Medsurg 3 part 7 Flashcards

1
Q

abdominal pain followed by N/V can indicate

A

appendicitis

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2
Q

Patients with appendicitis tend to have cramp pain in the ___ area and to the right of the naval

A

epigastric

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3
Q

In an appendicitis patient, perforation/peritonitis is indicated in a patient that has abd pain that increases with

A

cough/movement and is relieved by bending to the right

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4
Q

positioning of appendicitis pt

A

semi fowlers (to keep drainage in the lower quadrants)

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5
Q

appendicitis pts should not be medicated with ___ or ___ because that can cause perforation

A

laxatives or enemas

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6
Q

Do not apply ___ to someone with appendicitis because that can increase circulation and therefore increase the pressure

A

heat

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7
Q

Sustained release capsules may be opened and sprinkled on food or mixed with applesauce (or mixed with juice for clients who have an NG tube)

A

PPI

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8
Q

PPI teaching

A

avoid sun

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9
Q

Histamine blocker teaching

A

take with meals and at bedtime

don’t mix with vegetable juice

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10
Q

administered following surgical procedures for bleeding esophageal varices.

A

Histamine blocker

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11
Q

Histamine blocker: Allow 1 hr before or after to administer ___

A

antacid

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12
Q

Histamine blocker: monitor labs for ___ and ___

A

neutropenia and hypOtension

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13
Q

Histamine blocker: advise the pt to watch for signs of

A

GI bleeding

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14
Q

Don’t give antacids to anyone that has problems with their

A

kidneys

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15
Q

teaching about antacids and other medications

A

don’t take anything else within an hour of the antacids

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16
Q

Common SE of PPIs

A

N/V

abd pain

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17
Q

medication that needs an IV filter

A

PPI

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18
Q

PPI teaching about how to take the meds

A

Advise to allow 30 min before eating and not to crush or chew pills

19
Q

It can take up to 4 days to see the effects of this medication

20
Q

3 meds taken on an empty stomach

A

PPI and antacid and carafate

21
Q

carafate: Advise to notify the provider of

22
Q

carafate: advise to keep taking the meds even if

A

symptoms improve

23
Q

Abx: notify provider of

A

bad diarrhea

24
Q

What time of day does a gastric ulcer occur

A

rarely at night

25
What time of day does a duodenal ulcer occur
a night
26
gastric ulcer + food
Pain exacerbated by food
27
duodenal ulcer + food
Pain relieved by food
28
gastric ulcer occurs how long after a meal
30 to 60 min
29
duodenal ulcer occurs how long after a meal
1.5 to 3 hours
30
gastric ulcer: pain is in the
left upper epigastrium
31
duodenal ulcer: pain is in the
right epigastrium
32
Dyspepsia
indigestion
33
all 5 SLE drugs
``` topical cortisone (for skin rashes) Plaquenil (also for the skin) Acetaminophen/NSAIDs (for pain) Steroids (for systemic disease process) metho (an immunosuppressant for renal) ```
34
SLE drugs for skin rashes
topical cortisone | Plaquenil
35
SLE drug for pain
Acetaminophen/NSAIDs
36
SLE drug for systemic disease process
Steroids
37
SLE drug an immunosuppressant for renal
metho
38
all RA drugs
DMARDs such as metho (to slow the progression) Leflunomide Another DMARD, Plaquenil NSAID Histamine blocker (to decrease bleeding caused by NSAIDs)
39
all OA drugs
``` Acetaminophen (for pain) Lidocaine (also pain) NSAIDs (if the first 2 don't work) Cortisone injection (for pain in a specific joint) muscle relaxants (for muscle spasm) ```
40
2 OA drugs for basic pain
acetaminophen and lidocaine
41
OA drug if acetaminophen and lidocaine don't work
NSAIDs
42
OA drug for pain in a specific joint
Cortisone injection
43
OA drug for muscle spasm
muscle relaxant