milestone retake 2 Flashcards
(25 cards)
why promoting fluid balance is critically import- NG tube w/ NPO status
ex
high risk of fluid imbalance
small bowel obstruction
loperamide
when taken
therapeutic effect
30 min before meals
decrease diarrhea
COPD - o2 goal- PaO2 and SaO2
increase baseline resting PaO2 to at least 60 mm Hg and SaO2 to at least 90%
another name for ADH
Med used to treat what?
vasopressin
desmopression (med)
diabetes insipidus
normal urine specific gravitiy- diabetes insipidus
concentration- serum vs urine
1.001-1.005
serum. osmolality- high
urine osmolality- low
K+ vs Na+ : Diabetes insipidus
hypokalemia
hypernatremia
because peeing a lot (low ADH)
dialysis indicated- K+
hyperkalemia
drug used to tx ascites- cirrhosis?
spironolactone
potassium-sparring: It prevents your body from absorbing too much salt and keeps your potassium levels from getting too low. This medicine is also used to treat or prevent hypokalemia (low potassium levels in the blood)
acute pancreatitis pain characteristics
unrelieved…
mid-epigastric pain
acute onset 24-48 hours after heavy meal or drinking alcohol
unrelieved by antacids
acute phase ARDS
characteristics
rapid onset of dyspnea <72 hours after event
*supplemental O2 does not relieve hypoxemia
febrile seizure
med to administer-teaching
nature of seizure
rectal diazepam at onset of seizure
benign
what happens- SCFE (slipped femoral capital epiphysis)
where more often affected?
femoral head dislocates from the neck and shaft of the
femur at the level of the epiphyseal plate. The epiphysis slips downward and backward.
left hip
acute vs chronic SCFE
acute- the pain is usually sudden in onset and results in inability to bear weight
chronic- an insidious (gradual) onset of pain and limp.
teaching SCFE (slipped femoral capital epiphysis)
Do not attempt to perform passive range of motion to determine the extent of limitation in
the child with SCFE; this may cause worsening of the condition.
● Enforce bed rest and activity restriction.
what is situ planning
when is weight bearing resumed?
a pin or screw is inserted
percutaneously into the femoral head to hold it in place.
Teach the family that weight bearing is usually resumed about
a week after the surgery and that the pin will be removed later
treeatment for muscular dystrophy- meds
no cure
corticosteroids- slow progression
Ca and vit D prevent osteoporosis
antidepressants- tx effect of corticosteroids
beta blockers & ace inhibitors- decrease workload of heart
nusring focus- muscular dystrophy
promote mobility –> at least minimal weight beraing in a standing position
promote cardiopulmonary function
muscular dystrophy-
children
inherited
duchenne- most common in children –> shorter life expectancy
managingg hemophilia
prevent bldding –> avoid activities with high risk of injury (sports_
encourage low contact sports- wmin, run, tennis
1st sign of sickle cell crisi
stress (infection, fever, dehydration, cold, low O2, physical exert) –> symmetrical swelling infant or toddler –> REPORT
diarrhea diet
avoid
avoid:
high glucose
high fiber
brat- banana, rice (white), applesauce, toast
what is intussuseption
tx
part of the intestine slides into an adjacent part of the intestine. –> edema, –> bowel obstruction
tx: barium enema, sx
sx- tetralogy of fallot
blood clots –> brain–> stroke
bacterial endocarditis
arrhythmias
HF
death
cystic fibrosis managment
tx-improve digestion
pancreatic enzyme supplemtns (pancrealipase (Creon, Pancreaze, Zenpep)) with all meals and snack
