Flashcards in Unit 4 Deck (62)
Vibration in a fistula
Soft swishing in a fistula
Things to monitor for after dialysis
ensure fistula is not bleeding
Medicines to withold before dialysis
Blood thinners and antihypertensives
Dietary considerations for kidney disease patients
Restrict fluid, sodium, phos
low protein and potassium
What labs are elevated in kidney disease patients
BUN and creatinine
What do you always need to ask a kidney disease patient?
If they produce urine and you NEED to measure it
AV fistula care
-ensure its not bleeding
-feel for thrill and listen for bruit
-check perfusion below fistula
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.
Sign of hemorrhage in pancreatitis. Flanks are going to be bruised and purple.
Sign of hemorrhage in pancreatitis. Purplish discoloration around belly botton.
What is the most accurate way to diagnose cirrhosis of the liver?
Patient dispays the following:
Dull RUQ pain
What do you suspect the dx to be?
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
this is caused by liver scarring obstructs blood flow in the portal vein causing pressure to build in the surrounding vessels
S/S are decreaed LOC, confusion, changes in handwriting, asterixis (flapping hand tremor), bad breath from the body
Flapping hand tremor
caused by elevated ammonia. S/S: confusion, asterix, fector hepaticus (foul breath from body not dentition), irritability, hyperventilation. Can cause coma and death
accumulation of fluid in the peritoneal cavity. Causes difficulty breathing
Cirrhosis patients should avoid taking what for a headache?
tylenol or anything with acetaminophen
Cirrhosis patients are on what kinf od dietary restrictions
FLuid and sodium
Tight red skin over inflamed joints
occurs more in med
extreme pain at joint site; most common in big toe
Gout patients can take any NSAID except...
Cirrhosis patients will probably be taking stool softeners becuase
they have to avoid coughing and straining
Things that can cause gout
high protein diet
High purine foods
High purine foods
How long might it take to see imprivement when taking zyliprim?
How should allopurinol be taken?
with food or milk to avoid GI irritation
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