M.K. Part II Flashcards
INR above ____ is a C
4
Potassium nml = _______
Low or high K+ is ABCD?
3.5 - 5.3
Low or high = C
If 6+ = D
Any pH in the _____s = D
6s
Hgb nml = _______
If its below a _____ it is a C and you should asses for bleeding / prep to give blood / call HCP
12-18
8
Co2 nml = ______
______ = a C
_______ = D
35- 45
46-59
60+
Your pts CO2 is 47, what should you instruct them to do?
Pursed lip breathing
HCT nml _______
what should you asses for if it is high?
36-54 (3x hgb)
Dehydration
PO2 nml _______
O2 nml _____-
79 - 100
93 - 100
A BNP should be less than ______
If its greater than ____ you should look for s/s of ____
100
100+ look for CHF
PLTs below _____ is a C
Below ______ is a D
90,000
40,000
WBC therapeutic range
5,000-11,000
SIADH s/s
low urine output
oliguria
not thirsty
High specific gravity
Fluid volume excess
Regular insulin taken ____ meals
NPH ____ meals
Lispro/Aspart ____ meals
Before
After
With
Every time you open an insulin bottle, it expires ____ days after that.
Once a bottle is opened can be be not refridgerated?
30
Yes (if unopened, keep in fridge)
Insulin is mixed _____ to ____
clear to cloudy (regular to NPH)
Hyperglycemia in a T1DM = _______ risk
DKA
What are some causes of DKA in a T1DM pt?
Acute viral upper resp. infection within last 2 weeks
Too much food
Not enough meds / exercise
s/s of DKA
Dehydration (hot flushed, dry skin)
Ketones in blood
Kussmauls
Hyper K +
Acidosis
Acetone breath (fruity)
Anorexia d/t nausea
Tx DKA
IV fluids FAST
Regular IV insulin
HyperG in T2DM can lead to _______
HHNK
What are the causes of HHNK? What is the Tx?
Dehydration
IV Fluids
Phenothiazines: what type of drug?
1st Gen / Typical Antipsychotics
ADR of 1st gen antipsychotics (6)
Anticholinergic
Drowsiness
EPS
Blurred vision
Photosensitivity
Agranulocytosis (WBC low, immunocompromised)
ADRs Benzos (4)
Anticholinergic
Blurred vision
Constipation
Drowsy
MAOI names
Partite
Nardil
Marplan
(Par, Nar, Mar)
Foods you can’t eat with MAOI
Salad BAR
Bananas
Avocados
Raisins (dried fruit)
Organ/preserved/hot dogs/lunch meats (smoked, dried, cured, pickled, etc.)
No dairy EXCEPT for mozzarella and cottage cheese
No yogurt
No alcohol
No chocolate
Don’t take OTC meds while on MAOi’s
Lithium decreased _____, not _______
Does it effect neurotransmitters?
mania
depression
No
3 major side effects of lithium?
Peeing
Pooping
Paresthesia
Toxic side effects of Lithium?
tremors
metallic taste
severe diarrhea
1 intervention for a pt on Lithium
Monitor for …..
Increase fluids
If they’re sweating don’t give water. Give Gatorade/PowerAde (electrolytes)
Monitor for dehydration & sodium levels
Low sodium = makes lithium _______
High sodium = lithium________
Toxic
won’t work
Haldol overdose is ______
Neuroleptic Malignant Syndrome (NMS)
NMS is potentially fatal ______
hyperpyrexia
What type of drug is Clozapine?
2nd gen atypical antisychotic
What is the BIG ADR to watch for with Clozapine?
Agranulocytosis
Ziprasidone is what type of drug? What is the major ADR? And which type of pt should NOT be given this med?
2nd gen antipsychotic
Prolonged QT –> sudden cardiac arrect
NOT for heat condition pts
Serotonin syndrome s/s
Sweating
Apprehension / impending doom
Dizziness
Headaches
When is the fundus at the umbilicus?
20 - 22 weeks
What weeks can you HEAR a FHR?
8-12
When is quickening?
16-20 w
What is Chadwicks sign? Type of sign?
Cervical color change to cyanosis
Probable
Goodell’s sign + type of sign?
Cervical softening
Probable
Hegars sign + type of sign?
Uterine softening
Probable
How freq to see OB in the first 2 trimesters?
once a month
Most important assessment for pre-op thoracic laminectomy? (2)
- Cough mechanism
- Bowel function
Most important pre-op info for lumbar laminectomy?
Bladder retention
Leg function
Post op complication to watch for with a cervical laminectomy?
PNA
Post op complication to watch for with a thoracic laminectomy?
Aspirational PNA
Post op complication to watch for with a lumbar laminectomy?
Urinary retention
Piaget: preoperational ages and characteristics
3-6 yrs
Fantasy oriented
Illogical
No rules
Concrete operational piaget age and characteristics
7-11 yrs
Rule oriented
Cannot abstract
Only 1 way to do things
Formal operations piaget age and characteristics
12-15 yrs
Able to think abstractly
Understand cause-effect
Which works right away: Heparin or Warfarin?
Which can be given in pregnancy?
Heparin
Heparin
How is Warfarin administered?
PO
What is the correct answer for the pre-interaction therapeutic phase?
The nurse will explore his/her feelings about…
When does the introductory therapeutic phase start and end?
Start: first meet pateint
Ends: when mutually agreed upon care plan is in place
“When does the termination phase
begin?”
On admission
Phenothiazines ADRs (8)
Side Effects: (remember ABCDEFG…)
i. Anticholinergic Effects
ii. Blurred vision and Bladder retention
iii. Constipation
iv. Drowsiness
v. Extra Pyramidal Syndrome (EPS)
vi. FPhotosensitivity
vii. AGranulocytosis (low WBC count-immunosuppression)
viii. Teach p
Tricyclic antidepressants ADRs (5)
i. Anticholinergic Effects
ii. Blurred vision and Bladder retention
iii. Constipation
iv. Drowsiness
v. Euphoria
