Med surge Flashcards

(60 cards)

1
Q

4 Es of Angina factors

A

Exertion - exercise
Eating
Emotional distress
Extreme temp - hot/cold

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2
Q

4Ps of arterial occlusion

A

Pain
Pallor
Paresthesia
Pulselessness

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3
Q

Heart failure treatment
MADD DOG

A

Morphine
Aminophylline - bronchio dilator
Digoxin
Dopamine
Diuretics
Oxygen
Gasses - arterial

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4
Q

Heart murmur causes
SPAMS

A

Stenosis (narrowing) of valve
Partial obstruction
Aneurysm
Septal defect
Mitral regurgitation

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5
Q

Heart sounds
APE To Man

A

Aortic 2 right
Pulmonic 2 left
Erbs 3 left
Tricuspid 4 left
Mitral (APEX) 5 left

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6
Q

Hypertension care DIURETIC

A

Daily weight
I&O
Urine output
Response of BP
Electrolytes
Take pulse
Ischemic episodes
Complications - CVA CAD CHF CRF

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7
Q

SOB
A4+B4

A

Airway obstruction
Angina
Anxiety
Asthma
Pneumonia
Pneumothorax
Pulmonary edema
Pulmonary embolus

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8
Q

Stroke sign FAST

A

Face
Arms
Speech
Time

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9
Q

5Ps of comPartment syndrome

A

Pain
Pallor
Pulse decrease
Pressure increase
Paresthesia

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10
Q

Shock
CHORD ITEM

A

Cold
Hypotension
Oliguria
Rapid breathing
Drowsiness
Irritability
Tachycardia
Elevated venous pressure
Multiple organ damage

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11
Q

Hypoglycemia TIREDD

A

Tachycardia
Irritability
Restlessness
Excessive hunger
Diaphoresis

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12
Q

Hypocalcemia CATS

A

Convulsion
Arrhythmias
Tetany
Stridor

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13
Q

hypokalemia 6Ls

A

Lethargy
Leg cramps
Limp muscles
Low resp
Lethal dysrhythmias
Loss of urine (polyuria)

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14
Q

Hypertension complications 4Cs

A

CAD
CHF
CRF Chronic renal failure
CVA cardiovascular accident (brain stoke)

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15
Q

TRACTION

A

Temperature of extremity
Ropes hang freely
Alignment of body
Circulation 5Ps
Type of fracture
Increase fluid intake
Overhead trapeze
Noe weights on bed or floor

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16
Q

Cancer early signs
CAUTION UP

A

Change in bowel/bladder
A lesion that does not heal
Unusual bleeding or discharge
Thickening of lump
Indigestion or difficulty swallowing
Obvious warts or moles
Nagging cough
Unexplained weight loss
Pernicious anemia

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17
Q

Leukemia ANT

A

Anemia
Neutropenia
Thrombocytopenia

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18
Q

Dialysis AEIOU

A

Acid base balance
Electrolyte balance
Intoxication
Overload of fluids
Uremic symptoms

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19
Q

ASTHMA

A

Adrenergics - albuterol bronchodilators
Steroids
Theophylline
Hydration
Mask O2
Antibiotics

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20
Q

Hypoxia ART BED

A

Anxiety
Restlessness
Tachycardia tachypnea

Bradycardia
Extreme restlessness
Dyspnea

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21
Q

P-THORAX

A

Pleuritic pain
Trach deviation
Hyperresonance
Onset sudden
Reduced breath sounds
Absent fremitus
Xray shows lung collapse

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22
Q

Transient incontinence DIAPERS

A

Delirium
Infection
Atrophic urethra
Pharmaceuticals
Excess urine output
Restricted mobility
Stool impaction

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23
Q

Constipation solutions

A

Exercise
High fiber
High fluid

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24
Q

Dysphagia solutions

A

modify food
high fowlers for swallowing
oral care prior to meals
adequate time
NO THIN liquids

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25
Dumping syndrome 101
pyloric sphincters cant control food movement nausea, distension, diarrhea within 15m of eating weakens, ^ hr, hypoglycemia
26
Dumping syndrome solutiosn
small frequent meals protein and fat in each meal avoid sugar restrict lactose have liquids separate from food
27
GERD solutions
encourage weight loss avoid large meals at bedtime
28
GERD foods to avoid
caffeine chocolate fatty foods peppermint citrus spice carbonated drinks
29
GERD substances to avoid
Alcohol Cigarettes
30
PUD 101 peptic ulcer disease causing - bacteria drug
erosion of mucosal layer of stomach helicobacter pylori NSAIDs- aspirin, motrin
31
PUD solutions
avoid frequent meals avoid nsaids, smoking, coffee, black pepper, caffeine, spice
32
Diverticulitis diet avoid
First low fiber to avoid stress Then high fiber to promote passing seeds or husks
33
Cholecystitis 101
Inflammation of gallbladder gallbladder releases bile which helps digest fat reduce fat intake to give it a break
34
Other foods to avoid with cholecystitis
coffee broccoli cauliflower cabbage onions legumes
35
ARF acute renal failure can cause what lyte imbalances
Hyponatremia Hypocalcemia Hyperkalemia Hyperphosphatemia
36
Pre-End Stage Renal Disease biggest indicator
Creatinine
37
Pre ESRD diet
Limit meat Limit dairy Limit high phosphorus food Limit sodium Protein needs to be carefully determined
38
Foods high in phosphorus to avoid when in Pre ESRD
Peanut butter dried pease beans bran beer chocolate cola
39
GFR in ESRD
less than 25ml/min
40
Diet for ESRD
high protein low phosphorus low potassium low sodium fluid restriction
41
Protein intake for ESRD x/y
35cal/kg
42
ESRD Vit D deficiency leads to what lyte imbalances
Hyperphosphatemia Hypermagnesemia Hypocalcemia
43
Greatest intervention to monitor RF and HF
Daily weight
44
Nephrotic syndrome cause
Serum protein leaking into urine
45
goals of Nephrotic syndrome treatment
minimize edema replace nutrients minimize renal damage
46
Nephrolithiasis (kidney stones) treatment
INCREASE FLUIDS lower intake of protein, sodium, calcium, oxalates
47
Treatment principles SAAL
Systemic before local Acute before chronic Acute before potential Listen, dont assume
48
Hypokalemia S/S
hyporeflexia weak, irregular pulse hypoactive bowels
49
What to check for Diabetes Insipidus
Urine Specific Gravity
50
Electrical intervention to treat Afib Ventricular tachycardia Supraventricular tachycardia SVT
Synchronized cardioversion
51
What to monitor for delayed wound healing
Albumin (protein indicator
52
S3 sound indicates
HF
53
Will TRUP pts have an urge to void with Ucath
Yes the Ucath has traction
54
Indicator of complication with TURP
Blood in urine
55
Sudden on set of severe headache, decrease in LOC, and seizure indicates
Hemorrhagic stroke
56
Escharotomy
Incision made to release pressure and remove eschar
57
First indicator of shock
Narrowing pulse pressure aka low difference between systolic and diastolic
58
Increased intracranial pressure indicators
Hypertension Bradycardia Irritability
59
Acute osteomyelitis manifesations
Localized pain Hyperthermia/fever Localized erythema Tachycardia
60
HIV CD4 Tcell count number less than what is a problem
Less than 180