cell crisis (management)
-fluids (IV hydration) and pain meds are given dehydration can cause crisis

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