Med Surge Flashcards
Angina Precipitating Factors
4 E’s
Exertion
Eating
Emotional Distress
Extreme Temp
Arterial Occlusion
4P’s
Pain
Pulselessness
Pallor
Parethesia
Congestive ♡ Failure Treatment
MADD DOG
Morphine
Aminophylline
Digoxin
Dopamine
Diuretics
Oxygen
Gasses
♡ Sounds
All People Enjoy the Movies
Aortic: 2nd right intercostal space
Pulmonic: 2nd left intercostal space
Erb’s Point: 3rd left intercostal space
Tricuspid: 4th left intercostal space
Mitral or Apex: 5th left intercostal space
Hypertension Care
Daily weight
Intake and Output
Urine output
Response of blood pressure
Electrolytes
Take pulse
Ischemic episodes or TIAs
Complications: CVA, CAD, CHF, CRF
Hypocalcemia CATS
Convulsions
Arrythmias
Tetany
Stridor
Spasms
Hypokalemia - 6 L’s
Lethargy
Leg cramps
Limp muscles
Low, shallow respirations
Lethal cardiac dysrhythmias
Lots of urine (polyuria)
Dumping Syndrome
Dumping Syndrome occurs as a complication of gastric surgeries that inhibit the ability of the pyloric sphincter to control the movement of food into the small intestine.
This “dumping” results in nausea, distention, cramping pains, and diarrhea within 15 min after eating.
Weakness, dizziness, a rapid heartbeat, and hypoglycemia may occur.
Small, frequent meals are indicated.
Consumption of protein and fat at each meal is indicated.
Avoid concentrated sugars.
Restrict lactose intake.
Consume liquids 1 hr before or after eating instead of with meals (a dry diet).
Peptic Ulcer Disease
This may be caused by a bacterial infection with Helicobacter pylori or the chronic use of non-steroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen.
Avoid eating frequent meals and snacks, as they promote increased gastric acid secretion.
Avoid alcohol, cigarette smoking, aspirin and other NSAIDs, coffee, black pepper, spicy foods, and caffeine.
Prioritization
- ABCs
- Acute Problem
- Urgent Actual or potential problems
Systemic before local
Acute before chronic
Actual before potential
Listen don’t assume
Recognize first then apply clinical knowledge
Allergy reactions to meds
Urticaria
Rash
Hypotension
Dyspnea
Meningitis
Inflammation of the meninges, membranes of brain and spinal cord
Isolate pt, droplet precautions, decrease stimuli, ICP precautions, monitor VS
Prone position is good for
Preventing hip flexion in lower extremity amputations
Renal Calculi
Monitor I and O
Pain Status
Urinary Ph
Types of incontinence
Stress: Loss of urine from increased abdominal pressure
Urge: Inability to stop urine flow
Overflow: Urinary retention from bladder overdistention and frequent loss of small amount of urine
Reflex: Loss of moderate urine without warning, Spinal cord
Transient Reversible due to UTI or inflammations