Med Surg Flashcards
(74 cards)
Exercise for osteoarthritis
Exercise consistently weather pain is present or not.
1st step when blood is ready from bank
Confirm the type and match
Fall off ladder with l/arm fx
Head to toe Cut away clothing Remove jewelry Assess neurological status Splint arm
Tensions pneumothorax
Chest asymetry
Air enters during inspiration and does not exit during expiration.
Tracheal deviation to the unaffected side.
Flail chest
Paradoxic chest movement
Movement of the thorax out on expiration and inward inspiration
Lactulose
Stimulates the production of excess stools to rid the body of ammonia. Excessive stools cause hypokalemia and dehydration
Priority assessment for a spinal cord injury with a Halo fixation device
The greatest risk is to neurological damage. Peripheral reflexes and sensation should be assessed and a decrease should be reported to the provider
Priority assessment for IV potassium therapy.
The client is admitted with dehydration and a potassium level of 2.8. The highest priority would be a urine output below 20 mL per hour for two hours because potassium is excreted in the kidneys and this could result in accumulation of potassium and development of life-threatening dysrhythmias
Swelling at the insertion site can indicate infiltration or leakage and should be reported immediately
Myxedema coma and hypothyroidism
Slow speech would indicate a risk for myxedema coma coma because hypothyroidism results in reduced perfusion to the brain
Hypothyroidism
Constipation due to decrease G.I. motility.
Cold intolerance due to decreased metabolic rate.
Decreased body temperature due to decreased metabolic rate
Hypotension
Weight gain
Bradycardia
Clinical manifestations of type two diabetes mellitus
Polyurea, polydipsia, neuropathy
Priority finding after a TURP
Red colored urine with occasional clots
Bladder spasms are common, and pain level of six is common and a low-grade temperature is common
Erythropoietin
Iron supplements may be needed. It will help decrease fatigue and improve activity tolerance. Hemoglobin should be closely monitored while on this medication.
It does not impact the need for a protein restriction
Complication of mechanical ventilation
Stress ulcers are caused by elevated levels of hydrochloric acid in the stomach
May cause hypotension, fluid retention, and hyponatremia
Laboratory value with hypoactive bowel sounds
Hypokalemia decreases G.I. motility and can cause abdominal distention
On a sidenote, hyponatremia increases G.I. motility and hyperactive bowel sounds
Bee sting
Inject epinephrine Remove the Stinger Clean with soap and water Apply ice Seek medical help
Tensilon test
After administration of Tensilon, the client demonstrates increased muscle weakness and twitching. This indicates a cholinergic crisis.
In a myasthenic crisis, muscle weakness would improve after administration of tensilon
Digoxin toxicity
Visual disturbances
Impaired renal function increases the risk of toxicity
Signs of increased intracranial pressure
Sleepiness, widening pulse pressure, decerebrate posturing, distended jugular veins,
Papilledema, Cushing’s Triad, slurred speech, decorticate posturing
Biliary colic
Anticholinergic a will decrease spasms of the bile ducts.
Peritoneal dialysis
If constipated and anorexia an enema should be given prior to dialysis
TB
Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures.
The client is no longer contagious after TB medications have been taken for 2 to 3 weeks
Mannitol/osmitrol
Headache is adverse affect and needs reported immediately
Thyroid storm
Systolic blood pressure elevated
Propranolol is given to reduce effects of thyroid hormone on the heart.
