Medsurg 3 part 7 Flashcards
abdominal pain followed by N/V can indicate
appendicitis
Patients with appendicitis tend to have cramp pain in the ___ area and to the right of the naval
epigastric
In an appendicitis patient, perforation/peritonitis is indicated in a patient that has abd pain that increases with
cough/movement and is relieved by bending to the right
positioning of appendicitis pt
semi fowlers (to keep drainage in the lower quadrants)
appendicitis pts should not be medicated with ___ or ___ because that can cause perforation
laxatives or enemas
Do not apply ___ to someone with appendicitis because that can increase circulation and therefore increase the pressure
heat
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)
PPI
PPI teaching
avoid sun
Histamine blocker teaching
take with meals and at bedtime
don’t mix with vegetable juice
administered following surgical procedures for bleeding esophageal varices.
Histamine blocker
Histamine blocker: Allow 1 hr before or after to administer ___
antacid
Histamine blocker: monitor labs for ___ and ___
neutropenia and hypOtension
Histamine blocker: advise the pt to watch for signs of
GI bleeding
Don’t give antacids to anyone that has problems with their
kidneys
teaching about antacids and other medications
don’t take anything else within an hour of the antacids
Common SE of PPIs
N/V
abd pain
medication that needs an IV filter
PPI
PPI teaching about how to take the meds
Advise to allow 30 min before eating and not to crush or chew pills
It can take up to 4 days to see the effects of this medication
PPI
3 meds taken on an empty stomach
PPI and antacid and carafate
carafate: Advise to notify the provider of
tinnitus
carafate: advise to keep taking the meds even if
symptoms improve
Abx: notify provider of
bad diarrhea
What time of day does a gastric ulcer occur
rarely at night
What time of day does a duodenal ulcer occur
a night
gastric ulcer + food
Pain exacerbated by food
duodenal ulcer + food
Pain relieved by food
gastric ulcer occurs how long after a meal
30 to 60 min
duodenal ulcer occurs how long after a meal
1.5 to 3 hours
gastric ulcer: pain is in the
left upper epigastrium
duodenal ulcer: pain is in the
right epigastrium
Dyspepsia
indigestion
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)
SLE drugs for skin rashes
topical cortisone
Plaquenil
SLE drug for pain
Acetaminophen/NSAIDs
SLE drug for systemic disease process
Steroids
SLE drug an immunosuppressant for renal
metho
all RA drugs
DMARDs such as metho (to slow the progression)
Leflunomide
Another DMARD, Plaquenil
NSAID
Histamine blocker (to decrease bleeding caused by NSAIDs)
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)
2 OA drugs for basic pain
acetaminophen and lidocaine
OA drug if acetaminophen and lidocaine don’t work
NSAIDs
OA drug for pain in a specific joint
Cortisone injection
OA drug for muscle spasm
muscle relaxant
