Final Review Flashcards
Uriticaria
white/red edamatous wheals/papules
Psoriasis
Scaley plaques
systemic methotrexate, uv light
avoid tanning beds and prego
biologic agents
Cellulitis
can extend to the lymph nodes/lymph edema
tx - warm compressions
Herpes Zoster
Weeping/crusting lesions
Orthostatic Hypotension
20mm systolic 10mm dystolic
Restraints
toilet every 1/2 hrs, release every 1-2 hours, check every 30-60 mins
Stage 1
Stage 2
Stage 3
Stage 4
intact, nonblanchable, no bruising
skin not intact, partial skin loss ex fluid blister
skin not intact, full skin loss, positive bruising
skin not intact, full skin/tissue loss, positive bruising, m/t/b present
sanguineous
serous
serosanguineous
bloody
serem like/yellow
amber colored/light red, pale pink
Wound Vac = foam decreases by?
dressing/tubing changed?
foam changed?
80%
24-36 hrs
48-72 hrs
Dark Skin changes:
Cyanosis
Inflammation
Jaundice
lips/tonge “inside mouth” - grey color
conjuctiva for pallor
compare affected/nonaffected
yellow mouth “hard palatte”, scelera
NPO:
8 hrs
6 hrs
2 hrs
no fried fatty food or meat
no other food
no clear liquids
Nurse role during surgery
ROM, padding of extremities, OR temp 62-64, core temp of pt
Malignant Hyperthermia
inhereted muscle disorder
increase co2, decrease 02, increase temp
increase calcium/k levels
tx - dantrolene
Post Op :
PACU to HOME 3 Goals
- maintain 02 above 93%
- pain under control
- B/P return to B/S - 10/20 mm up or down
Sickle Cell Crisis
Iv iniation
Hydrate
Oxygen
Pain
“gas exchange, low 02, dehydration”
HOB above 30, avoid extreme temps, room temp at 72, avoid high altitudes, manual b/p cuff
check circulation every one hour