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Flashcards in Med surge Deck (32)
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1

what is the most common complaint associated with a client with inner ear problem?

Tinnitus

2

Normal Intraocular pressure

10-21 mm HG

3

What kind of fluid is Isotonic? What does it treat?

LR, NS, common dehydration

4

what kind of fluid is hypotonic? What does it

0.5% NS, Pulls what our of intravascular and into cells,
Used to treat prolonged (cellular) dehydration
FVD AND hypernatremia and hyperglycemia

5

Hypertonic What does it treat

5%D, 3% NS
Out of cells and puts back into vascular
Dehydration due to surgery, blood loss and cellular damage
Ascots and third spacing

6

Normal Sodium

135-145

7

S/S of hyponatremia

Decreased LOC, Weight gain, Seizures

8

S/S hypernatremia

THirst, dry mouth, seizures

9

Normal Potassium

3.5-5

10

S/S of HYPOKALEMIA

Presence of U waves, fatigue, muscle weakness (Cramps, spasms, tetany)paresthesia, flat T waves,

11

What must you always assess before giving potassium

URINE OUTPUT

12

S/S of hyperkalemia

Peak T waves, weak muscles, bradycardia

13

Treatment for HYPerkalemia

Give 50% regular glucose with regular insulin, administer calcium gluconate, Kayexalate, Lasix

14

Normal Calcium

8.6-10.2

15

S/S of hypocalcemia

POsitive Chvosteks/Trousseaus, numbness, tingling of extremities, tetany

16

S/S of hypercalcemia

muscle weakness, kidney stones

17

Normal Magnesium

1.5-2.5

18

S/S hypomagnesium

neuromusclular irritability

19

s/S hypermagnesium

Hypotension, dowsiness, hypoactive reflexes, depessed respirations, bradycardia

20

Normal Phosphate

2.4-4.4

21

S/S hypophosphatemia

Mental changes/confusion

22

s/S hyperphophatemia

muscles cramps, tetany, seizures

23

What test must you preform before take ABG

Allen test
Compress ulnar and radial nerve
Let go of ulnar first
have pt tighten and release their hand
Skin must return to normal w/n 15 sec before proceeding with procedure

24

ABG

ph 7.35-7.45
PaCO2- 35-45(lungs)
HCO3-22-26(kidneys)

25

3 meds given in PCA

Morphine, Fentayl, Dilaudid

26

Malignant hyperthermia

due to anesthesia
Inc temp, serzures, brain damage, hypoxia
Remember to ask about family history
Genetic
Admisnister dantrolene (treats and prevents)

27

What is the last sense to go with anesthesia

Hearing-always talk to your patient when putting under nd coming out

28

Lethal rhythms on EKG

V-fib, v-tach, A-systole, Torsades, PEA, 3rd degree heart block

29

What does a wide QRS indicate

Beat iniciating from ventricles

30

What electrolyte can cause Torsades

Low magnesium