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aa Orgo > Sep 1 > Flashcards

Sep 1 Flashcards

1
Q

Hyperthyroid tx: total thyroidectomy

A

Risk for hypocalcemia, because you probably took part of the parathyroid

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2
Q

Hyperthyroid tx: partial thyroidectomy

A

Risk for thyroid storm

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3
Q

Thyroid storm symptoms

A

Temp 105
Extreme htn
Extreme tachy
Delirium

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4
Q

Thyroid storm tx

A

Lower their temp and give oxygen at 10 liters

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5
Q

Thyroidectomy post op first 12 hours

A

For both partial and total, top priority is airway and bleeding

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6
Q

Thyroidectomy post op 12 to 48 hours

A

Partial- watch for storm

Total- watch for tetany (t for t)

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7
Q

Myxedema tx

A

Give thyroid hormone

Do NOT sedate

Never hold thyroid pills for myxedema patient even before surgery because they’d be way too susceptible to over sedation

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8
Q

Adrenal cortex disease hint

A

They all start with A or C

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9
Q

Addisons …three things about what it is

A

Adrenal cortex undersecretion

These people can’t adapt to stress, they can’t respond and they’re blood sugar and BP drop, leading to shock

Their skin is hyper pigmented

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10
Q

Addisons tx

A

Steroids (things that end in sone)

Think- in addisons you add a sone

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11
Q

Cushings

A

Over secretion of adrenal cortex

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12
Q

Signs and symptoms of cushings is the same as

A

Steroids

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13
Q

Cushings tx

A

adrenalectomy

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14
Q

Kids toys: nothing with small parts for age

A

4 or less

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15
Q

Kids toys: If O2 is in use

A

nothing metal/dycast

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16
Q

Kids toys: If immunosuppressed

A

must be plastic, metal or something else you can sterilze

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17
Q

Best toy: 0 to 6 months

A

musical mobile or something soft

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18
Q

Best toy: 6 to 9 months

A

They’re learning object permanence, so use a cover-uncover toy like jack in the box.

The WORST toy for this age is the mobile

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19
Q

Best toy: 9 to 12 months

A

Speaking toys because they’re working on talking

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20
Q

Best toy: They can’t do anything purposeful until 9 months. So if the kid is under 9, do NOT pick answers with words like

A

build, sort, stack

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21
Q

Best toy: 1 to 3 years

A

Push-Pull toy
Finger painting
NO finger dexterity games

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22
Q

Best toy: Preschool

A

Finger dexterity

Balance (tricycle, dance)

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23
Q

Best toy: School age

A

The 3 Cs

  • Creative: Instead of coloring books, give them blank paper
  • Collecting stuff
  • Competitive
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24
Q

Laminectomy

A
  • Removing vertebral spines

- Purpose is to remove nerve root compression

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25
When you get a laminectomy (or any neuro) question look at
the location (cervical, thoracic, lumbar)
26
Laminectomy: Most important pre op check for Cervical
Breathing | Arm/hand function
27
Laminectomy: Most important pre op check for Thoracic
Cough mechanism | bowels
28
Laminectomy: Most important pre op check for Lumbar
Bladder | Legs
29
Laminectomy: Best answer for Post Op, no matter what the location is
Log Roll
30
Laminectomy: Dangling
-Don't do it for longer than a couple seconds (unlike with other operations)
31
Laminectomy: They can sit for
30 minutes (for meals)
32
Laminectomy: Ambulating
they can walk, stand, lay down without restriction
33
Laminectomy: Cervical complications
pneumonia
34
Laminectomy: Thoracic complications
Pneumonia | Illeus
35
Laminectomy: Lumbar complications
Urinary retention | Leg problems
36
Anterior thoracic laminectomy needs
chest tubes
37
Laminectomy with fusion
takes bone graft from illiac crest The hip incision causes more complications than the spine incision
38
Laminectomy Discharge teaching: Temporary things
- Don't sit longer than 30 minutes for 6 weeks - Lay flat and log roll for - No driving - No lifting over 5 lbs
39
In general, if you don't know how long to restrict something choose
6 weeks
40
Laminectomy Discharge teaching: Permanent things
- Lift with knees - Never lift something over your head (cervical) - No horseback riding, off road biking etc
41
Creatinine range
0.6 to 1.2
42
INR range
2s - 3s
43
Creatinine changes
low priority. Only report if they're having a dye procedure
44
INR over 4
category C (means you have to do something) Hold warfarin Assess Prepare vitamin K Call
45
For any situation that's a category C, the 4 generic steps
Hold Assess Prepare Call
46
K range
3.5 to 5.3
47
K 5.4 to 5.9 category
category C
48
K 6 and over category
D
49
K less than 3.5 category
C Hold nothing Assess heart Prepare K Call
50
what do you do about pH in the 6s
Do vitals | Call
51
BUN range
10 to 20
52
BUN out of range, what do you do
assess for dehydration
53
Hemoglobin range
12 to 18
54
Hemoglobin Category C
less than 7 Assess for bleeding Prepare for transfusion
55
CO2 range
35 to 45 (same as pH minus the 7)
56
CO2 Category C
in the 50s Assess respiratory Use pursed lip
57
CO2 Category D
in the 60s - this is criteria for resp failure - Stay with them - Assess resp - Prepare to intubate - Call for help
58
Hematocrit range
36 to 54 (it's 3 times the hemoglobin levels)
59
Hematocrit elevated, what category
just a B, just assess dehydration
60
PO2 (not POX) range
80 to 100
61
PO2 category C
Low 70s | Give O2
62
PO2 category D
Low 60s - Give O2 - Assess - Prepare to intubate - Call
63
Anemia and POX reading
Anemia falsely elevates POX, so you need to check O2 in another way. Same is true with dye procedures
64
BNP that indicates HF
under 100
65
Change in Na category
C
66
WBC range
5000 to 11000
67
ANC (Neutrophil) range
500 +
68
WBC below 5000 category
C
69
ANC (Neutrophil) below 500 category
C
70
Highest, most serious priority lab values
pH/K.......6s CO2/PO2........60s Platelet.....less than 40
71
Psyc drugs all have these SE
decrease BP | Weight change
72
1st gen anti psyc drugs all end in
zine (we use zines for the zany)
73
1st gen anti psyc drugs: in small doses are used as
antiemetics
74
1st gen anti psyc drugs: are some of the major
tranquilizers
75
1st gen anti psyc drugs: SE: A, B, C, D, E, F, G
``` Anticholingeric Blurred Vision Constipation Drowsy EPS (like parkinsons) Fotosynthesis (sun burn) aGranulocytosis ```
76
1st gen anti psyc drugs: SE: A
Anticholingeric
77
1st gen anti psyc drugs: SE: B
Blurred Vision
78
1st gen anti psyc drugs: SE: C
Constipation
79
1st gen anti psyc drugs: SE: D
Drowsy
80
1st gen anti psyc drugs: SE: E
EPS (like parkinsons)
81
1st gen anti psyc drugs: SE: F
Fotosynthesis (sun burn)
82
1st gen anti psyc drugs: SE: G
aGranulocytosis
83
consideration for SE vs TE
you don't have to report SE, they're expected
84
Decanate
a drug that's long acting and given IM; it's used for non-compliant patients by court order

aa Orgo (196 decks)

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