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Med Surg 2 > Exam 3 Review > Flashcards

Exam 3 Review Flashcards

(80 cards)

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1
Q

what to assess for with vtach

A

pulse and symptoms

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2
Q

assess for what in sinus Brady

A

hypoxia

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3
Q

what if a patient has a strip but no pulse

A

PEA

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4
Q

sinus tach underlying casue

A

fever
stress
caffeine
pain
exercise
shock
hypoxemia
increased sympathetic tone

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5
Q

what could cause PVC

A

hyperkalemia

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6
Q

A1C goal

A

less than 7

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7
Q

type 1 what in urine

A

increased protein

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8
Q

Novolog onset

A

15 min

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9
Q

what should we haveinfront before Novolog given

A

food tray

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10
Q

Lantus duration

A

20-26hr

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11
Q

symptoms of hypoglycemia

A

hunger
anxiety
tachycardia
HA
lightheaded
confusion

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12
Q

hypoglycemia can swallow treatment

A

1/2 cup juice and then starch and protein

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13
Q

hypoglycemia cannot swallow

A

1 amp D50

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14
Q

DKA type

A

1

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15
Q

DKA glucose

A

> 250

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16
Q

DKA pH

A

<7.3
- acid

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17
Q

DKA potassium

A

increase

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18
Q

DKA breathing

A

kussmaul breathing

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19
Q

DKA smell

A

ketone
fruity

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20
Q

DKA treatment

A

insulin

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21
Q

HHS type

A

2

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22
Q

HHS blood glucose greater than

A

600

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23
Q

HHS pH

A

greater than 7.3
normal

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24
Q

HHS osmo

A

increase 320

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25
HHS treatment
rapid rehydration electrolyte replacement
26
sick day rules
keep taking meds check BS 3-4 hrs modify diet to include and check ketones notify provider about not tolerating diet
27
SIADH NA
decrease
28
SIADH ADH amount
high
29
DI ADH amount
decreased
30
DI urine
a lot
31
DI urine osmo
decreased but increased when given ADH
32
DI NA
increased
33
pericardial tamponade triad
becks - distened jugular veins - muffled heart sounds - pulses paradoxus
34
tension pneumo perfusion
hyperresonants
35
tension tracheal deviation
unaffected side
36
hemothorax s/s
decreased or absent breath sounds dullness on precision
37
compartment syndrome
unrelenting pain
38
compartment syndrome treatment
fasciotomy
39
increase ICP
infection, increase CO2, hypoglycemia, suction
40
earliest sign of increase ICP
change in LOC
41
decrease GFR causes what electrolytes
hyperkalemia and hypocalcemia
42
AKI
oliguria increase in BUN and CR
43
treatment of AKI
decrease sodium, K, and phos
44
acute tubular necrosis phase
onset maintence recovery
45
acute tubular necrosis - onset
hours or days
46
acute tubular necrosis - mainence
decrease in GFR, low urine output, edema, increase K
47
acute tubular necrosis - recovery
diuresis
48
grey turners sign
retroperitoneal bleeding 11-12th rib
49
what is jaundice
hyperbilirubinemia
50
asterixis
flapping
51
hepatic factor
smell
52
what is the treatment for portal HTN and cirrhosis
TIPS
53
fulminant hepatic failure
severe acute liver failure
54
fulminant hepatic failure s/s
bleeding
55
fulminant hepatic failure med
neomycin lactulose
56
fat embolism s/s
long bone resp failure cerebral dysfunction skin petechiae (dose not blanch)
57
fat embolism time
3-4 days
58
primary mods
well defined insult in which organ dysfunction occurs early and is directly attributed to the insult itself
59
secondary mods
widespread sustained systemic inflammation
60
DIC increase
pt ptt fibrinogen split
61
DIC causes
blood transfusions sepsis trauma surgery (hypothermia)
62
what is the crystalloid that most resembles the plasma composition
LR
63
Kehrs sign
pain in the left shoulder
64
rib fractures of the 10 to 12th ribs can be associated with
damage to spleen
65
days for stress ulcer
5 days
66
acute pancreatitis treatment
NPO
67
pancreatitis replacement of fluids
yes, loss into retroperitoneal and peripancreatic spaces
68
hypocalcemia
chovstek trousoues
69
what nerve innervates diaphragm
phrenic
70
C spine for ventilation
c3-c6
71
autonomic dysrelfexia
hypertension due to noxious stimuli - full bladder and fecal impaction
72
other spinal cord complications
DVT, temp, bladder, bowel, skin
73
neurogenic shock
hypotension vasodilation bradycardia
74
spinal shock time peroid
6-13 wks
75
hypovolemia shock ABG
r alk and then m acid
76
PE s/s
right ventricular failure
77
chest tube milk it
no
78
chest tube no fluctiaion
blocked
79
when to add Dextrose for DKA
200-250
80

Med Surg 2 (29 decks)

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