exam 6 final info - Gi 2 and repro Flashcards
what is ERCP and what does nurse do after
evaluate pancreas and gallbladder - test gag reflex
5 things to do post op paracentesis
q 15 vitals
weight
albumin
monitor for hypovolemia
fall precautions
intervention for NAFLD
heart healthy diet to decrease cholesterol and lose weight
how to dx cirrhosis
liver bx
lactulose use
prevent constipation in someone with cirrhosis to prevent hepatic encephalopathy because constipation = high ammonia
neomycin/rifaximin use
abx for cirrhosis to dec ammonia
diet education for cirrhosis/liver disease/hepatic encephalopathy
high plant protein(not animal) and low Na
education about ascites diet
restrict Na
main causes of pancreatitis
gallstones for women and alcohol for men
3 main s.s of pancreatitis
severe, continuous, LUQ or epigastric pain
cullens sign
grey turners sign
2 intervention for pancreatitis
NPO and NG tube for pancreatic rest
pain relief
education for pancreatiis diet
no alcohol and low fat diet
how is hep B transmitted
sexually, needle sticks, to baby
main 2 s/s of hep A
jaunide, pruitis
5 intervention for hepatitia
vaccine
food/fluids
rest
no alcohol
monitor for jaundice
-vudine
-fovir
nucleoside analogs that inhibit vital replication in HBV to dec viral load
pegylated interferon ed
monitor LFTs every 4-6 weeks
-vir
direct acting antiviral
given for 12 weeks to cure HCV
use in combo therapy
cholethiasis s/s
severe RUQ pain worse after eating a high fat meal
normal t tube output
500ml in first 24 hours
HRT for women with intact uterus uses
progesterone and estrogen replacement
what order should nurse question for HRT and OC
if pt has hx of blood clots, MI, stroke, migraines, HTN
HRT education
report spotting and bleeding and leg swelling
education for OC
take daily for 9 months, use safe sex
-tropins
stimulate follicle growth to treat ovarian dysfunction
-relix
gnRH ANTagonists to prevent premature ovulation
clomiphene
stims hypothalamus to increase Gn RH which stimulated ovulation
-fil
for ED, take before sex, report sustained erection called “priapism”
endometriosis education
can cause infertility
GNRH agonist use
for endometriosis to stop mennorrhea
what must be done before starting leuprolife
preg test
pap test education
no period
no sex
no douche
no tampons
no cream or lotion
get it every 3 years
STI education
no sex 7 days
partner tx
condoms/safe sex
get follow up tests
how to tx HSV
antivirals started asap
menopause education
get screened
weight bearing exercises
Ca/vit D
how to dx PID
pelvic exam
how to prevent PID
safe sex - prevent STIs
cystocele tx
kegal exercises
BPH s/s
slow urinary stream, urine stop start, dribbling
preop TURP
catheter
antibiotics
TURP post op
bladder irrigation
antspasmotics
monitor for hemorrhage
education for BPH discharge
- catheter care
- monitor urine for bleeding
- inc fluids
- observe for infection
- prevent contipation
- no sex
prostatiss tx 4
antibotics for 4-12 weeks
sitz bath
catheter
inc fluids
post op prostatecetomy
large catheter care and avoid increasing intraabdominal pressure
