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z Here you go, Alexis! > mish mash > Flashcards

mish mash Flashcards

1
Q

vagus nerve

A

activation typically leads to reduction in HR, BP, or both

if circulatory changes are great enough, vasovagal syncope (sudden drop in CO causes cerebral hypoperfusion)

parasympathetic

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2
Q

suction nota bene x4

A
  1. hyperoxygenate with 100% O2 - 2 minutes before and after
  2. stop advancing catheter upon meeting resistance or at cough
  3. suction when going out, intermittent, no longer than 10 seconds
  4. can stimulate vagus nerve - HR drops (stop and hyperoxygenate)
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3
Q

pernicious anemia

A

decrease in red blood cells when the body can’t absorb enough vitamin B-12

risk factor for stomach cancer

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4
Q

achlorhydria

A

absence of hydrochloric acid in the gastric secretions

risk factor for stomach cancer

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5
Q

s/s stomach obstruction + tx

A

abdominal distention
N/V
pain

tx: NPO, NG tube to suction for decompression

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6
Q

Schilling’s Test

A

measures urinary excretion of B-12 for dx of pernicious anemia

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7
Q

primary prevention

A

prevent actual occurrence (sunblock, not smoking, etc)

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8
Q

secondary prevention

A

screenings to detect early disease - greater chance for cure or control

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9
Q

infiltration vs extravasation

A

leak vs irritant

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10
Q

s/s extravasation

A

pain, swelling, no blood return

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11
Q

dehiscence

A

wound separating

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12
Q

evisceration

A

organs out

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13
Q

mydriasis

A

pupil dilation

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14
Q

miosis

A

pupil constriction

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15
Q

venturi mask

A

most accurate oxygen delivery system

patients at risk for CO2 retention (ex: COPD patients) benefit because FiO2 can be controlled

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16
Q

nasal canula

A

low-flow delivery system

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17
Q

aerosol mask

A

most often used for high humidity

18
Q

BiPAP (use)

A

when additional pressure support needed with ventilation

19
Q

hgb/hct indicating need for prbc transfusion

A

8.0 / 24.0

or lower

20
Q

McBurney’s Sign

A

deep tenderness or pain at McBurney’s Point (one-third the distance from the right anterior iliac spine and the navel)

indicative of acute appendicitis

21
Q

Brudzinski’s sign

A

physically demonstrable symptom of meningitis

due to severe neck stiffness, if neck is flexed, hips and knees flex

22
Q

Cullen’s sign

A

superficial edema and bruising in sq fat tissue around belly button

indicative of

  • severe, acute pancreatitis (most common)
  • ruptured ectopic pregnancy
23
Q

Ortolani’s sign

A

test for developmental dysplasia of the hip in kiddoes

  • flex infant hip/knees to 90 degrees
  • anterior pressure on greater trochanter
  • abduct

positive: clunk

24
Q

papule

A

solid elevated lesion not containing fluid

25
Q

pustule

A

small elevated lesion containing pus

26
Q

nodule

A

small, palpable, firm lesion

27
Q

cyst

A

raised, encapsulated lesion filled with fluid

28
Q

macule

A

flat area of altered color or texture

ex: freckle

29
Q

bulla

A

blister

30
Q

Grey Turner’s Sign

A

bruising of the flank

per Jud, see this and you’re fucked because SEVERE acute pancreatitis

31
Q

contact precautions

A
  • private room or cohort client
  • gloves, gown when in contact with client
for direct (care, handling contaminated body fluids) and indirect contact (fomites; contaminated instruments or hands) with patients and their environment
- MRS. WEE
32
Q

droplet precautions

A
  • surgical mask w/in 3 feet of pt
  • hand hygiene
  • dedicated care equipment
  • private room (or cohort client)
  • mask on client when leave room

for disease transmitted by large droplets that travel 3-6 feet - SPIDERMAn

33
Q

airborne precautions

A
  • negative air flow room (private)
    • min 6 to 12 air exchanges / hour
  • UV germicide irradiation/high efficiency air
  • filter mask, N95 respirator for TB
  • mask on client when leaves room (only if necessary)

diseases transmitted by smaller droplets that remain in air for longer - “My Chicken Hez TB”

34
Q

scoliosis

A

lateral

35
Q

kyphosis

A

thoracic, hunchback

36
Q

lordosis

A

lumbar, swayback (lil kids)

37
Q

fifth disease

A

caused by human parvovirus B19

  • face erythema, lacy red trunk/limb rash, cold-like symptoms prior to onset
  • incubation 4-14 days up to 20
  • contagious PRIOR to rash
38
Q

ecchymosis

A

bruise

39
Q

petechiae

A

pinpoint hemorrhages

40
Q

neurovascular check

A 
pulse
color
movement
sensation
cap refill
temp
41
Q

most important check with fractures

A

neurovascular

42
Q

metabolic syndrome criteria

A 
3 of 5:
waist circumference: 35+ f / 40+ m
fasting blood glucose: = 100+
triglycerides: = 150+
sbp: 130+ or dbp: 85+
hdl under 50f / 40m

OR taking prescription for: bg, tg, bp

z Here you go, Alexis! (23 decks)

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