MEDS n NURSING Flashcards
Zoloft s/e
agitation, sleep disturb, and dry mouth
agranulocytosis, tachycardia and siezures
Clozapine s/e
Blood tests for MI
Myoglobin, CK and Troponin
Salt substitutes may contain
pottasium
dusky stoma
poor blood supply, protruding means prolapsed, sharp pain + rigidity means peritonitis, mucus in ileal conduit is expected
Phenobarbital
can be taken during pregnancy but Dilatin is contraindicated
Dilantin s/e
rash (stop med), gingival hyperplasia (good hygiene)
Dilantin toxicity
poor gait + coordination, slurred speech, nausea, lethargy, and diplopia
VRSA
Contact AND airborne precaution (Private room, door closed, negative pressure)
Tension pneumothorax trachea
shifts to opposite side
Change in color
always a LATE sign
1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds, and then HOLD for 10 seconds
Incentive Spirometry steps
MRSA
Contact precaution ONLY
level of therapeutic affect is 0.5-1.5
LITHIUM
indicate mania
LITHIUM
toxic level is 2-3 - N/V, diarrhea, tremors
LITHIUM
hyrdrate 2-3L of water/day
LITHIUM
increased UO and dry mouth
LITHIUM
uh oh; give Mannitol and Diamox if toxic s/s are present
LITHIUM
maintain Na intake of 2-3g/day
LITHIUM
1) Soft bristled toothbrush
2) No insertion of anything! (c/i suppositories, douche)
3) No IM meds as much as possible!
*Thrombocytopenia
Blood transfusion- sign of allergies in order
1) Flank pain
2) Frequent swallowing
3) Rashes
4) Fever
5) Chills
Bleeding precautions
*Thrombocytopenia
Iron deficiency anemia
easily fatigued
give with Vitamin C or on an empty stomach
IRON( FE)
IRON( FE) via IM
Inferon via Ztrack
Pernicious Anemia
Red, Beffy tongue
will take Vit.B12 for life
Pernicious Anemia
Meniere’s Disease
Admin diuretics to decrease endolymph in the cochlea, restrict Na, lay on
affected ear when in bed
. Triad:
1) Vertigo
2) Tinnitus
3) N/V
Meniere’s Disease
Gastric Ulcer pain
occurs 30 minutes to 90 minutes after eating, not at night, and doesn’t go away with food
1st Degree burn
Red and Painful
Blisters
2nd Degree burn
No Pain because of blocked and burned nerves
3rd Degree burn
fluids and pain relief: The 2 interventions to prioritize
sickle cell crisis
Renal impairment
serum creatinine elevated and urine clearance decreased
Serum creatinine men
0.8-1.8
0.5-1.5
Serum creatinine women
Urine clearance
85-135
3 yrs Hemoglobin
9.4-15.5
10 yrs Hemoglobin
10.7-15.5
Place a wheelchair parallel to the bed on the
side of weakness
BSA
considered the most accurate method for medication dosing with kids. (I though it was weight, but apparently not)
3 mos Hemoglobin
10.6-16.5
Hot as a Hare (Temp), Mad as a Hatter (LOC), Red as a Beet (flushed face) and Dry as a Bone (Thirsty)
Atropine Overdose
18-27
Neonates Hemoglobin
Gonorrhea
reportable disease
area of induration is 5 mm in an immunocompromised patient
PPD is positive
area of induration is 10 mm in a normal patient
PPD is positive
area of induration is 15 mm in a patient who lives in an area where TB is very rare.
PPD is positive
Prolonged hypoxemia
likely cause of cardiac arrest in a child
Fluid volume overload
caused by IVC fluids infusing too quickly
can cause an S3
CHF
newly diagnosed hypertension patient should have
BP assessed in both arms
Coarctation of the aorta
causes increased blood flow and bounding pulses in the arms
Respiratory problems
chief concern with CF
Polyuria
common with the hypercalcemia caused by hyperparathyroidism
Nonfat milk
reduces reflux by increasing lower esophageal sphincter pressure
should lay on their left side with the HOB elevated 30 degrees.
GERD
Low-fowlers
recommended during meals to prevent dumping
syndrome
Limit fluids while eating
Low-fowlers
Can’t cough
ineffective airway clearance
crackles likely to be accompanied by
hypoxia
hypoxia
which would manifest itself as mental confusion
Crackles
suggest pneumonia
Absence of menstruation leads to
osteoporosis in the anorexic
Toddlers need to express
autonomy (independence)
Low magnesium and high creatinine signal
renal failure
usually the highest priority with RA
Pain
TB
public health risk.
status epilepticus.
Level of consciousness is the most important assessment parameter
verified by a drop in pressure with increasing heart rate
Orthostasis
Common sites for metastasis
liver, brain, lung, bone, and lymph
Bence Jones protein in the urine confirms
multiple myeloma
rheumatic fever can lead to
cardiac valves malfunctions
when phenylalanine increases
brain problems occur
Tensilon test given if muscle is tense in
myasthenia gravis
milieu therapy
taking care of patient/environment
cognitive therapy
counseling
crisis intervention
short term
Signs of hypoxia
restless, anxious, cyanotic tachycardia, increased resps
monitor ABG’s
Signs of hypoxia
is in the interstitial space not in the cardiovascular space
edema
in pH regulation the 2 organs of concern are
lungs/kidneys
The person who hyperventilates is most likely to experience
respiratory alkalosis
Dumping syndrome
increase fat and protein, small frequent meals, lie down after meal to decrease peristalsis, wait 1 hr after meals to drink
Cushing’s syndrome
have extra “cushion” of hormones
Thyroid storm
HOT (hyperthermia)
Myxedema coma
COLD (hypothermia)
