N Flashcards
1
Q
Foods that contain tyramine for MAOIs
A
Bananas avocados any dried fruit liver kidneys heart smoked dried curd pickled and hot dogs no aged cheese yogurt no brink cheese no alcohol elixirs tinctures caffeine chocolate licorice and soy sauce and can’t be mixed with other OTC meds
2
Q
Signs of pneumonia
A
Crackles dyspnea pleuritic chest pain increase vocal fremitus unequal chest movement dull fever and chills
3
Q
S/S of uppers
A
Euphoria Tachy Tachpnea Restlessness Irritability Borborygmi/diarrhea \+3 +4 reflexes Seizures
4
Q
Freud Stages of development
A
Oral: 0-1yr Anal: 1-3yr Phallic: 3-6yr Latency: 6-12yr Genital: 12 to younger adult
5
Q
Only acid base to cause Kussmaul respirations
A
Metabolic acidosis
6
Q
Ventricular tachycardia aka
A
“Bizarre” pattern
7
Q
Ventricular fibrillation aka
A
“chaotic” squiggly line no pattern
8
Q
s/s hyperkalemia
A
Agitation/irritability brady/tachypnea tall P/elevated ST waves borborygmi/diarrhea hyperflexia spastic muscles oliguria
9
Q
Sign of pneumonia
A
crackles dyspnea pleuritic chest pain increase vocal fremitus unequal chest movement dull fever+chills
10
Q
s/s of upers
A
euphoria tachy/tachpnea restlessness/irritability borborygmi/diarrhea \+3 +4 reflexes seizures
11
Q
contraindications for thrombolytics
A
prior intracranial hemorrhage arteriovenous malformation aneurysm ischemic stroke or head trauma w/in 3mon (except 3hrs) suspected aortic dissection active bleeding
12
Q
HHNK causes and tx
A
causes dehydration
tx is IV fluids
dont need to use insulin for this
more fatal
13
Q
DKA causes
A
acute viral upper resp. infection w/in 2 weeks
too much food
not enough meds/exercise
higher priority
14
Q
hypoglycemia causes
A
too much insulin/meds
too much exercise
not enough food
15
Q
s/s of DKA
A
dehydration- hot flushed skin ketones in blood kussmaul resp high k+ acidotic acetone breath anorexia to nausea
16
Q
Clozaril/Clozapine
A
2nd Gen Atypical Antipsychotic
to treat severe schizophrenia, made to replace the *zines and haldol
Does NOT have the side effects (A-F)
Has SEVERE agranulocytosis (immunosuppressed)
Monitor WBCs, they can fall very low
17
Q
ziprasidone hydrochloride
A
atypical anti psychotic for bipolar risk for hypotension and seizure and QT prolongation place on telly do EKG and check k+
18
Q
S/s Hypercalcemia
A
bradycardia, bradypnea flaccid muscles hypoactive reflexes lethargy constipation
19
Q
S/s Hypokalemia
A
Lethargy tachy/bradypnea dynamic ileum/constipation flaccid muscles hyporeflexia, polyuria
20
Q
Therapeutic level + toxic level of Phenytoin
A
10-20
toxic@20
for seizures
21
Q
gastroschisis vs. omphalocele
A
congenital defects of abdominal wall
gastroschisis not covered with sac
omphalocele covered with sac
RN should cover with gauze and initiate iv access
22
Q
Therapeutic level + toxic level of digoxin
A
1-2
toxic >2
treats A-Fib & CHF
23
Q
Tetralogy of Fallot:
A
Pulmonary Stenosis
Overriding Aorta
Ventricular Defect
Right Hypertrophy
24
Q
Therapeutic level + toxic level of bilirubin
only in newborns
A
elevated @10-20
hospitalized @15
dead @20
25
Phenothiazines:
```
1st Gen / Typical Antipsychotics
All end in zines*
They don’t cure psych diseases, only reduce symptoms *Zines for the zaney*
ZzZ.. zines (sedatives)
Small doses are anti-emetics
Major tranquilizers
```
26
Fluoxetine prozac
```
SSRI
Anticholinergic (dry mouth)
Blurred vision
Constipation
Drowsiness
Euphoria (way too happy)
```
27
Parent teaching for digoxin in children
```
hold if pulse is <90-110 for infant
hold if pulse is <70 in child
do not double up doses
if child vomits nofity MD
dont mix with food
rise mouth
give liquid to side or back of mouth
```
28
S/s of Cushing’s & side effects of steroids
```
High glucose** (hyperglycemic)(insulin resistant)
Moon face
Hirsutism
Big body / buffalo hump
Gynecomastia
Central obesity (apple body)
Skinny extremities due to muscle atrophy
Retains sodium & water
Loses potassium
Bruises and striae
Irritable
Immunosuppressed
“I’m mad. I have an infection”
```
29
Tx for Supra Ventricular (Atrial)
```
Adenocard (Adenosine):
Push in less then 8 secs
Don't worry about Asystole
When it comes to IV push, when you don’t know go slow
Beta blockers (ending in “lol”)
Just like CCB’s, same treatment, same side effects
Calcium channel blockers
Better for asthmatics
Digoxin/Digitalis (Lanoxin)
```
30
3 that are NOT MeanOldMycins
Arithromycin, Zythromycin, and Clarithromycin
| if it has "thro" throw away
31
QRS depolarization
Answer will always be ventricular
32
P wave
Answer will always be atrial
33
Lack of a P wave
Answer will always be ventricular
34
A lack of QRS
Asystole
35
A-flutter
Saw tooth
36
Therapeutic level + toxic level of aminophylline
10-20
toxic <20
relaxes spasms in airway
give 1st before broncodilator to control spasm
37
drugs that are Downers
Heroin, Marijuana, Alcohol, Benzos
38
methotrexate
for RA
adverse effect is bone marrow suppression
leading to thrombocytopenia
w/ signs of petechiae and bleeding gums
39
riluzole
only medication for ALS
slows degeneration
may prolong survival rate
40
Maslows highest priority to least
1. physiological
2. safety
3. love and belonging
4. self esteem
5. self actualization
41
S/s hypocalcemia
```
Tachycardia/tachypnea
agitation/irritability
diarrhea, borborygmi
spastic muscles, hyperreflexia
seizure
chvostek sign (cheek, face spasm)
trousseau sign (BP hand spasm), gay french man
```
42
s/s of hypoglycemia in newborns
```
jitterniess
irritable
hypotonia
apnea
lethargy
temp. instability
occurs first several hrs after surgery
```
43
tiotropium
umeclidinium
ipratropium
used for prevent wheezing&shortness of breath
give using capsule inhaler *dont swallow*
Rn needs to assess and reassess
44
Kalemias
do the same as the prefix EXCEPT for HR and urine output
45
Calcemias
do the oppisite EXCEPT for muscles and nerves
46
esomeprazole
| pantoprazole
"prazole" PPI
decrease calcium absorption
have pt do bone density test
take calcium and vit. D pills
47
Levetiracetam
keppra
| treat seizures
48
atypical s/s of MI in women
```
n/v
burping
sweating
dizzy
fatigue
```
49
Unexpected projectile vomiting
w/out nausea sign ICP with headache when HOB lowered
50
Dependent personality disorder
lack of self-confidence afraid of confrontation submissive
51
Methylprednisolon
Steroid
inflammation for severe allergies
also cause high blood sugar
52
Medications given for open fracture
```
Cefazolin- antibiotics
tetanus toxoid- immunity
ketorolac- nsaid
opioids
cyclobenzaprine- muscle relaxer
```
53
Celecoxib
NSAID
| increase risk of cardio complications
54
retinoblastoma
retinal tumor with white glow
| need to remove eye
55
nihilism
positive sign of schiz
| thinking life is meaningless
56
Trazodone
Antidepressant and Sedative
| cannot be mixed with alcohol or benzos
57
Teratogenic drugs for babies
“pril”
| “sartan”
58
How to suction trach pt
pre02 with 100% before starting
wait 1-2min inbetween suctions
insert without suction
dont suction for longer than 10sec
59
NTG teaching
keep in dark cool bottle
take 3pills w/in 15min period
headache occurss-lie down
60
Aortic
Second intercostal space right sternal border
61
Pulmonic
Second intercostal space left sternal border
62
Tricuspid
Fifth intercostal space left sternal border
63
Mitral
Fifth intercostal space left midclavicular line
| Point of maximum impulse
64
Occipital lobe
Injury could result to vision defects
65
Frontal lobe
Injury results to behavioral changes
66
Temporal lobe
Visual and auditory input
67
Parietal lobe
Somatic and sensory input
68
CN I
Smell test
69
CN II
Visual acuity and visual fields
70
CN III
Pupil constriction
71
CN IV
Extraocular movements
72
CN V
Clenched teeth and light touch
73
CN VI
Extraocular movements lateral abduction
74
CN VII
Facial movements close eyes and smile
75
CN VIII
Hearing and Romberg test
76
CN IX
Gag reflex
77
CNX
Say “ah” uvular and palate movement
78
CN XI
Turn head and lift shoulders to resistance
79
CN XII
Stick out tongue
80
Right sided heart failure
```
JVD
hepatomegaly
Splenomegaly
Ascites
Edema
```
81
Left sided heart failure
Cardiomegaly
| Pulmonary edema
82
Difference between third and fourth-degree burns
Both have full thickness except 4thdegree hits muscle and bone
83
Gestational hypertension
Onset @20 weeks
| No protein in pee
84
Preeclampsia
Onset @20 weeks
| with proteinuria or signs of and organ damage
85
Eclampsia
Preeclampsia
| w/ seizure
86
Torsades de point
Prolonged QT interval due to hypomagnesium
| Tx IV magnesium
87
TED stocking
Measure circumference of calves at the widest point
Smooth out any wrinkles no folds
Worn continuously and can be removed
Wounds should be covered with occlusive dressing
88
Pubic lice tx
Use lice shampoo
Remove nits with fine toothed comb
Wash clothes in hot water
Partners should also get treated
89
Emphysema
Air trapping
shown by hyperresonance, barrel chest, and activity intolerance
Pt. should do pursed lip breathing and tripod
90
Post op arteriovenous graft s/s
Thrombosis
Graft failure
Systematic infection- low grade fever
Priority pt.
91
RNs care for pt radiation treatment
Limit time exposure 30min
Wear dosimeter badge
Keep 6ft
Use lead apron- typically only cover front side
92
ICP actions
```
Give stool softener
Dim lights
HOB @30
Keep body midline
Suction prn
Treat fever
```
93
Dibigatran
Thrombin inhibitor
Increase risk for bleeding
Report heavier periods
94
Droplet precautions
```
Neisseria meningitis
Harmophilus influence type B
Diphtheria
Mumps
Rubella
Pertussis
Group A streptococcus
Viral influenza
```
Surgical mask
Private rooms
Bodily fluid splash- gown, goggles, gloves and mask
95
If patient has prolong gastric vomiting or suction pick
Alkalosis
96
Pt. getting ECT, what medication can they not take?
Valproate acid bc it’s an anticonvulsant
97
Interventions for stable pt. w/ SVT
Ice bag
| And bear down
98
At how many weeks can you hear bby heartbeat?
10-12 weeks
99
Adverse effect of being on a positive pressure ventilator
Hypotension
100
Oxybutyin
for overactive bladder
| and causes decrease sweat production
101
Classic sign of hepatic encephalopathy
Asterixis flapping tremors of hands
102
Aortic dissection described as…
Ripping chest pain that radiates to the back
| Give beta blocker before surgery to relax the heart
103
Standard vaccine at 12 months
```
Hib
PVC
MMR
Varicella
Hep A
HIV child who is asymptomatic and not immunocompromise can get these vaccines
```
104
Treatment for a patient with hemophilia
IV clotting factors 8&9
| And RICE
