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MedSurg > Exam 1 > Flashcards

Exam 1 Flashcards

(60 cards)

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1
Q

Contact Isolation

A

MRSA, C-diff, VRE, Scabies

Gloves & gown
Wash hands after
Don’t shave or reuse clothing or toiletries
Wash clothes and towels daily

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2
Q

Tx of sickle cell anemia

A

Oxygen
Hypotonic or isotonic fluids
Analgesic
NO frequent BPs
Encourage extension of arms
Warm compresses

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3
Q

Primary care

A

Planned care

Ex. Immunizations, education, smoking cessation

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4
Q

S/S of blood transfusion reaction

A

Sweating/ chills
Hives
Headache
Back pain
Pruritis
SOB
Nausea

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5
Q

S/S of sickle cell anemia

A

Severe pain
Dizziness
SOB/ hypoxia
Fatigue

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6
Q

S/S of B12 deficiency

A

Tingling/numbing in hands
Glossitis
Trouble walking

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7
Q

Tx of psoriasis

A

Biological agents (etanercept)
Always report fever
Loose cotton clothing
Warm weather helps

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8
Q

S/S of iron deficiency

A

Irritable
Brittle nails
Anorexia
Glossitis
Fissures in corner of mouth

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9
Q

Iron rich foods

A

Spinach
Red meats
Liver/organ meats
Fish/seafood
Raisins
Poultry

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10
Q

Iron deficiency

A

From low intake of iron rich foods, alcoholism, and loss of blood

NO WHEAT- binds to iron making it unavailable for absorption

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11
Q

S/S of anemia

A

Fatigue
Pale
SOB
hypoxemia
Skin cool to touch
High HR
Low BP
Murmurs

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12
Q

Psoriasis and its trigger

A

Autoimmune disease
Over proliferation of skin cells and scaling
Trigger: abts and stress

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13
Q

Signs of dehiscence

A

Purulent/foul smelling drainage
Increase in drainage
Change in drainage (serous to sanguineous)

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14
Q

Non-tunneled central line

A

For short term
Accessed through IJ or subclavical
Inserted by Dr
CXR to avoid pneumothorax

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15
Q

Universal donor

A

O-

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16
Q

Serrosanguinous drainage

A

Yellow/red

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17
Q

Sanguineous drainage

A

Red

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18
Q

Removal of central lines

A

Supine or trendelenburg position
Valsalva maneuver (bearing down)

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19
Q

Universal receiver

A

AB+

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20
Q

TPN

A

Via central line ONLY
Complications- infection, high or low BS
Don’t change rate or turn off

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21
Q

Jackson-Pratt drains

A

Tube in wound with bulb outside of body to collect drainage
Squeeze and replace bulb to reset
Taken out of drainage <25ml

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22
Q

Vitamin B12 deficiency

A

B12 is from animal sources
Vegans need B12 shots

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23
Q

TPN education

A

Monitor weight daily
Albumin checked everyday
BS q6hrs
If bag runs out, hang 10% dextrose ONLY
Not for people who have good or intact GI function

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24
Q

Blood transfusion equipment

A

Large bore IV (min. 20gauge) In non-dominant arm
Y tubing with ONLY 0.9% saline

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25
Blood transfusion rate
2ml/min for first 15 min Infuse each unit over 4 hrs
26
Highest concern with pain meds
Overmedication Respiratory depression
27
Sickle cell anemia
Abnormal shaped cells Don’t flow well and blocks passages in arteries/veins
28
Blood transfusion Vital sign schedule
q15 min x2 q30min x2 qhr until finished
29
Herpes zoster
Shingles Contagious until lesions crust over HEPA mask (N95)
30
Immobility can cause
Atelectasis Constipation Urinary stasis Muscle atrophy Contractures
31
Most at risk for febrile (non-hemolytic) reaction
People who have gotten transfusions in the past
32
TENS unit
Electrodes to painful area Should feel pins and needles sensation Affective immediately May be repeated
33
Interventions for immobility
Reposition q2hrs Float heels Pillows/wedges on bony prominences Pressure offloading devices High tops to prevent foot drop Ankle flexion exercises
34
Cellulitis
Infection Redness (erythema) Fever Enlarged lymph nodes NO ITCHING/BURNING
35
Dehiscence
Higher risk if taking NSAIDS/steroids or diabetic Evisceration (wound opens) possible
36
Common side effects of opioids
Sedation/drwsiness Constipation Respiratory depression Urinary stasis Rash N/V Itching Hypotension
37
If reaction to blood transfusion
Return tubing and bag to blood bank Disconnect blood tubing and replace with new IV tubing with 0.9% saline running
38
Secondary care
Screenings TB test PAP smears Breast/testes exams
39
Tunneled central line
Long term (years) Mainly for dialysis Inserted through IJ or subclavical by DR CXR to confirm
40
Tertiary care
After disease/improving life Ex. Cardiac rehab, speech therapy, chemo
41
Opioid antidote
Naloxone
42
Going upstairs with ambulatory aid
Up with good leg first, down with bad leg first
43
High risk for infection
Immunocompromised (chemo, HIV, steroid use, transplant pts) Malnourished ETOH
44
Labs for wound healing
Albumin (shows nutrition status)
45
How to walk with ambulatory aid
Aid on strong side Move cane with weak side
46
Pruritis
Itchiness
47
Urticaria
Hives
48
Pre op care of pt
Pacemaker/electrical devices interfere with electric cauterizer Ask if any hx or family hx with anesthesia (malignant hyperthermia) Allergy to preop abts? Check for abnormal labs (coag or electrolytes) Shave with electrical shaver ONLY NPO- No insulin
49
Airborne Isolation
Negative pressure room HEPA mask(N95) Visitors wear masks
50
Implanted port
Central line Assessed with Huber 90 degree non-coring needle Confirmed with blood return Inserted by DR
51
Negative pressure wound vacs
Not for pts on anticoagulants ONLY Intermittent suctioning Monitor drainage q2hrs
52
Fresh frozen plasma
To replace clotting factors Reverses INR
53
Anemia causes
Bleeding Iron deficiency Bone marrow Genetic diseases
54
Intra-op care
Extra padding for decreased circulation Time out procedure- go over all information before surgery
55
Donning PPE
Putting on Reverse alphabetical order except mask is 2nd Gown Mask Goggles Gloves
56
Doffing PPE
Taking off alphabetical order Gloves Goggles Gown Mask Wash hands
57
Droplet iso
Mask within 3ft Gloves/gown if contact with fluids Sepsis/scarlet fever Parvovirus Influenza Diphtheria Epiglottitis Rubella Mumps/meningitis ANdenovirus
58
Post-op day 1 (day after surgery)
Foleys removed D/c prophylactic abts within 24hrs Monitor for dehiscence NPO-advance diet as ordered TCDB + IS 5-10x an hour No corticosteroids (delays healing)
59
VS of bleeding
Hypotension Tachycardia Tachypnea Hypoxemia
60
Serous drainage
Yellowish

MedSurg (5 decks)

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