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NCLEX Development Of Clinical Judgment Iggy > Misc > Flashcards

Misc Flashcards

1
Q

Dosage of Acetaminophen

___ mg / kg / dose

Don’t exceed…

___mg / kg / day

A

10 mg / kg / dose

75 mg / kg / dose

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2
Q

Montelukast
Leukotriene receptor antagonists

Dosage….
Use…..

May increase HR / jitteryness

A

5 - 10 mg
Use Dilates smooth muslces of airways. Prevent Asthma attacks

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3
Q

Albuterol

Dose, Route, Frequency

40 mg orally 30 min before exercise
2 puffs as an Inhalation PRN every 4 - 6 hrs
1 puff as dry powder Inhalation PRN every 6 - 8 hrs
0.86 mg as Nebulizer Inhalation q6h

A

2 puffs as an Inhalation PRN every 4 - 6 hrs

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4
Q

Complete the information below

COPD interfers with airflow & gas exchange, leading to increased (1) ______ , (2) _______, (3) ________.

These physiologic changes increase the clients risk for (4)_______, (5)________, (6) ________

1, 2 ,3

Bicarbonate levels
BP
Bronchodilation
CO² Levels
Ox levels
Pulmonary Pressure
RR
Sputum production

4 ,5, 6

CAD
HTN
Hypoxemia
Left-sided HF
Right-sisded HF
Metabolic Acidosis
Respiratory Alkalosis
Pulmonary Infex

A

COPD interfers with airflow & gas exchange, leading to increased CO² Levels, sputum production, Pulmonary Pressure

These physiologic changes increase the clients risk for Pulmonary Infections, Hypoxemia, Right-sided HF (Cor pulmonale)

COPD = Alveoli become inflated and trap CO², leading resp acidosis

Inflated alveoli collect mucus, increase sputum production, risk for infection.

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5
Q

Oscillating PEP device

(vibratory positive expiratory pressure device)

Use (Disases)

A

Create vibrations when you breathe out.

The vibrations move mucus from the surface of your airways.

After blowing through the device several times, the person huff coughs to clear the mucus from the lungs and out of the body.

CF / Anything with lots of mucus

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6
Q

Best oxygen mask choice for COPD patient

A

Venturi

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7
Q

Albuterol take 2 puffs for emergency relief of asthma symptoms.

How long to wait between puffs

A

1 min

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8
Q

Cetirizine

Class

Dosage

Use

SE

Contradictions

A

Antihystimine (2 gen)

Itchy, watery, node/ eye & urticaria

SE drowsiness

Careful if liver disease present

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9
Q

Terazosin (alpha blocker) is prescribed to reduce HTN. It is also prescribed for ease symptoms of urinary retention associated with….

A

Benign prostate hyperplasia

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10
Q

Most common SE of Terazosin (alpha blocker) prescribed to ease urinary retention associated with Benign prostate hyperplasia

A

Orthostatic Hypotension
Sexual Dysfunction

Possible
Tachycardia/ Syncope

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11
Q

Why would a client taking Cetirizine have to talk with his dr. If he’s now prescribed Terazosin for Benign Prostate Hyperplasia

A

Cetirizine (Zyrtec) is an Antihystimine which has water retention effects.

Terazosin is an (Alpha blocker) which dilates vessels allowing to urinate better

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12
Q

Benign Prostate Hyperplasia occurs when the Prostate (Surrounding the urethra) Enlarges and pinches the urethra. (UTI, Post-void dribbling, Urinary frequency, incontence, Retention)

This can be determined by a doctor via.

A

Digital Rectal Exam
PSA Prostate Specific Antigen >4
Creatine,BUN, WBC (UTI)

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13
Q

Finasteride
Tamsulosin
Tadalafil

Election medication relaxes muscles in prostate gland

5 Alpha Reductase inhibitor. Shrinks prostate by manipulation of hormones

Alpha one blocker relaxes muscles in prostate gland (Improve Urine Flow)

A

Finasteride
5 Alpha Reductase inhibitor. Shrinks prostate by manipulation of hormones

Tadalafil
Election medication relaxes muscles in prostate gland

Tamsulosin
Alpha one blocker relaxes muscles in prostate gland (Improve Urine Flow)

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14
Q

TURPS

Transurethral Resection of the Prostate

Is used for…

A

Urinary voiding problems associated with BPH

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15
Q

Patient has bright red urine output following TURPS surgery

1st response

A

Increase continuous bladder irrigation rate

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16
Q

If CBI continous bladder irritation becomes obstructed following TURPS surgery, what do you do?

WHAT DO YOU DO!!!

A

Turn off CBI

&

Irrigate using large piston syringe

17
Q

1 day postop Turps Surgery. Notice output from 3-way urine catheter bright red & thick like Ketchup with multiple clots. Priority Actions

  1. Manually irrigate urinary catheter with NS
  2. Remove catheter with clots and place a new one
  3. Increase flow of bladder irrigation system
  4. Ask client to contract bladder muscles and attempt to void
  5. Dispose of bloody output in a biohazard bag
  6. Report to surgeon immediately
  7. Monitor hemoglobin & hematocrit levels
A
  1. Manually irrigate urinary catheter with NS
  2. Increase flow of bladder irrigation system
  3. Report to surgeon immediately
  4. Monitor hemoglobin & hematocrit levels

NCLEX Development Of Clinical Judgment Iggy (1 decks)

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