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aa Orgo > Medsurg 3 part 7 > Flashcards

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

A

PPI

20
Q

3 meds taken on an empty stomach

A

PPI and antacid and carafate

21
Q

carafate: Advise to notify the provider of

A

tinnitus

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
Q

What time of day does a duodenal ulcer occur

A

a night

26
Q

gastric ulcer + food

A

Pain exacerbated by food

27
Q

duodenal ulcer + food

A

Pain relieved by food

28
Q

gastric ulcer occurs how long after a meal

A

30 to 60 min

29
Q

duodenal ulcer occurs how long after a meal

A

1.5 to 3 hours

30
Q

gastric ulcer: pain is in the

A

left upper epigastrium

31
Q

duodenal ulcer: pain is in the

A

right epigastrium

32
Q

Dyspepsia

A

indigestion

33
Q

all 5 SLE drugs

A 
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
Q

SLE drugs for skin rashes

A

topical cortisone

Plaquenil

35
Q

SLE drug for pain

A

Acetaminophen/NSAIDs

36
Q

SLE drug for systemic disease process

A

Steroids

37
Q

SLE drug an immunosuppressant for renal

A

metho

38
Q

all RA drugs

A

DMARDs such as metho (to slow the progression)
Leflunomide
Another DMARD, Plaquenil
NSAID
Histamine blocker (to decrease bleeding caused by NSAIDs)

39
Q

all OA drugs

A 
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
Q

2 OA drugs for basic pain

A

acetaminophen and lidocaine

41
Q

OA drug if acetaminophen and lidocaine don’t work

A

NSAIDs

42
Q

OA drug for pain in a specific joint

A

Cortisone injection

43
Q

OA drug for muscle spasm

A

muscle relaxant

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