med surg MS SN exam Flashcards
name the main cranial nerves
2- optic - eyes
4- trochlear
7- face
8-abducens - hearing
from uric acid & purines
gout
what is compartment syndrome caused by
running, casts
pain isnt relieved with meds
crushing the bone
AVN
what is fat embolism
fat dislodged from long bone fracture or orthopedic trauma
name the glaucoma medications
Alpha adrenergic - red eyes & dry mucous membranes
Beta blockers - watch BP & HR
Carbonic anhydrase - sulfa allergy & electrolyte imbalance
Cholinergic - avoid dim light
Prostaglandins - dark iris
hemiplegia
paralysis
hemiparesis
weakness
dysarthria
difficulty talking
hemianopsia
loss of half of vision field
apraxia
cant recall learned skill
agnosia
cant recognize an object
name 3 NSAIDS
aspirin
ibuprofen
toradol
What types of patients are at risk for osteomyelitis
- anyone who had orthopedic surgery
- immunocompromised
- low calcium and vitamin D
- obese
- old
- post op
- long term steroids
name 3 drug classes to treat osteoporosis
- bisphosphonates
- estrogen agonist
- rankl inhibitor
conditions that cause osteomalacia
- low vit D and calcium
- GI issues
- Malnutrition
- Hyperparathyroidism
- Long anticonvulsant use
Lab results of a patient with osteomalacia
- Low calcium high ALP
- Xray and bone biopsy = demineralization of bone
Name 3 paget’s disease nursing considerations
- Hearing loss
- Pain
- Risk for fall
MS complications
- Fat embolism
- AVN
- Compartment syndrome
- DVT
- Infection
Whos at risk for AVN
- 30-50yo
- Steroid and alc abuse
- Radiation
Meds for Meniere’s disease
- Antihistamines
- Tranquilizers
- Antiemetics
- Diuretics
- Shunting of fluid or vestibular nerve sectioning
Nonmedication treatment for Meniere’s disease
- Low salt diet
- Increase water intake
- No alc, coffee, aspirin, MSG
What pts cant have tpa
- symptoms > 3 hours
- INR > 1.7 (warfarin/coumadin)
- previous head trauma/injury < 3 months prior
- CVA < 3 months prior
- Pregnant
- Hypotension
- Thrombocytopenia
- no major surgery < 14 days prior
non- emergent CVA treatment
- treat underlying condition
- surgery (carotid endarterectomy and carotid artery)
- meds: anticoagulants and platelet inhibitors
