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everything Flashcards

1
Q

stoke in broca area

A

expressive aphasia
paralyzed on R side

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2
Q

acute pancreatitis (assessment)

A

hx, etoh abuse, severe LUQ pain
tachy
restless
jaundice
increased amylase/lipase
HLD

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3
Q

alcoholic hepatitis (teaching)

A

low sodium diet
small frequent meals
no alcohol

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4
Q

Addison Crisis (HYPOGLYCEMIA) - s/s

A

s/s: weakness
fatigue
severe hypotension
n/v
dehydration
dysrhythmias

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5
Q

cirrhosis - ascites dsypnea

A

s/s: encephalopathy
portal HTN
esophageal varices
hemorrhage
(ascites causes difficulty breathing)

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6
Q

dialysis (HTN/edema)

A

fluid overload - increase BP
-limit salt intake
-track fluid
-monitor BP

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7
Q

Fractured Femur (diminished pulses)

A

6 Ps
manifestations of DVT ( warmth, tenderness, redness, swelling)

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8
Q

compartment syndrome (how is it diagnosed)

A

s/s: 6 Ps
pain, pallor, paresthesia, pulselessness, paralysis, poikilothermia

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9
Q

guillain Barre syndrome (assessment)

A

-toes to nose
-watch for shallow/rapid breathing (RESPIRATORY FAILURE)
-ask if cold/flu in last month

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10
Q

guillain barre syndrome (s/s)

A

-paresthesia
-weakness in legs
-difficulty swallowing

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11
Q

guillain barre syndrome (teaching)

A

enhancing physical mobility
promote adequate nutrition

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12
Q

when is dialysis indicated

A

high potassium
fluid overload
pulmonary edema
increasing acidosis
remove toxins from blood

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13
Q

cirrhosis (medication)

A

spirolactone

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14
Q

acute pancreatitis (s/s)

A

severe midgastric pain AFTER meal
unrelieved by antacids

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15
Q

compartment syndrome (teaching)

A

-avoid cold, DO NOT ELEVATE LIMB

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16
Q

cardiomyopathy (meds)

A

digoxin
diuretics
antidysrhythmias
antihypertensive

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17
Q

cardiomyopathy (interventions and diagnostic)

A

surgery
implanted devices (ICD, pacemaker)
- echo (EF goes down)

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18
Q

cardiomyopathy (assessment)

A

VS
assess edema and severity
JVD
crackles, pink frothy sputum, pulmonary congestion
murmur (s3 and s4)

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19
Q

cardiomyopathy

A

effects whole heart, can have both L and R HF symptoms

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20
Q

glaucoma (s/s)

A

blurry vision
halos
loss of peripheral
HA

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21
Q

pulmonary embolism (report findings)

A

hypotension
tachy
SOB
anxiety - sense of impending doom
chest pain
diaphoresis
sudden sharp stabbing pain

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22
Q

pulmonary embolism (treatment)

A

anticoagulants
give O2- FIRST TREATMENT
cardiac monitor
surgery (embolectomy, IVC)

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23
Q

diabetes insipidus

A

insufficiency of ADH (head trauma, brain tumor, CNS infection)
makes you want to SIP water
“Dry Inside”

treatment: vasopressin, desmopressin

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24
Q

DI (s/s)

A

polyuria, polydipsia
dehydration- peeing nonstop
HYPOtension
HYPOkalemia
HYPERnatremia

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25
Q

DI (diagnostic)

A

water deprivation test

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26
Q

pulmonary edema (treatment)

A

place patient in high fowlers, feet dangling over bed - FIRST ACTION
IV meds - furosemide (lasix), vasodilators (nitro…)
nonrebreather mask

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27
Q

pulmonary edema (s/s)

A

-sign of HF
pink tinged sputum
hypoxia
anxiety
restlessness
tachypnea
tachycardia
cyanotic

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28
Q

pulmonary edema (goal)

A

reducing volume overload
improving ventricular function
increasing O2

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29
Q

ABGs

A

ph: 7.35-7.45
CO2: 35-45
HCO3: 22-26

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30
Q

respiratory acidosis

A

-holding in CO2 (pulmonary diseases)
pneumonia
asthma
COPD

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31
Q

respiratory alkalosis

A

-decreased CO2
hyperventilation
pulmonary ebolism

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32
Q

metabolic acidosis

A

-“ass”
CKD

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33
Q

metabolic alkalosis

A
  • vomiting
    kussmaul respirations
34
Q

CKD

A

kidneys fail, no longer reabsorb HCO3

35
Q

tetralogy of fallot (complications)

A

HF
endocarditis
blood clots

36
Q

Tetra of fallot (peds)

A

“TET” spells - knees to chest

37
Q

hemophilia (safety)

A
  • prevent bleeding
    non contact sports
    apply padding to sharp edges
    exercise to strengthen
    RN - frequent BP checks, rectal suppositories, temps, asprin
38
Q

24 hour jaundice

A

-very common
-occurs within 24 hours of life OR persists beyond 7 days
-skin, mucous membranes, and sclera

teaching: mothers nurse infants at least 8-12 times per day for first several days

39
Q

scoliosis (post-op)

A

neuro assessments
pain control
assist ambulation

40
Q

CF (teaching)

A

high fat/high calorie diet
lots of fluid
administer pancreatic enzyme W/ MEALS

41
Q

CF (treatment)

A

CPT vest w/ postural drainage
breathing treatment with hypertonic

42
Q

CF (diagnostic)

A

sweat test

43
Q

boggy uterus (actions)

A

massage
void
administer oxytocin

44
Q

Variable decel (interventions)

A

CORD COMPRESSION
reposition or knee to chest
d/c oxytocin
O2

45
Q

shoulder dystocia (interventions)

A

Mcroberts maneuver
suprapubic pressure

46
Q

placental abruption (s/s)

A

abd/back pain
heavy dark red bleeding
decreased fetal movement

47
Q

placental abruption (treatment)

A

2 large bore IV lines- hypovolemia
c-section
bedrest

48
Q

plyoric stenosis (s/s)

A

vomiting
dehydration
colic
frequent mucous stool

49
Q

infant congenital heart defect (s/s)

A

cyanosis
frequent regurgitation
fatigue

50
Q

infant congenital heart defect (teaching)

A

small/frequent meal
O2
high calorie formula
knee to chest postion

51
Q

ulcerative colitis (s/s)

A

bloody/pus w/ diarrhea
abdominal pain

52
Q

ulcerative colitis (diet)

A

NPO first
high protein, calorie, vitamin

53
Q

ulcerative colitis (management)

A

provides access to bathroom, bedpan
administer antidiarrheal med
stool record

54
Q

asthma (triggers)

A

dust, mites, mold, food, pollen

55
Q

COPD (treatment)

A

smoking cessation
bronchodilator
O2
corticosteroids

56
Q

COPD (treatment)

A
  • exacerbation - O2 FIRST LINE (severe COPD)
    smoking cessation
    bronchodilator
    corticosteroids
    pursed lip breathing
57
Q

acute respiratory distress (s/s)

A

-doesnt respond to O2
intercostal retractions
crackles
BNP levels

58
Q

RA (meds)

A

early - NSAID, naproxen
advanced - immunosuppressants

59
Q

Rheumatoid arthritis

A

bilateral joint pain
fever
morning stiffness

60
Q

alcohol withdraw (s/s)

A

hand tremors
sweating
elevated BP and HR
n/v
anxiety
hallucinations, seizures

61
Q

alcohol withdraw (meds)

A

benzos (ativan, librium, valium)

62
Q

chemotherapy (s/s)

A

n/v
chemo brain
myelosuppresion
SIADH
fatigue
osteoporosis - long term

63
Q

left side heart failure

A

=LUNG
congestion
dyspnea
crackles
fatigue
pink/frothy sputum
s3 sound

64
Q

right side heart failure

A

=systemic
peripheral edema
JVD
ascites

65
Q

valve replacement (teaching)

A

anticoagulants - frequent follow up labs
ANTIBIOTIC prophylaxis for dental procedure - endocarditis

66
Q

normal fetal heart rate

A

110-160 bpm

67
Q

IUGR

A

intaruterine growth restriction

68
Q

Gout (meds)

A

allopurinol
-avoid asprin
administer after meals

69
Q

hypertonic fluid

A

whole numbers (NS/LR)

70
Q

BPH (s/s)

A

urinary frequency
nocturia
hesitancy in starting urination
recurrent UTIs

71
Q

hyperthyroidism (complications)

A

graves disease
thyroid storm

72
Q

osteoarthritis (overall goal)

A

decrease pain and stiffness
-exercise found to help

73
Q

digoxin (s/s)

A

trreamtent for HF
-nausea
-visual disturbances
-brady
-confusion
-potassium is monitored

74
Q

when is a pt serum digoxin levels monitored

A

renal function changes

75
Q

peritonitis (s/s)

A

fever
abd pain
paralytic ileus
abd distention

76
Q

sickle cell crisis first sign

A

swelling hands and feet (infants)
pain - first sign of crisis

77
Q

acute renal failure priority

A

fluid & electrolyte imbalance
- maintain fluids

78
Q

HTN complication

A

elevated BUN
kidney dysfunction = associated with HTN

79
Q

diabetes mellitus- poor compliance

A

pt may use urine dipstick

80
Q

sickle cell crisis (management)

A

-fluids (IV hydration) and pain meds are given
dehydration can cause crisis

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