MEDS2 Flashcards by Fabiola Labonte

Neostigmine/Atropine (anticholinergic)

to reverse effect of pancuronium

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When given we need to worry about dehydration.
K ha ineverse
relationship with Na

Kayexalate

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NEVER use qtip or anything to scratch area

Itching under cast area

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Itching under cast area

ice pack for 10- 15 minutes

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Myesthenia gravis

caused by a disorder in the transmission of impulses from nerve to muscle cell

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Rifampin

Red orange tears and urine

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contraceptives don’t work as well

Rifampin

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Ethambutol

messes with your Eyes

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Itching under cast area

cool air via blow dryer

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Yogurt has live cultures

dont give to immunosuppressed pt

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Rule of nines (head)

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legs

Rule of nines (36)

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Rule of nines (arms)

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Rule of nines (torso)

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1=100%

Rule of nines(perineum)

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The biggest concern with cold stress and the newborn is

respiratory distress

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restlessness

The first sign of hypoxia

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hypoxia

restlessness, followed by agitation, and things go downhill from there all the way to delirium, hallucinations, and coma.

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check the o2 stat, and get abg’s if possible

hypoxia

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If your normally lucid patient starts seeing bugs you better check his

respiratory status first

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After g-tube placement the stomach contents are drained by

gravity for 24 hours before it can be used for feedings

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In a five-year old breathe once for every

5 compressions doing cpr

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Cephalhematoma

caput succinidanium

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This is the type of edema that crosses the suture lines

Cephalhematoma

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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

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

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

both eyes

left eye

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

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