New! Flashcards

(59 cards)

1
Q

Indomethacin

A

Used to treat Pain, inflammation, and fever

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2
Q

Bacterial meningitis signs

A

Kernig’s sign and brudzinski’s sign
Photophobia
Severe Headache
Nuchal rigidity - stiff neck

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3
Q

How to diagnose CMV

A

Fresh stool sample

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4
Q

Aspirin toxicity common symptom

A

Tinnitus

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5
Q

Diet for gout

A

Low protein

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6
Q

Specific gravity normal

High and low

A

1.005-1.030
Low = dilute urine
High = concentrated urine

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7
Q

Duodenal ulcer pain

A

Pain lessons when you eat

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8
Q

Lithium toxicity signs

A

Increased thirst and urination

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9
Q

IV potassium administration

A

Monitor UO before and during administration! K is excreted by the kidneys, so if decreased UO, K will increase!

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10
Q

Cushing disease

A

Increased production of aldosterone

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11
Q

Sodium level too high

A

Look for neurological changes

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12
Q

Magnesium

A

Acts like a sedative - assess respiratory function and deep tendon reflexes
Excreted through the kidneys
Alcohol messes with magnesium!

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13
Q

Electrical burns

A

Internal damage
Assess for entry and exit wounds
Anticipate bone fractures, so apply neck collar and put on a spine board

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14
Q

Carbon monoxide poisoning symptoms

A

Similar to the flu
Extreme weakness, dizziness, blurred vision, confusion
Lips and skin turns red!

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15
Q

Burning patient

A

Extinguish flames then splash with cool water. Need to stop burning process!!
Remove jewelry
Cover with blanket for hypothermia

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16
Q

Lab values
BUN
Phosphate

A

BUN 10-20

Phosphate 3-4.5

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17
Q

Cushings disease

A

Mood changes, truncal obesity, Hirsutism (female with male characteristics), hyperclycemia, hypokalemia

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18
Q

HbA1C test

A

Measures average serum glucose attached to hemoglobin over 90 days
Tests how well persons diabetes is controlled!

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19
Q

Type II diabetic carb diet

A

45% complex carbs

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20
Q

Pt with mania

A

Do not talk about delusions
Remove all excess stimuli. So turn off radio and TV
Only give 1 cigarette at a time, otherwise they will light the whole pack

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21
Q

S/S of schizophrenia

A

Flat affect, inappropriate affect, or a blunted affect
Religious preaching common
Hallucinations and delusions
Concrete thinking

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22
Q

Client with auditory hallucinations

A

Assign staff to be with client. Safety issue! Voices could be telling them to harm themselves or others.
Reorient to reality
Do not ask them to explain hallucinations, feeds into it

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23
Q

Nitroglycerin

A

Increases blood flow to the heart by dilating coronary arteries
BP could drop because of dilation of arteries leading to feeling faint, so sit down when taking drug
Most common side effect is a headache
Store in a dark, glass bottle so it doesn’t lose potency

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24
Q

Aminoglycoside toxicity

A

Nephrotoxic!

Examples: Gentamicin, Streptomycin

25
Nephrotic syndrome
Damage to micro blood vessels in kidneys
26
Peritoneal dialysis
Dialysate should sit out to be warmed to room temp Infused into peritoneal cavity Drains by gravity for 20-30 min
27
Liver functions
Produces clotting factors Detoxifies the body Breaksdown medications
28
Cholecystectomy eating habits
Want to slow down the food in digestive tract Sit semi recumbant when eating Lie down on L side after meals Decrease intake of carbs
29
Abdominal surgery post op position
Semifowlers to reduce pressure on abdomen and suture line
30
Position for a thoracentesis
Sitting on side of bed leaning over a bedside table Procedure is done to remove excess fluid from thoracic cavity Procedure comes from the posterior side
31
Chest tube (CDU = chest drainage unit) normal findings
- Continuous bubbling in suction control chamber - Intermittent bubbling in water seal when pt coughs, sneezes, or exhales - Slight fluctuations of water level in water seal chamber with respiraitons - <100 mL of drainage every hr except for first hr. >100 mL is considered excessive - Always keep below level of chest Continuous bubbling in water seal indicates an air leak - Notify provider! Need an order in order to clamp tube
32
Amputations below the knew compression stocking
Used to help shape the stump to make it easier to fit in prosthesis
33
Tenting of skin
Dehydration sign!
34
Fracture assessment signs
Swelling, discoloration, deformity, crepitus
35
Cast care for new cast
Takes up to 72 hours to dry completely Keep uncovered until dry Rest on soft pillow Use palm of hand to move for first 24-72 hours Mark case if there is breakthrough bleeding
36
Lumbar puncture post op position
Prone
37
Increased intracranial pressure signs
Projectile vomiting Widening pulse pressure Delay in verbal response
38
Increased ICP interventions
``` Maintain temp below 100.4 Monitor vitals for cushings triad Limit suctioning Raise HOB Head midline and in neutral position ```
39
Basilar skull fracture signs
Positive halo test Raccoon eyes Battle sign
40
Autonomic dysreflexia
Priority is to elevate HOB to decrease BP! Caused by fecal impaction or urinary retention Quick and dangerous increase in BP Stimuli like a draft or increase in temp makes it worse.
41
Post mastectomy teaching
Protect hand and arm from cuts. Tiny cuts can turn into major infections Squeeze ball/comb hair with affected side to promote circulation
42
Radiation therapy - expected signs and symptoms
Skin shedding, erythema w/ pain, pancytopenia, exhaustion | N/V expected from chemotherapy
43
PT/s with radiation implant
Visitors stay 30 min max and must be 6 ft Wear film badge during shift Nurse rotate assignment daily and should not care for more than one radiation patient per shift
44
Primary prevention
Prevent yourself from getting disease | EX maintain healthy weight, exercise, etc
45
Secondary prevention
Detecting a disease | EX mammogram or colonoscopy
46
Tertiary prevention
Support groups and rehabilitation programs
47
Mastitis treatment
``` Plenty of bed rest Wear supporting bra No chilled cabbage leaf! Only if breast feeding is being discontinued Start Breast feeding with affect breast Take ABX immediately after feeding Take hot showers - causes breast to leak ```
48
Presumptive signs of pregnancy
Could be caused by other factors | Amenorrhea, fatigue, enlarged/tender breast, increased urination, nauses
49
Probable signs of pregnancy
Positive pregnancy test Outline of fetus palpated Braxton hicks contractions Enlarged uterus Positive signs (Goodell's, chadwicks, hegars) Facial chloasma - patches of dark skin on face
50
Positive signs of pregnancy
``` FHR detected Birth Fetal movement felt by nurse or dr Ultrasound Visible movement seen by dr ```
51
Pregnancy education
Gain no more than 4 pounds during first tri Walking and swimming are best exercises Increase protein to 60 grams a day
52
Indication of preeclampsia
Weight gain of >4 pounds in third tri | Check BP and urine for protein!
53
True labor
Regular contractions | Pain level increases with change in activity
54
Betamethasone
Helps fetal lungs mature
55
Mag sulfate, terbutaline, nifedipine
Relaxes uterus to stop contractions
56
Pain during breast feeding in abdomen
Normal. Oxytocin is released causing uterus to contract
57
Anterior and posterior fontanel closure
Anterior closes between 12-18 months | Posterior closes between 2-3 months
58
Vitals for toddlers
Count RR and HR for 1 full minute
59
Sickle cell crisis
Hydration is important!