CT 6 Flashcards
____ and ____, because of their role in muscle contraction and relaxation, may be important for people with COPD
Magnesium and calcium
COPD: Provide an adequate fluid intake (minimum __ L/day) unless contraindicated
3
If the chest tube becomes disconnected do not
clamp
If the chest tube comes out of the patient you have to cover the site and tape on only 3 sides because
that prevents a tension pneumothorax
In the water seal chamber you should see
tidaling
Digoxin for angina?
No. Digoxin will Increase the force of the heart which you don’t want since the heart is already over worked
Why is nitro good for angina
vasodilates, which allows more oxygen to get to the heart muscle
Atropine for angina?
No
Propanolol for angina?
Not for an acute attack
It’s good for long term prevention
one of the differences between angina and MI is that MI has a sudden
onset of pain
MI is not relieved by
rest or nitro
Silent MI
it’s when there’s no pain; this might happen it someone with DM
MI pulse
rapid, weak, thready
MI LOC
decreased
CK MB
specific to myocardial cells and can help quantify myocardial damage.
Troponin
more specific to MI than is CK MB
MI pulse pressure
narrows. ie 90/80
MI: wet lung sounds indicates
heart failure
ECG changes occur as early a ____ after an MI
2 hours
MI: morphine is for
pain and to increase O2 perfusion
3 blood pressure meds for MI
nitro
Beta blocker
ACE inhibitor
MI: how much O2 are you giving
2 to 6 L via NC
MI: rales indicates
Pulmonary edema
how should you position an MI patient
semi-fowler
MI: when do the thrombolytics need to be given
within 1 to 4 hours
therapeutic PTT and aPTT values
1.5 to 2.5 times the normal time
therapeutic INR value
2:3
diverticulitis: where would the pain likely be
left lower quad (sigmoid colon)
what kind of bowel habit might you have with diverticular obstruction
switching between constipated and diarrhea
what kind of appetite would you have with diverticulitis
decreased
2 tests for diverticular diseases
Colonoscopy Barium enema (except its not used in the acute phase)
an example of a good bulk-forming laxative for diverticular patient
metamucil
rapid acting onset
less than 30 min
rapid acting peak
1 or 2 hours
short acting onset
30 to 60 min
short acting peak
2 or 3 hours
intermediate onset
1 or 2 hours
intermediate peak
6 to 12 hours
Hypergly: encourage ___ intake
water
In which state do you check for ketoacidosis
Hypergly
hypogly is B.S. less than
70
