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Unit 3 > Group review > Flashcards

Group review Flashcards

1
Q

Positive Trousseau’s

A

Pump BP cuff for 3 min, and there is a carpal spasms

Indicates hypocalcemia hypomagnesmia

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2
Q

Positive Chvostek’s

A

Palpate facial nerve cheek and lip will twitch if positive

Indicates hypomagnesemia and Hypocalcemia

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3
Q

3rd Spacing

A

Accumulation of fluid in abnormal compartment compartments such as abdominal region or lungs

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4
Q

Hypertonic

A

Causes fluid to leave the cells causing the cells to shrivel

D5NS,D51/2, D5LR

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5
Q

Hypotonic

A

Causes fluid to go into cells making them swell and burst

NS 0.45%

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6
Q

Isotonic

A

Stay the same

NS and LR D5W

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7
Q

Lasix makes you _______, so it helps you ___________

A

Urinate

Get rid of excess fluid

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8
Q

Lasix ______ k-sparing, and Aldactone ________ k-sparing

A

Is not

Is

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9
Q

Aldactone

A

K- sparing diuretic

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10
Q

What foods are high in sodium

A

Processed foods, anything canned

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11
Q

Foods high in calcium

A

Dark leafy greens, sardines, oysters, milk, milk products, canned salmon

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12
Q

A pt with ileostomy is at risk for

A

FVD

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13
Q

Elderly pt with FVD shows

A

Confusion

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14
Q

Elderly pt with FVE feel ______

A

lethargic

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15
Q

Tall T waves indicate

A

HYPERkalemia

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16
Q

Prominent U waves indicate

A

HYPERkalemia

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17
Q

Phlebitis

A

Edema, throbbing, burning or pain at site, increased skin temp, erythema, red line up the arm with palpable band at the vein sight; slowed infusion

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18
Q

Green leafy vegetables are _______ in vitamin K so, do not give with _________.

A

High

Coumadin

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19
Q

Hypernatremia

A

Avoid beef bouillon cubes

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20
Q

Fluid volume excess

A

Increased BP, Dyspnea

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21
Q

Hyperkalemia

A

Avoid bananas, avocados, oranges, apricots, cantaloupe

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22
Q

Insensible loss

A

Through skin and lungs

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23
Q

When assessing IV

A

Infection is the answer not infiltration

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24
Q

K-Lori is _______ given for __________

A

Oral Potassium

Hypokalemia

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25
Q

Treat pt with FVE with

A

Diuretics

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26
Q

When giving nitroglycerin make sure you

A

Remove the old patch

27
Q

You give lovenox

A

Subcutaneously

The shot in the belly

28
Q

COPD patients are put on

A

2 L/min of O2 per nasal cannula

29
Q

Pursed lip breathing prolongs

A

Expiration

30
Q

Digioxin Causes

A

The halo effect

31
Q

If pt says that they can’t see all they see is light you should

A

Call the PCP

32
Q

If pt has HYPOvolemia you should cation pt to stand slowly bc of

A

Orthostatic hypotension

33
Q

Bronchodilators stimulate the ________________ response

A

Fight or flight response

34
Q

Sign that baby is experiencing hypoxia

A

Nasal flaring

35
Q

Elevate the Head of 80 degrees to assist with

A

Lung expansion

36
Q

Inaudible breath sounds are signs of an

A

Asthma attack

37
Q

Pnemothorax

A

Is an EMERGENCY, is is a sudden sharp pain and when PT breathes their chest will inflate a symmetrically. PT is NOT getting enough oxygen

38
Q

Have pt ________their mouth after taking dry powder inhalation

A

Rinse

39
Q

Give pt a ________ when you give them an inhaler so that they will take a _________ breath when you release medication

A

Count down

Deep breath

40
Q

Stridor

A

High pitched sounds think choking

41
Q

Crackles

A

Fluid volume overload

42
Q

Wheezing

A

High pitched, heard with asthma

43
Q

COPD comes from

A

Smoking

44
Q

When using an incentive spirometer you ______ not _______

A

Suck not blow

45
Q

RSV causes ________

A

SIDS-Sudden infant death syndrome

remeber back to sleep

46
Q

Corticosteroids

A

Prevents inflammation in the nares

47
Q

Expectorants

A

Gualfensin;
encourage fluids
Teach pt to cough effectively

48
Q

Mucolytic agents

A

Reduces the stickiness and viscosity of pulmonary secretions

Allows the pt to cough out the mucous plug

49
Q

An example of of a mucolytic

A

Mucomyst

50
Q

Mucomyst is the antidote for

A

Tylenol

51
Q

Infiltration

A

Pallor, local swelling at the site, decreased skin temp around the site, damp dressing, slowed infusion

52
Q

Catheter Embolus

A

Tip of catheter breaks off in PT
Missing catheter tip after discontinuation
Severe pain at the site with migration, no symptoms if no migration
Remember don’t stick twice

53
Q

Fluid Volume Deficit causes

A 
Inadequate intake/excessive output 
Fever
Increased respiratory rate
Sweating
Third spacing
Excessive GI loss
Laxative abuse
Chronic enema use
54
Q

Diagnostic tests for COPD

A 
Spirometer
Oxygen saturation
Pulmonary function test
AGB
Bronchial challenge test
Post bronchodilator test
55
Q

Assessment Findings for A pt with FVD

A

Negative balance between I&O
Dizziness
Dehydration
Complaints of thirst, nausea, anorexia

56
Q

Signs and Symptoms of FVD

A 
Weight loss
Poor skin turgor
Decreased urine
Sunken eyeballs
Increased respirations
Tachycardia
Thready pulse
Increased temp
Dry mucous membrane/tongue furrows
Hypotension/flat neck veins
57
Q

Interventions for FVD

A 
Replace fluid (LR or 0.9% NS) start isotonic is hypotonic fails
Weigh daily
Monitor I&O
Safety precautions 
Vitals q4
58
Q

When replacing fluid if hypotonic fails use ________

A

Isotonic

59
Q

Fluid Volume excess Causes

A 
Too many fluids (IV or P.O.)
Decreased kidney function
Chronic heart failure
Excessive ingestion of Na
Administration of steroids
60
Q

Assessment of Fluid Volume Excess

A

Pt has previous hx of of cardiac, renal, or liver disease

Or recent consumption of large amounts of water

61
Q

Signs and Symptoms of FVE

A 
Cough
Dyspnea (increased respirations)
Rales/crackles
Tachypnea
Orthopnea
Increased BP
Increased bounding pulse
Decreased output
Neck vein distention 
Anuria
Headache
Pitting edema (anasarca: generalized severe edema)
Weight gain
62
Q

Interventions for FVE

A 
Diuretics
Lasix 
Aldactone
Restrict fluids (monitor I&O hourly)
Skin assessment 
Assess edema
Turn q2
Semi Fowler’s
Low Na diet
Oral care
Vital signs
63
Q

Meds for FVE

A

Loop-diuretics, lasix, k-depleting
Thiazide-HCTZ, aldactazide, k-depleating
Triamrerenerl-HCTZ, K-sparing

Unit 3 (4 decks)

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