exam 4 new Flashcards
6 liver functions
bile
bilirubin
ammonia->urea
coagulation
detox
albumin
earliest signs of aws
tachycardia, htn, fever
if 12:00 when should nurse expect aws to start and peak
6 hours then peak 12 next day
fluids low in aws
Mg, K, Phosp
when does DT appear
48 hours
wernickes encephalopathy s/s
confusion, nystagmus , abnormal gait
med for wernickes encep
thiamine for 3 days
6 labs for acetaminophen overdose
ABGS for ph<7.3
creatinine
PT/INR
increased bilirubin
acetaminophen blood levels within 4 hours
AST/ALT >1000 is toxicity
4 tx with time frames for poisoning acetamin overdose
n acetylcyst 8-12 hours
lavage within 2-4
charcoal within 1
catharsis meds within 4 hours
7 labs for ascites
CBC
clotting
LFT
bilirubin
electrolytes
BUN
creatinine
2 tx meds for esophageal varices
somatostatin
prophylaxis abx 7 days
who should not have TIPS
someone with confusion
tx for bleeding
keep MAP >65
airway
endoscopy
endoscopy preop
NPO
no glasses, dentures
informed consent
NG
main risk factor for bleeding
previous bleeding
hepatic enceph due to
ammonia >45
4 assessments , 2 meds and 1 education in hepatic enchep
neuro
airway
safety
lactulose
rifaxamin
temp protein restriction
superficial 2nd
blisters
deep 2nd
white waxy moist dec pain
3rd
skin grafting
4 risk factors for burns complications
location
elderly
comorbidities
inhalation
4 CV changes in burns
dec cap refill
hypovolemic shock
peripheral vascular compromise
dysrhythmais
burn area percents
8 assesments for ascites
For shifting dullness in the abdomen with percussion
For peripheral edema (often pitting in the legs and feet)
Daily weight and I&O
For difficulty breathing and lung sounds
Abdominal discomfort and pain
For skin breakdown and jaundice
Orthostatic vital signs
5 tx of ascites
alcohol abstinence
Sodium restriction of 2000 mg/day
Diuretic therapy
Fluid restriction
Paracentesis
