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Study2 > Appendicitis > Flashcards

Appendicitis Flashcards

1
Q

Patho?

A

Related to low fiber diet

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2
Q

Number 1 thing to worry about?

A

Rupture

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3
Q

Pain

A

Generalized pain initially

*eventually localizes in the RLQ (McBurney point)

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4
Q

GI

A

Rebound tenderness
NV
Anorexia

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5
Q

Diagnosis?

A

WBC increased
UC
CT

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6
Q

Do we give enemas or laxatives ?

A

No, worried about rupturing!

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7
Q

Treatment?

A

Surgery

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8
Q

After any abdominal surgery, what is the position of choice?

A

Semi-Fowlers

*never want pressure on a suture line

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9
Q

TPN aka ?

A

Hyperalimentation

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10
Q

TPN

How to store

A

Keep refrigerated
Warm for administration
Let sit out for a fe minutes prior to hanging

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11
Q

TPN

What line

A

Central line (anything more than 10% needs central line)

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12
Q

TPN

What is needed?

A

Filter needle

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13
Q

TPN

Can anything else go through the line?

A

Dedicated line for TPN so no

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14
Q

TPN

Discontinue gradually to avoid?

A

Hypoglycemia

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15
Q

TPN

Daily ?

A

Weight

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16
Q

TPN

May have to start taking ?

A

Insulin

17
Q

TPN

BG monitoring every ?

A

6 hr

18
Q

TPN

Check urine for?

A

Ketones and glucose

19
Q

TPN

T/F: Do not mix ahead

A

T

*mixture changes everyday according to electrolytes

20
Q

TPN

How long can it be hung for?

A

24 hours

21
Q

TPN

T/F: Change tubing with each new bag

A

T

22
Q

TPN

IV bag may be covered with dark bag. Why?

A

To prevent chemical breakdown

23
Q

TPN

Need to be on a ?

A

Pump

24
Q

TPN

Home TPN–emphasize ?

A

Hand washing

25
Q

TPN

Most frequent complication?

A

Infection

26
Q

TPN

Protein can’t leak through the glomerulus unless?

A

Kidney damage

27
Q

Central line assisting

Have what?

A

Saline available for flush

Do not start fluids until positive confirmation of placement (CXR)

28
Q

Central line assisting

Position?

A

Trendelenburg to distend veins

29
Q

Central line assisting

If air gets in the line, what position?

A

Left side trendelenburg (then go to cath lab to get air out)

30
Q

Central line assisting

When an air embolus is suspected in the heart, the client may be taken where?

A

To cath lab for removal of air

31
Q

Central line assisting

When you are changing the tubing, how can you avoid getting air in the line?

A

Clamp it off
alsalva
Take a deep breath and HUMM

32
Q

Central line assisting

Why is an x-ray done post insertion?

A

Check for placement

Make sure client doesnt have a pneumothorax

Study2 (18 decks)

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