Medsurg final 7 Flashcards
Disruption in or deficiency of coronary artery blood supply, resulting in necrosis of tissue
MI
4 Causes of MI
Thrombus or clotting
Shock or hemorrhage
MI assessment: Sudden onset of pain in the lower s___ region
sternal
MI assessment: It differs from angina pain in its
sudden onset
MI assessment: Pain is not relieved by ___ or ___
rest or nitro
MI assessment: Pain may persist for
hours or days
MI assessment: Client may not have pain (silent MI), especially those with ____ ___
diabetic neuropathy.
MI assessment: Creatine kinase (CK) rises after
3 to 12 hours of an MI
MI assessment: Creatine kinase (CK) peaks at
24 hours
MI assessment: ____ band is specific to myocardial cells and can help quantify myocardial damage.
CK-MB
MI assessment: released into circulation after MI or injury and has greater sensitivity and specificity for myocardial injury than CK-MB.
Troponin
sounds like the best serum cardiac marker is
Troponin
MI assessment: pulse pressure
narrowed (i.e. 90/80)
MI: morphine is given for pain and to
increase O2 perfusion
MI: morphine is given to increase O2 perfusion because it
acts as a peripheral vasodilator and decreases venous return
Pancreatitis: think
insulin and glucose problems
Amylin
hormone that tells you to stop eating
Pheocromocytoma patient appearance
thin, tachycardic
Needed in the body for fight or flight
cortisol
orchectomy
castration
Impaired healing: 2 conditions besides DM
addisons and cushings
Stimulated by fight or flight
glucagon (because you need the extra energy)
3 factors of metabolic syndrome
Abd girth
HTN
Hyper lipid
When the patient’s blood sugar is at 212, they would feel
fine
Early warning sign of DM in males is
ED
DM patient: you take a finger stick and it’s very low, even though the patient feels fine
hypoglycemia unaware (they could suddenly pass out)
When DM patients are sick, their body needs more
glucose
What kind of IV is good for pt with DKA
NS
What kind of insulin is good for pt with DKA
regular and rapid
The DKA that will have the most broad effect
hydration
DKA: if patient is severely dehydrated, they could need __ IV
1/2 NS (pulls fluid from vasculature to the cells)
2 DM meds that can cause hypogly
Sulfa
Glucov
a DM med that prevents absorption of carbs
Precose (therefore it won’t help to give the pt OJ, they cant get the carbs anyway)
Don’t give someone K if they can’t
urinate
What should you do for a patient that has smoggi phenomenon
finger stick in the middle of the night
You can’t give aspart until
food is in the room
If a type 1 DM pt has ketones in the urine they should not
exercise
Main problem in SIADH patient is
hypoNatremia (therefore put them on seizure precaution)
Pt with bad SIADH may need what kind of IV
3% NS (which is very dangerous)
Graves disease
you’re running yourself into the grave
Myedema, main issue is
decrease CO (the condition is associated with hypO)
common problem with metformin
GI upset
Addisons; what lab are interested in
cortisol levels
Pheochromocytoma can require ____ removal
kidney
