112 Test 1 Flashcards
Anticoagulant therapy and surgery
Stopped a week before
Typically for AFib
NSAIDs and surgery
Stopped 7-10 days before
Informed consent
Adequate disclosure Comprehension Voluntary Competent (Slides for all of these)
Postoperative low grade/high grade fever
Low grade signals respiratory
High grade signals wound infection
Focus of any nursing care
PT advocate
Dehydration lab elevations
HCT Osmolarity CRT Glu Prt Bun ADh Aldosterone 1.005-1.030 SG
Vitals and dehydration
PR and Urine most important
Peds dehydration
Fever and excercise
Irritable and sleepy
Nursing diagnosis and dehydration
Def fluid volume
Inef peripheral perfusion
Activity intolerance
Confusion
Fluid overload symptoms
Wet breath sounds Decreased output Jvd Edema Dyspnea Ascites
Hypernatremia MODEL
Medications Meals Osmotic diuretics Diabetes insipidus Excessive H20 Low H2O
Hypernatremia AN SALT
Abd pain Nausea Skin flushed Agitation Low Grade Fever Thirst
Hyperkalemia MACHINE
Meds Acidosis Cell destruction Hypoaldosterone Intake excessive Nephron Excretion impaired
Digoxin toxicity
Halo around lights
NVD
Anorexia
Low K can make it worse/happen quicker
K dosage
10mEq/100mL
K foods
.
Thiazides
Elevate glu
Normal kid
Not fast
Loop diuretic
Lasix More potent Lose K Safe for renal failure Iv push CAN cause hearing loss
Actone diuretic
K sparing
Hyperkalemia
Teach K-rich food avoidance
Mannitol diuretic
Osmotic Used for Ocular and head pressure Iv S/e Pulmonary edema from fluid shift Tachy
Carbonic anhydrase
Acetazolamide (Diamox)
Can’t give 1st trimester