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Med Surg 2 > Exam 3 Review > Flashcards

Exam 3 Review Flashcards

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
Q

HHS treatment

A

rapid rehydration
electrolyte replacement

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26
Q

sick day rules

A

keep taking meds
check BS 3-4 hrs
modify diet to include and check ketones
notify provider about not tolerating diet

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27
Q

SIADH NA

A

decrease

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28
Q

SIADH ADH amount

A

high

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29
Q

DI ADH amount

A

decreased

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30
Q

DI urine

A

a lot

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31
Q

DI urine osmo

A

decreased but increased when given ADH

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32
Q

DI NA

A

increased

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33
Q

pericardial tamponade triad

A

becks
- distened jugular veins
- muffled heart sounds
- pulses paradoxus

34
Q

tension pneumo perfusion

A

hyperresonants

35
Q

tension tracheal deviation

A

unaffected side

36
Q

hemothorax s/s

A

decreased or absent breath sounds
dullness on precision

37
Q

compartment syndrome

A

unrelenting pain

38
Q

compartment syndrome treatment

A

fasciotomy

39
Q

increase ICP

A

infection, increase CO2, hypoglycemia, suction

40
Q

earliest sign of increase ICP

A

change in LOC

41
Q

decrease GFR causes what electrolytes

A

hyperkalemia and hypocalcemia

42
Q

AKI

A

oliguria
increase in BUN and CR

43
Q

treatment of AKI

A

decrease sodium, K, and phos

44
Q

acute tubular necrosis phase

A

onset
maintence
recovery

45
Q

acute tubular necrosis
- onset

A

hours or days

46
Q

acute tubular necrosis
- mainence

A

decrease in GFR, low urine output, edema, increase K

47
Q

acute tubular necrosis
- recovery

A

diuresis

48
Q

grey turners sign

A

retroperitoneal bleeding
11-12th rib

49
Q

what is jaundice

A

hyperbilirubinemia

50
Q

asterixis

A

flapping

51
Q

hepatic factor

A

smell

52
Q

what is the treatment for portal HTN and cirrhosis

A

TIPS

53
Q

fulminant hepatic failure

A

severe acute liver failure

54
Q

fulminant hepatic failure s/s

A

bleeding

55
Q

fulminant hepatic failure med

A

neomycin
lactulose

56
Q

fat embolism s/s

A

long bone
resp failure
cerebral dysfunction
skin petechiae (dose not blanch)

57
Q

fat embolism time

A

3-4 days

58
Q

primary mods

A

well defined insult in which organ dysfunction occurs early and is directly attributed to the insult itself

59
Q

secondary mods

A

widespread sustained systemic inflammation

60
Q

DIC increase

A

pt ptt fibrinogen split

61
Q

DIC causes

A

blood transfusions
sepsis
trauma
surgery (hypothermia)

62
Q

what is the crystalloid that most resembles the plasma composition

A

LR

63
Q

Kehrs sign

A

pain in the left shoulder

64
Q

rib fractures of the 10 to 12th ribs can be associated with

A

damage to spleen

65
Q

days for stress ulcer

A

5 days

66
Q

acute pancreatitis treatment

A

NPO

67
Q

pancreatitis replacement of fluids

A

yes, loss into retroperitoneal and peripancreatic spaces

68
Q

hypocalcemia

A

chovstek
trousoues

69
Q

what nerve innervates diaphragm

A

phrenic

70
Q

C spine for ventilation

A

c3-c6

71
Q

autonomic dysrelfexia

A

hypertension
due to noxious stimuli
- full bladder and fecal impaction

72
Q

other spinal cord complications

A

DVT, temp, bladder, bowel, skin

73
Q

neurogenic shock

A

hypotension
vasodilation
bradycardia

74
Q

spinal shock time peroid

A

6-13 wks

75
Q

hypovolemia shock ABG

A

r alk and then m acid

76
Q

PE s/s

A

right ventricular failure

77
Q

chest tube milk it

A

no

78
Q

chest tube no fluctiaion

A

blocked

79
Q

when to add Dextrose for DKA

A

200-250

80
Q
A

Med Surg 2 (32 decks)

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