Final Flashcards
what can alc addiction cause
liver failure
cirrhosis
visual issues
issues walking
more prone to infection d/t low wbc count
what labs to look at for alcoholics
wbc
liver enzymes
cbc
electrolytes
clotting factors
what can end stage liver failure cause
esophageal varices
what are alcohlic pt at risk for within 24-48 hrs of admission
delirium tremens
what kills alcoholics
seizures
safety for alcohloicsq
icu monitoring- CIWA
prophylactic seizure medds
side rails up and padded
lorazepam
what do you ask alcoholics
when was your last drink
what are drug overdoses at risk for
resp acidosis- dt decreased respirations
drug of choice drug overdose
naloxone
give iv or intranasally
a pt with drug or alc issues get what involved automatically
case management
how to hndle drug diversion in nursing
narc counts
go to manager if you suspect someone is taking narcs
dont assume what about obese pts
that they dont have anorexia or bulemia
safety with eating disorders
1 to 1 obs
walk to abthroom
wathc what they eat
watch cals they take in
what to do for all addictions
intense therapy
work on them seeing the good in themselves
work on positive coping skills
what are examples of stims
cocaine
adhd meds-methylpehnidate
adderal
s/s of being on a stim
high strung
hyper
pinpoint pupils
what are 2 depressants
alc and opioids
characteristic of child victm of abuse
dont want to reveal who their abuser is
might’ve been told “something bad will happen”
characteristics of vitimizer of child sexual abuse
someone in close contact
puts guilt on kids
target children in unstable homes
target children with self esteem issues
who and what to involve for these children
child life specialists
play therapy
how to determien there is possible abuse happening
listen to stories
listen to suspicions
look for fractures and buises multiple stages of healing
cig burn marks
be non judgemental with parents and do not decide who the abuser is
how to determine if there could be interpersonal violence
who is standing by them (maybe not a family member)
tattoos that make no sense
ask at admissions if they are afraif of who they live with
ask men too
characteristics of elder abuse
financial exploitation
neglect
chronic illness at reat risk
characteristics of victimizers of elder abuse
lack coping skills
poor self esteem
narcisistic
who to report elder abuse to
area office of aging
s/s of elder abuse
not making follow-up appts
suddenly not going to church
characteristics of transgender
struggling to find place on society
high risk of depression and suicide
might not seek care
fearful of stigma and biases
socioeconpmocs
parents banning them
poor prior experiences with healthcare workers
sci upper injury
more loss of fxn
sci lower injury
less loss of fxn, area of injury and down
cervical to thoracic (7-8) probs
resp issues- might need trached
characteristics of sci
permanant loss of fxn
can be devastating
paralysis and loss of sensation
risks associated with sci
ulcers
utis-stright caths
fecal disempaction- every other day- increase fiber in diet
autonomic dysreflexia-HTN, fatal
depression- esp at 2-3 weeks
verbal and physical abuse
nsg interventions sci
therapeutic plan
consistent nurses with pt
spinal shock
lack of dtrs
very red from injury down
pal from injury up
neurogenic shock
bradycardia
drug for ed
sildenafil- vasodilator
symptoms from sildenafil
flushing
nasal congestion
ha
what is associated with both dementia and alz
depression
delusions and hallucinations
what do we not do with dementia and alz pts
reorient
instead say: what do you see? wht are they telling you? we are here to keep you safe.
s/s of panic
flushed
htn
tachycardia
agitation
early stage dementia characteristics
they know what is happening
know they are declining
know they are forgetting
dpression is a major issues- start antidepressant
sfaety dementia and alz
by nsg station
1-1 care
floor padding
give tasks-coloring, folding
play fav music
apraxia
lack of mvmts
agnosia
lack of understanding stimuli
aphasia
cant speak
amnesia
cant remember
stage 1 alz
no symptoms
stage 2 alz
forgetfullness
stage 3 alz
mild interference with performance
some decrease in social
staeg 4 alz
moderate confusion and confabulation
might forget what day or make up stories
stage 5 alz
moderate early dementia
loss of adl abilities
delusions and paranoia
stage 6 alz
moderate severe dementia
sundowning
stage 7 alz
severe cognitive decline: late dementia
bedrest, oten die of pneumonia
enculturation
person learns values, norms and bheaviors of a culture
acculturation
process of acquiring new attitudes, roles, customs, or behaviors as a result of contact woth anotjer culture
assimilation
person gives up original identity and develops new cultural identity
safety with cultures
use interpreters
respect wishes as long as they dont interfere with treatment
“is it ok is i touch you”
