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Flashcards in Unit 4 Deck (62)
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1

Vibration in a fistula

Thrill

2

Soft swishing in a fistula

bruit

3

Things to monitor for after dialysis

ensure fistula is not bleeding
monitor vitals
LOC
N/V
HA
muscle cramps

4

Medicines to withold before dialysis

Blood thinners and antihypertensives

5

Dietary considerations for kidney disease patients

Restrict fluid, sodium, phos
low protein and potassium

6

What labs are elevated in kidney disease patients

BUN and creatinine

7

What do you always need to ask a kidney disease patient?

If they produce urine and you NEED to measure it

8

AV fistula care

-ensure its not bleeding
-feel for thrill and listen for bruit
-check perfusion below fistula

9

Nutrition for pancreatitis patients

-Pt may be NPO to give pancrease a break
-low protein, high fat once PO diet resumes
-Enzymes WILL be given EVERY time they eat.

10

Sign of hemorrhage in pancreatitis. Flanks are going to be bruised and purple.

Turners sign

11

Sign of hemorrhage in pancreatitis. Purplish discoloration around belly botton.

Cullen sign

12

What is the most accurate way to diagnose cirrhosis of the liver?

Liver biopsy

13

Patient dispays the following:

 Anorexia
 Nausea
 Weight loss
 Ascites
 Bruising
 Cramping
 Dull RUQ pain
 GI bleeding
 Itching
 Jaundice

What do you suspect the dx to be?

Cirrhosis

14

this is a result of portal HTN, enlarged blood vessels in the esophagus with thin walls that may tear easily and cause severe bleeding and death THIS IS AN EMERGENCY CALL 911

esophageal varices

15

this is caused by liver scarring obstructs blood flow in the portal vein causing pressure to build in the surrounding vessels

portal HTN

16

S/S are decreaed LOC, confusion, changes in handwriting, asterixis (flapping hand tremor), bad breath from the body

hepatic encehalopathy

17

Flapping hand tremor

asterixis

18

caused by elevated ammonia. S/S: confusion, asterix, fector hepaticus (foul breath from body not dentition), irritability, hyperventilation. Can cause coma and death

hepatorenal syndrome

19

accumulation of fluid in the peritoneal cavity. Causes difficulty breathing

ascites

20

Cirrhosis patients should avoid taking what for a headache?

tylenol or anything with acetaminophen

21

Cirrhosis patients are on what kinf od dietary restrictions

FLuid and sodium

22

Tight red skin over inflamed joints
occurs more in med
extreme pain at joint site; most common in big toe

Gout

23

Gout patients can take any NSAID except...

Apsirin

24

Cirrhosis patients will probably be taking stool softeners becuase

they have to avoid coughing and straining

25

Things that can cause gout

high protein diet
genetics
excessive alcohol
High purine foods

26

High purine foods

anchovies
sardines
sweet breads
liver
red meat
kidneys

27

How long might it take to see imprivement when taking zyliprim?

2-6 wks

28

How should allopurinol be taken?

with food or milk to avoid GI irritation

29

Should NSAIDs be taken with zyliprim? why or why not?

yes bc zyliprim is for prevention of actue gout attacks not the tx of them

30

What kind of precautions should a leukemia pt be on?

neutropenic