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NUR 250 > Grief and Loss > Flashcards

Grief and Loss Flashcards

1
Q

grief

A

refers to the personal feelings
that accompany an anticipated or
actual loss

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2
Q

mourning

A

refers to individual, family,
group, and cultural expressions of grief
and associated behaviors

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3
Q

bereavment

A

refers to the period of
time during which mourning for a loss
takes place

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4
Q

kubler ross

A

Denial
* Anger
* Bargaining
* Depression
* Acceptance

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5
Q

anticipatory grief

A

unconsciously preparing for what might happen

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6
Q

uncomplicated greif

A

rnage of emotions experience after a olss moving toward adjustment
breif periods of relapse common

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7
Q

complicated or prolonged grief

A

intense response after loss where profound emotions persist usually >1yr

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8
Q

disenfranchised grief

A

grievingperson feels socilety does not acknowledge or support person’s right to greive

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9
Q

unresolved grief

A

traumatic or unexpected loss

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10
Q

parkinsons’s disease

A

Progressive
Neurodegenerative
Disease of the basal
ganglia
decreased dopamine
involuntary mvmts while still: pill rolling, shuffling gait, drooling, stooped over, bradykinesia

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11
Q

manifestations of parkinsons

A

Tremor
* Rigidity
* Bradykinesia
* Postural Instability

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12
Q

added manifestations of parkinsons

A

Autonomic
Dysphagia
Psychiatric
Cognitive
Hypokinesia

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13
Q

complications of parkinsons

A

Respiratory infections
* UTI
* Skin breakdown
* Falls

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14
Q

what do antiparkinsons drugs do

A

Enhance or
release supply
of Dopamine
Decrease
cholinergic
effects
Act on
neurotransmitt
er pathways

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15
Q

levodopa side effects

A

dyskinesias
on-off

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16
Q

on-off phenomenon

A

when meds wear off, pt appears worse
when patient takes meds, appears much better

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17
Q

L sided hf

A

dysfxn of L ventricle
decreased co
pulm congestion from increased pulm vessels

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18
Q

systolic L sided hf

A

decreased L ventricle contraction dt myocardial stretching
reduced ejection fraction
less blood pumped systemically

19
Q

diastolic L sided hf

A

heart muscle is hypertrophied
usually caused by htn
prevents aquedate co
preserved ejection fraction
cant get enoug in

20
Q

decreased co clinical manifestations

A

Fatigue/weakness
* Oliguria
* Angina
* Confusion, restlessness
* Dizziness
* Tachycardia, palpitations
* Pallor
* Weak peripheral pulses
* Cool extremities

21
Q

clinical manifestations pulmonary congestions

A

Hacking cough
* Dyspnea
* Crackles or wheezes in lung
sounds
* Frothy, pink tinged sputum
* Tachypnea
* S3/S4 heart sounds

22
Q

R sided hf

A

Caused by left ventricular
failure, right ventricular
MI, or pulmonary
hypertension
* Right ventricle cannot
completely empty

23
Q

clincial manifestations r sided hf

A

Jugular Venous Distension
*Enlarged Liver and Spleen
*Anorexia and nausea
*Dependent edema
*Distended abdomen
*Polyuria at night
*Weight gain

24
Q

labs for hf

A

BNP- elevates when fluid is present
CMP
CBC

25
Q

aces

A

pril
suppress raas
vasodilation
nagging cough
watch renal labs

26
Q

arbs

A

sartan

27
Q

furosedmide

A

loop diruectic
ivp acute episodes
monitor hypokalemia

28
Q

bb

A

metoprolol
blocks sympathetic comensatory resp
monitor low hr and bp
cant use if they have asthma or copd

29
Q

nitro

A

isosorbide
HA-tylenol
vasodilators
decreases preload
decreases o2 demands of heart
can decreased affterload
monitor bp

30
Q

morphine

A

reduces preload and afterload
decreases o2 demands of heart
manages anxiety and dyspnea

31
Q

dig

A

cardiac glycoside
trats chronic hf
increases contractility
decreases hr
apical hr
dig toxicity-hypokalemia and halos

32
Q

increasing perfusion

A

med ed
sodium/fluid resctriction
no salt substitues
strict io
dw

33
Q

emergency treatment pul edema

A

diruetics
nitro
vent
morphine

34
Q

MAWDS

A

meds
activity
wt
diet
symptoms

35
Q

cardiac diet

A

limit sodium 2-3 g
limit fuid 2l

36
Q

med teaching hf

A

avoid nsaids

37
Q

a line

A

alarm must be on
hold pressure if comes out
continueous bp monitoring
clots common
hourly: color, pulse, temp, cap refill
distal infarct

38
Q

central venous monitoring

A

about volume status
sits in r atrium
0-5 normal
in negatives- hypovolemia
over 20- need diuretics

39
Q

swan ganz

A

measures both cvp and pulm pressures

40
Q

parkinsons risk

A

aspiration
speech therapy post op b4 eating or drinking

41
Q

side effect of levodopa

A

tardive dyskinseia
lip smacking
tics

42
Q

what does 30% ef indicate

A

pt is in hf
needs pacemaker or icd

43
Q
A

NUR 250 (6 decks)

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