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Med Surg 1 > Final Exam Main Points Review > Flashcards

Final Exam Main Points Review Flashcards

1
Q

priority for small bowel obstruction

A

IV fluids and then NG

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2
Q

warfarin and heparin what do we check before

A

INR/aPTT

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3
Q

abdominal aorta rupture s/s

A

flank hematoma
sudden severe low back pain

*pulsation doesn’t mean rupture

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4
Q

warfarin normal INR before surgery

A

1

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5
Q

INR of 4 on warfarin what would we do

A

hold the med/administer low dose until INR goes down

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6
Q

potassium of 3.3 or leukocytes in the stool

A

potassium

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7
Q

epistaxis positioning

A

upright with head tilted

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8
Q

hyerpnatremia fluid replacement

A

.45

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9
Q

head injury do not give what fluids

A

D5W

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10
Q

LGBTQ have increase prevalence of

A

heart disease

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11
Q

maintain elederly mobility

A

up to a chair

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12
Q

bone cancer

A

increase calcium

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13
Q

vomiting what med

A

antiemetic

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14
Q

proton pump last suffix

A

-prazole

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15
Q

H2 blockers last suffix

A

-tidines

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16
Q

bisphosphonates last suffix

A

-dronate

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17
Q

sulfonyureas drugs

A

glypizide
glyburide
glimepiride

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18
Q

metformin act where

A

decrease hepatic glucose

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19
Q

sulfonuyreas act where

A

pancreas
- hypo risk

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20
Q

what drugs impact blood sugar

A

steroids

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21
Q

how to prevent upper resp infetions

A

wash hands/vaccines

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22
Q

OSA 3 S

A

snoring
sleepiness
signficant other

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23
Q

lyarengeal obstruction will have what type of o2 stat

A

lowered

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24
Q

laryngeal cancer s/s

A

hoarseness
persistent cough
leading to dysphagia

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25
Q

pulmonary embolism what side heart failure

A

right

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26
Q

s/s of PE

A

dyspnea
chest pain sudden onset
anxiety
tachycardia

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27
Q

manifestations of pneumothorax

A

uneven chest
lung sounds not equal bilateral

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28
Q

what meds might prevent atelectasis

A

pain meds

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29
Q

pneumonia, what do we do before give antibiotics

A

culutures

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30
Q

time goal for pneumonia and antibiotics

A

60 mins

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31
Q

TB sputum

A

rust

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32
Q

how to we confirm TB

A

sputum culture

33
Q

ABG of acute respiratory failure

A

PO2 less than 50
PCO2 greater than 50
PH less than 7.35

34
Q

how do we treat acute resp failure

A

intubate

35
Q

s/s of acute resp failure

A

restlessness
dyspnea
air hunger
confusion
lethargy
tachycardia
tachypnea
diaphoresis
cyanosis (late)
respiratory arrest (LATE)

36
Q

chronic broncjitis s/s

A

blue bloaters
blue skin
long term cough
unusal lung sounds
edema
hypersectretion of mucus
hypoxemia

37
Q

emphysema s/s

A

no cyanosis
pink color
increased chest size
no cough
cannot lay flat
veyr skin
use of accessory muscles
wheezing

38
Q

risk with o2 and COPD

A

if push them too high then they will stop breathing because the receptors in the brain are turned off

39
Q

asthma
- worse they sound

A

better they are

40
Q

in asthma
what do increase PaCO2 levels tell you

A

impeding arrest

41
Q

red zone with asthma

A

rescue and possibly ER

42
Q

status asthmatics

A

life threatening
asthma attack not responding

43
Q

STEMI diagnosis

A

T wave invasion
ST elevation
Q wave formation
elevated cardiac biomarkers

44
Q

ischemia on EKG

A

T wave inversion

45
Q

Injury on EKG

A

St elevation

46
Q

Infarct on EKG

A

Q wave formation

47
Q

NSTEMI diagnosis

A

no ST elevation
elevated cardiac biomarkers

48
Q

cath lab for STEMI what time

A

90

49
Q

cath lab for NSTEMI what time

A

24 hours

50
Q

what is the most sensitive cardiac marker

A

troponin

51
Q

what is creatine kinase sensitive for

A

cardiac tissue

52
Q

myoglobin sensitivity

A

not cardiac specific
muscle damage

53
Q

MONA order

A

aspirin
O2
nitro
morphine

54
Q

Oxygen L for STEMI

A

at 4/L per min

55
Q

what does nitro do

A

venous dilator
venous pooling

56
Q

nitro dosing

A

5 mins 3 doses

57
Q

do we stop IV nitro abruptly

A

no

58
Q

ADP receptor inhibitors
CAD
antiplatelets

A

clopidogrel
prasugrel

59
Q

fibrin therapy for STEMI

A

30 mins

60
Q

ECG for CAD with what time period

A

10 mins

61
Q

radical neck direction hemorrhage risk

A

high epigastric pain
tacky
hypo

62
Q

hitatal hernia food reclinging

A

1 hour

63
Q

GERD bed time food

A

2 hours

64
Q

common complaint of esopageal cancer

A

dysphagia

65
Q

appendicitis pain location

A

RLQ

66
Q

diverticulitis pain location

A

LLQ

67
Q

peritonitis s/s

A

early s.s of causative disorder
tender distended board like abdomen

68
Q

any abdomen issue should we treat pain right away

A

no because it tells us what the issue is

69
Q

large bowel obstruction

A

slowly constipation

70
Q

small bowel obstruction s/s

A

extreme pain crampy

71
Q

non erosive cause of ulcer

A

h. pylori

72
Q

meds cause ulcer

A

NSAID
aclhol
steroids asprin

73
Q

gastritis s/s

A

rapid onset
abdominal discomfort
nausea vomt

74
Q

H pylori treatment

A

triple threapy
2 antibiotics and PPI

75
Q

gastric ulcers s/s

A

food aggravates pain
no pain at HS
epigastric pains

76
Q

stress ulcer s/s

A

aysmp

77
Q

duodenal ulcer s/s

A

2-4 hour post meal
weight gain
epigastric pain at HS

78
Q
A

Med Surg 1 (47 decks)

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