MEDS2 Flashcards
Neostigmine/Atropine (anticholinergic)
to reverse effect of pancuronium
When given we need to worry about dehydration.
K ha ineverse
relationship with Na
Kayexalate
NEVER use qtip or anything to scratch area
Itching under cast area
Itching under cast area
ice pack for 10- 15 minutes
Myesthenia gravis
caused by a disorder in the transmission of impulses from nerve to muscle cell
Rifampin
Red orange tears and urine
contraceptives don’t work as well
Rifampin
Ethambutol
messes with your Eyes
Itching under cast area
cool air via blow dryer
Yogurt has live cultures
dont give to immunosuppressed pt
Rule of nines (head)
9
legs
Rule of nines (36)
Rule of nines (arms)
18
Rule of nines (torso)
36
1=100%
Rule of nines(perineum)
The biggest concern with cold stress and the newborn is
respiratory distress
restlessness
The first sign of hypoxia
hypoxia
restlessness, followed by agitation, and things go downhill from there all the way to delirium, hallucinations, and coma.
check the o2 stat, and get abg’s if possible
hypoxia
If your normally lucid patient starts seeing bugs you better check his
respiratory status first
After g-tube placement the stomach contents are drained by
gravity for 24 hours before it can be used for feedings
In a five-year old breathe once for every
5 compressions doing cpr
Cephalhematoma
caput succinidanium
This is the type of edema that crosses the suture lines
Cephalhematoma
First sign of PE
sudden chest pain
resolves on its own in a few days
Cephalhematoma
sign of PE
dyspnea and tachypnea
Pulmonary sarcoidosis
leads to right sided heart failure
Digitalis increases
ventricular irritability
could convert a rhythm to v-fib following cardioversion
Digitalis increases
Trendelenburg test
for varicose veins. If they fill proximally = varicosity
Non dairy sources of calcium
RHUBARB, SARDINES, COLLARD GREENS
Push fluids with
Allopurinol
flush the uric acid out of system
Allopurinol
Cushings ulcers r/t
BRAIN injury
Fat soluble vitamins
Vitamins A, D, E, K
Given WITH food.
NSAIDS, Corticosteroids, drugs for Bipolar, Cephalosporins, and Sulfanomides
Cushings triad r/t
ICP in BRAIN (htn, bradycard, irr. resp)
Patch the GOOD eye so that the
weaker eye can get stronger
BOTOX for
strabismus
Hepatitis A
contact precautions
Amyotrophic lateral sclerosis ( ALS
condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems.
put them in fetal position, NPO, gut rest, prepare antecubital site for PICC cuz they’ll probably be getting TPN/Lipids
Pancreatitis patients
Ask for anaphylactic rxn to eggs or neomycin before
MMR
conjunctival sac
Apply eye drop to
after applying eye drops to the conjunctival sac afterwards
apply pressure to nasolacrimal duct / inner canthus
TIDAL VOLUME
7 – 10ml / kg
Test 4 hypersensitivity before the administration of
asparginase
Fat Embolism
Blood tinged sputum (r/t inflammation), inc ESR, respiratory alkalosis (not acidosis r/t tachypnea), hypocalcemia,increased serum lipids, “snow storm” effect on CXR
Increased met. rate
your body is “too busy to sleep
hypothyroidism
may report somnolence (dec. met rate, body is slow and sleepy).
Stranger anxiety is greatest
7 - 9 months
Amphogel and Renegal
take with meals
Vermox
Take with high fat diet (increases absorption)
Kidney Glucose threshold
180
MMR
SQ shot
Separation anxiety peaks in
toddlerhood
Before going for Pulmonary Fuction Tests (PFT’s),
a pt’s bronchodilators will be with-held
are not allowed to smoke for 4 hrs prior
Before going for Pulmonary Fuction Tests (PFT’s),
have pt hold breath in midexpiration
lung biopsy
lung biopsy
chest x-ray done immediately afterwards to check for complication of pneumothorax, sterile dressing applied
lung biopsy
position pt lying on side of bed or with arms raised up on pillows over bedside table,
pt can eat, pt must stay awake night before exam, pt may be asked to hyperventilate and watch a bright flashing light, after EEG, assess pt for seizures, pt’s will be at increased risk
EEG prior
EEG prior
hold meds for 24-48 hrs prior
no caffine or cigarettes for 24 hrs prior
EEG prior
high in vit c
cantaloupe
neutrophils kick in to
fight infection
Multiple Sclerosis
chronic, progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord.
WBC
shift to the left in a patient with pyelonephritis
a person shouldn’t have cantaloupe before a occult stool test,
vit c causes a false + for occult blood
Epispadias
opening of the urethra on the dorsal (front) surface of the penis
Priapism
painful erection lasting longer than 6 hrs.
Fetal alcohol syndrome
upturned nose
flat nasal bridge
Fetal alcohol syndrome
Anticholinergic effects-dry mouth
can’t spit
Anticholinergic effects (urinary retention)
can’t pee
Anticholinergic effects (constipated)
can’t shyt
Anticholinergic effects (blurred vision)
can’t see
Fetal alcohol syndrome
thin upper lip
OU
both eyes
left eye
OS
OD
right eye ( dominent Right eye- just a tip to remember)
the most important intervention with HHNS as well as DKA
Fluids
Serum acetone and serum ketones rise in
DKA
As you treat the acidosis and dehydration expect the ______________ to drop rapidly
potassium
As you treat the acidosis and dehydration expect the potassium to drop rapidly, so be ready, with
potassium replacement
Fluids are the most important intervention with HHNS as well as DKA, so get
fluids going first
Position on right side with legs flexed after
appendectomy
After removal of the pituitary gland you must watch for
hypocortisolism and temporary diabetes insipidus
Hirschsprung’s diagnosed with rectal biopsy looking for
absence of ganglionic cells
Hirschsprung’s Cardinal sign in infants is
failure to pass meconium
Hirschsprung’s
classic ribbon-like and foul smelling stools
currant jellylike stools (blood and mucus).
Intussusception
Intussusception
common in kids with CF
Intussusception
Obstruction may cause fecal emesis
A barium enema may be used to hydrostatically reduce the telescoping.
Intussusception
Resolution is obvious, with onset of bowel movements.
Intussusception
After a hydrocele repair provide
ice bags and scrotal support
kid positive for PKU
No phenylalanine
no meat, no dairy, no aspartame
kid positive for PKU
