Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MedSurg > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

Contact Isolation

A

MRSA, C-diff, VRE, Scabies

Gloves & gown
Wash hands after
Don’t shave or reuse clothing or toiletries
Wash clothes and towels daily

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Tx of sickle cell anemia

A

Oxygen
Hypotonic or isotonic fluids
Analgesic
NO frequent BPs
Encourage extension of arms
Warm compresses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Primary care

A

Planned care

Ex. Immunizations, education, smoking cessation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

S/S of blood transfusion reaction

A

Sweating/ chills
Hives
Headache
Back pain
Pruritis
SOB
Nausea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

S/S of sickle cell anemia

A

Severe pain
Dizziness
SOB/ hypoxia
Fatigue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

S/S of B12 deficiency

A

Tingling/numbing in hands
Glossitis
Trouble walking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Tx of psoriasis

A

Biological agents (etanercept)
Always report fever
Loose cotton clothing
Warm weather helps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

S/S of iron deficiency

A

Irritable
Brittle nails
Anorexia
Glossitis
Fissures in corner of mouth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Iron rich foods

A

Spinach
Red meats
Liver/organ meats
Fish/seafood
Raisins
Poultry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Iron deficiency

A

From low intake of iron rich foods, alcoholism, and loss of blood

NO WHEAT- binds to iron making it unavailable for absorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

S/S of anemia

A

Fatigue
Pale
SOB
hypoxemia
Skin cool to touch
High HR
Low BP
Murmurs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Psoriasis and its trigger

A

Autoimmune disease
Over proliferation of skin cells and scaling
Trigger: abts and stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Signs of dehiscence

A

Purulent/foul smelling drainage
Increase in drainage
Change in drainage (serous to sanguineous)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Non-tunneled central line

A

For short term
Accessed through IJ or subclavical
Inserted by Dr
CXR to avoid pneumothorax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Universal donor

A

O-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Serrosanguinous drainage

A

Yellow/red

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Sanguineous drainage

A

Red

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Removal of central lines

A

Supine or trendelenburg position
Valsalva maneuver (bearing down)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Universal receiver

A

AB+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

TPN

A

Via central line ONLY
Complications- infection, high or low BS
Don’t change rate or turn off

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Jackson-Pratt drains

A

Tube in wound with bulb outside of body to collect drainage
Squeeze and replace bulb to reset
Taken out of drainage <25ml

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Vitamin B12 deficiency

A

B12 is from animal sources
Vegans need B12 shots

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

TPN education

A

Monitor weight daily
Albumin checked everyday
BS q6hrs
If bag runs out, hang 10% dextrose ONLY
Not for people who have good or intact GI function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Blood transfusion equipment

A

Large bore IV (min. 20gauge) In non-dominant arm
Y tubing with ONLY 0.9% saline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Blood transfusion rate

A

2ml/min for first 15 min
Infuse each unit over 4 hrs

26
Q

Highest concern with pain meds

A

Overmedication
Respiratory depression

27
Q

Sickle cell anemia

A

Abnormal shaped cells
Don’t flow well and blocks passages in arteries/veins

28
Q

Blood transfusion Vital sign schedule

A

q15 min x2
q30min x2
qhr until finished

29
Q

Herpes zoster

A

Shingles
Contagious until lesions crust over
HEPA mask (N95)

30
Q

Immobility can cause

A

Atelectasis
Constipation
Urinary stasis
Muscle atrophy
Contractures

31
Q

Most at risk for febrile (non-hemolytic) reaction

A

People who have gotten transfusions in the past

32
Q

TENS unit

A

Electrodes to painful area
Should feel pins and needles sensation
Affective immediately
May be repeated

33
Q

Interventions for immobility

A

Reposition q2hrs
Float heels
Pillows/wedges on bony prominences
Pressure offloading devices
High tops to prevent foot drop
Ankle flexion exercises

34
Q

Cellulitis

A

Infection
Redness (erythema)
Fever
Enlarged lymph nodes
NO ITCHING/BURNING

35
Q

Dehiscence

A

Higher risk if taking NSAIDS/steroids or diabetic
Evisceration (wound opens) possible

36
Q

Common side effects of opioids

A

Sedation/drwsiness
Constipation
Respiratory depression
Urinary stasis
Rash
N/V
Itching
Hypotension

37
Q

If reaction to blood transfusion

A

Return tubing and bag to blood bank

Disconnect blood tubing and replace with new IV tubing with 0.9% saline running

38
Q

Secondary care

A

Screenings
TB test
PAP smears
Breast/testes exams

39
Q

Tunneled central line

A

Long term (years)
Mainly for dialysis
Inserted through IJ or subclavical by DR
CXR to confirm

40
Q

Tertiary care

A

After disease/improving life
Ex. Cardiac rehab, speech therapy, chemo

41
Q

Opioid antidote

A

Naloxone

42
Q

Going upstairs with ambulatory aid

A

Up with good leg first, down with bad leg first

43
Q

High risk for infection

A

Immunocompromised (chemo, HIV, steroid use, transplant pts)
Malnourished
ETOH

44
Q

Labs for wound healing

A

Albumin (shows nutrition status)

45
Q

How to walk with ambulatory aid

A

Aid on strong side
Move cane with weak side

46
Q

Pruritis

A

Itchiness

47
Q

Urticaria

A

Hives

48
Q

Pre op care of pt

A

Pacemaker/electrical devices interfere with electric cauterizer
Ask if any hx or family hx with anesthesia (malignant hyperthermia)
Allergy to preop abts?
Check for abnormal labs (coag or electrolytes)
Shave with electrical shaver ONLY
NPO- No insulin

49
Q

Airborne Isolation

A

Negative pressure room
HEPA mask(N95)
Visitors wear masks

50
Q

Implanted port

A

Central line
Assessed with Huber 90 degree non-coring needle
Confirmed with blood return
Inserted by DR

51
Q

Negative pressure wound vacs

A

Not for pts on anticoagulants
ONLY Intermittent suctioning
Monitor drainage q2hrs

52
Q

Fresh frozen plasma

A

To replace clotting factors
Reverses INR

53
Q

Anemia causes

A

Bleeding
Iron deficiency
Bone marrow
Genetic diseases

54
Q

Intra-op care

A

Extra padding for decreased circulation
Time out procedure- go over all information before surgery

55
Q

Donning PPE

A

Reverse alphabetical order except mask is 2nd

Gown
Mask
Goggles
Gloves

56
Q

Doffing PPE

A

alphabetical order

Gloves
Goggles
Gown
Mask
Wash hands

57
Q

Droplet iso

A

Mask within 3ft
Gloves/gown if contact with fluids

Sepsis/scarlet fever
Parvovirus
Influenza
Diphtheria
Epiglottitis
Rubella
Mumps/meningitis
ANdenovirus

58
Q

Post-op day 1 (day after surgery)

A

Foleys removed
D/c prophylactic abts within 24hrs
Monitor for dehiscence
NPO-advance diet as ordered
TCDB + IS 5-10x an hour
No corticosteroids (delays healing)

59
Q

VS of bleeding

A

Hypotension
Tachycardia
Tachypnea
Hypoxemia

60
Q

Serous drainage

A

Yellowish

MedSurg (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions