Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NURS112 > MT2 > Flashcards

MT2 Flashcards

1
Q

What is the SIRS criteria?

A
  • 2 or more:
    • temp >38.5C or <35C
    • HR >90
    • RR>20 or PaCO2 <32
    • WBC >12000, <4000, or >10% Bands
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is an alarming creatinine change?

A

increase of 0.5 or more

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What do you monitor if patient is on Heparin? What is antidote?

A

PTT

Protamine Sulfate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What do you monitor if pt is on Coumadin?

A

PT/INR

Vita K

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does metformin do?

A
  • controls glucose level
  • can cause diarrhea, abdominal discomfort
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What do beta-blockers do?

A
  • reduces heart work and cardiac output
  • lowers BP
  • reduces demand for O2
  • treats HTN/chest pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the antidote for Benzo?

A
  • Flumazainyl
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Antidote for Norco?

A

Norcan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What does advair do?

A
  • Fluitcasone & Salumetrol
  • brochodilator and coritcosteriod
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is glipizide?

A

controls BG levels by helping pancrease produce insulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does quinapril do?

A
  • Treats HTN/ Heart failure
  • ACE inhibitor
  • may cause light-headedness, little to no voiding
    • monitor BP/HR
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does lipitor do?

A

Decreases LDL and triglycerides in blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does Reglan do?

A
  • speeds up rate stomach empties into intestines
  • treats heartburn and helps with N/V
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What side of brain is responsible for speech?

A

Left

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Why do we monitor BS when a pt comes in for suspected stroke?

A

Hypoxemia can mimic stroke

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the warning signs of a Stroke?

A
  • Aphagia (speech problems)
  • Vision problems
  • ataxia or problems w/ certain side of the body
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the scale for eye opening category of the GCS?

A
  1. none
  2. pain
  3. speech
  4. spontaneous
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the scale for the GCS speech category?

A
  1. none
  2. incomprehensible sounds
  3. inappropriate words
  4. confused
  5. oriented
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the scale for the GCS motor response category?

A
  1. flaccid
  2. abnormal extension (decerebrate)
  3. abnormal felxion (decorticate)
  4. flexion withdrawal (pull away from pain)
  5. localizes pain
  6. obeys command in ANY extremity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

When do you notify the physician when observing the GCS?

A

If there has been a change in 2 points

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the time frame for interventions with stroke?

A

3 hours

22
Q

When do you treat a PT w/ a stroke that has a high BP?

A
  • Ischemic
    • Giving TPA
      • Must treat BP >185/110
    • If not giving TPA
      • treat >200/100
  • Hemorrhagic
    • Treat BP if it is >160/90
23
Q

Whats the criteria for TPA qualifaction?

A
  • 3 hour since onset
  • no recent trauma or surgery
  • no recent homorrhage or coag therapy (warfarin INR >1.7, plts <100000)
  • no HTN (>185/110)
  • no seizures
24
Q

What is the TPA dosage?

A
  • .9mg/kg
  • give 10% bolus followed by 90% infusion
  • max 90mg
25
Q

How often do you assess during and after TPA infusion?

A
  • During: q15 mins
  • Post
    • q 15 for 2 hrs
    • q 30 mins for 6 hrs
    • q 1 hour for 16 hrs
26
Q

What are the clinical presentations of a middle CEREBRAL artery stroke?

A
  • Contralateral
    • Hemiparesis/-plegia
    • Hemisensory loss
    • visual field loss
  • Dominant hemisphere - aphasia
  • Non-dominant - neglect, flat affect
27
Q

What are the clinical manifestations of an anterior CEREBRAL artery stroke?

A
  • Contralateral hemiparesis in distal areas (legs)
  • numbness, tingling, loss of sensation
  • aphasia
  • Contralateral blurring or indistinct in one side of field of vision in both eyes
  • ipsilateral monocular blindness
28
Q

What are the symptoms of CEREBELLAR stroke?

A
  • Truncal and gait ataxia
  • ipsilateral
    • limb ataxia
    • facial weakness and sensory loss
    • gaze paresis
  • small reactive pupils
29
Q

What are the clinical manifestations of a brainstem stroke?

A
  • Quadriparesis or contralateral hemiparesis
  • coma
  • horizontal gaze paresis
  • hyperthermia, hyperventilation
30
Q

Why would you want sodium levels above normal?

A
  • low sodium can cause seizure
  • BP can increase and pull edema from brain into vessels
31
Q

What meds can alter neuro?

A
  • BP meds
  • Insulin
  • Narcotics
  • Benzodiazipines
32
Q

If a patient is aphasic, where is the site of injury most likely?

A
  • damage in left temporal lobe near Wornicke’s area or Broca’s area
33
Q

What two drugs should you avoid in the elderly that can affect their neuro?

A

Adavan and pepcid

34
Q

What is dopamine responsible for?

A
  • movement
  • balance
  • walking
35
Q

What are ways to medically manage parkinson’s?

A
  • Providing dope to basal ganglia
    • Sinemet (levodopa +carbidopa)
  • Block acetylcholine release
  • thalamotomy
  • deep brain stimulation
36
Q

How do you compute CO?

A

CO=SV x HR

37
Q

What Calcium Channel Blockers are most widely used for HTN treatment?

A

Amlodipine and Cardiezem

38
Q

What is the Frank Starling Mechanism?

A

Increase stretch of Cardiac muscle = Increase force of contraction

39
Q

Normal Cl value?

A

95-110

40
Q

Normal serum CO2

A

24-32

41
Q

Normal Ca level?

A

8.6-10.5

42
Q

Normal triglyceride level

A

35-160

43
Q

Normal WBC level?

A

4.5-11

44
Q

Normal HGB level?

A

13-16

45
Q

Normal HCT level?

A

37-49

46
Q

Normal PLT level?

A

130-400

47
Q

Normal PTT?

A

23-33.5

48
Q

Normal PT?

A

11-12.5

49
Q

Normal HCO3

A

22-28

50
Q
A

NURS112 (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions