Med Surge Flashcards

1
Q

Angina Precipitating Factors

A

4 E’s
Exertion
Eating
Emotional Distress
Extreme Temp

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2
Q

Arterial Occlusion

A

4P’s
Pain
Pulselessness
Pallor
Parethesia

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3
Q

Congestive ♡ Failure Treatment

A

MADD DOG
Morphine
Aminophylline
Digoxin
Dopamine
Diuretics
Oxygen
Gasses

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4
Q

♡ Sounds

A

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

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5
Q

Hypertension Care

A

Daily weight

Intake and Output

Urine output

Response of blood pressure

Electrolytes

Take pulse

Ischemic episodes or TIAs

Complications: CVA, CAD, CHF, CRF

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6
Q

Hypocalcemia CATS

A

Convulsions
Arrythmias
Tetany
Stridor
Spasms

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7
Q

Hypokalemia - 6 L’s

A

Lethargy

Leg cramps

Limp muscles

Low, shallow respirations

Lethal cardiac dysrhythmias

Lots of urine (polyuria)

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8
Q

Dumping Syndrome

A

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).

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9
Q

Peptic Ulcer Disease

A

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.

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10
Q

Prioritization

A
  1. ABCs
  2. Acute Problem
  3. Urgent Actual or potential problems

Systemic before local

Acute before chronic

Actual before potential

Listen don’t assume

Recognize first then apply clinical knowledge

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11
Q

Allergy reactions to meds

A

Urticaria
Rash
Hypotension
Dyspnea

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12
Q

Meningitis

A

Inflammation of the meninges, membranes of brain and spinal cord

Isolate pt, droplet precautions, decrease stimuli, ICP precautions, monitor VS

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13
Q

Prone position is good for

A

Preventing hip flexion in lower extremity amputations

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14
Q

Renal Calculi

A

Monitor I and O
Pain Status
Urinary Ph

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15
Q

Types of incontinence

A

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

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16
Q

Acute hemolytic transfusion

A

Immediate or can manifest

S/S chills, fever, hypotension, chest pain, tachypnea

17
Q

Hypokalemia

A

Cardia and Potassium levels

nausea, vomiting, leg cramps, weakness.

18
Q

Food interactions with MAOIs

A

tyramine - cheese and processed meats avocados, figs, red wine, beer

19
Q

Pneumonia

A

S/S Pleuritic chest pain, sputum, coughing, decrease O2, dull chest percussion

20
Q

Addisonian Crisis

A

Weight loss
Hypokalemia
Hypotension
DIzziness

21
Q

Organ Rejection

A

FIndings: Fever, hypertension, pain

22
Q

Cholecystitis

A

INflammation of gallbladder
S/S pain, tenderness, RUQ
FAT INTAKE LOW

23
Q

TPN complications

A

Fluid imbalance - assess for crackles.
Infection
Air embolism

24
Q

PRednisone

A

HYPERGLYCEMIA - steroid
osteoporosis
Immunosuppression

Monitor weight and BP

25
Q

Fecal Occult Blood testing

A

Avoid red meat, Anti Inflammatory meds, and Vit C 48 hrs prior

26
Q

Liver Biopsy

A

Pre Ensure client fasts starting at midnight
Intra Supine position, RUQ , Instruct client to echale and hold for 10 seconds while needle is inserted
Post - Assist client to right side lying