N Flashcards
PKU
What is it
what can/ can’t have
What can it cause
An inborn error of metabolism that interferes with a liver enzyme that processes amino acid phenylalanine.
sugar/fruit /veggies/ special stuff
protein aspartame
Brain damage
Normal hr for babies
180
Normal BP for infant
60-100/40-55
Normal respiratory findings in a neonate 3
Irregular, 30-60 some fluid in lungs for 24 hrs so might hear crackles
What does HELLP stand for and what is a complication of it?
Hemolysis, Elevated Liver enzymes, Low platelets
DIC
pH normal and how to tell metabolic from respiratory
7.35-7.45
Ph and Bicarb are same direction=metabolic
Different-Respiratory
Normal acid base values
7.35-7.45
Bicarb-22-26
02- 80-100
Paco2-35-45
Sa02-95-100
Compensated vs part comp A/B
Ph is normal everything is abnormal
s/s of acid base imbalances
As the pH goes up so does my patient except for potassium.
K+
Name to remember and why
Mackussmaus- Kussmal respirations in metabolic acidosis
Respiratory al/ac problem
overvent-Alkalosis
Under-Acidosis
Tell between metabolic Ac/Alk
Prolonged suctioning or vomiting-alkalosis
Everything else is Acidosis
Vent alarms
There are only two
High-The vent is working too hard to get air into the lungs there is increased resistance due to obstructions
!. Kink-unkink
2. Water in dependant loops-empty
3. Mucas in airway-turn cough deep breath-suction PRN.
Low-Decreased resistance due to disconnections
1. Main tube is disconnected-reconect
2. Ox senser is disconected
3. Pay attention to where tubing is it needs to be cleaned
Psych remember to use MASLOW
physiological
Safety
Comfort-pain
Psychological
Social
Spirit
How to tx denial
Confront
you say this and then you say this
Stages of greif
DABDA
Is it loss or abuse?
With loss you comfort
What is Wernicke korsakoff
tx
encephalopathy psychosis
From vit b thiamine amnesia with confabulation
tx-redirect
What is Disulfiram onset and diration
teaching-
Antibuse
2 weeks
Avoid alcohol
what are the uppers
5
Caffeine
Cocaine
PCP/LSD Hallucinogens
Methamphetamines-pheds meth
Adderol
What is borborygmi
Hyperactive bowels
Intox vs wd in new born time
24hrs
DTS know 3
72 hours after drinking
withdrawal comes first
Can kill you and are dangerous
What are aminoglycosides?
way to remember
Powerful antibiotics
A mean old MYCIN-tx a mean ol infection- life threatening-gram neg,
aminoglycocides drug names
all end in mycin
but if thromycin-its not aminoglycoside
Nursing considerations of amminoglycocyns
Ears and kidneys
Amminoglycocins route and two things about it
IM or IV
only PO hepatic encephalopathy or prep or bowel surger
who can sterilize my bowel-Neo can
Why Draw TAP 3 ex
Narrow therapeutic margin
Dig, Mean old mycins
Drawing TAP time and route
SL 5-10min after dissolved
IV- 15-30mins
IM-30-60min
SC dont worry
PO dont worry
All trough are 30mins before next dose so the above is all peaks
CCBs are like
Valium for your hert
CCBS Calm and are blank like others that calm
negative tropic
What do CCBs tx
AAA
AntihyperTN
Antianginals
antia atrial arrhythmias
Parameters for CCBS
Side effects for CCB
Hold if systolic <100
HH-Headache hypoten
What are the names of CCBS
End in Dipine
plus 2 more verapamil, cardizem
Cardiac arrhythmias
QRS and Pwave
QRS-vent
P-atrial
Tx for Vent tach and PVC
Amiodarone or lidocane
Atrial arrhythms
ABCD
Adenosine-push fast
Beta blockers-LOL
CCB
Dig
other names for dig
Digitalis, digoxin, Lanoxin
Tx for v fib
For v fib you dfib
Asystole tx
Epi and atropine in that order
What do chest tubes do
reestblish neg pressure in the lungs
What do you do when you get a chest tube question
What is the reason-air or blood? this helps to pick what is a normal output
chest tube placement
A for A b for B
Apical for air
Basilar for B
Bubbling and chest tube
Waterseal- Intermintent-good
Continuous bad
Control suction is opposit
Rules for clamping N
No more than 15 secs without doctors order use rubber tipped and double clamp
COngenital herat defects
what to remember about congenital heart defects
The bad ones (Trouble) always start with T
what to remember about congenital heart defects
The bad ones (Trouble) always start with T
What are the defects of tetralogy of fellow
VarieD PictureS OfA RancH
VD-Ventricular defect
PS-Pulmonary stenosis
OA-Overriding aorta
RH-right hypertrophy
PPE for Contact
special equip
neg airflow
types of diseases
Gloves, Gown, Hand washing .Maybe eyes
yes
no
Anything enteric
Hep A for Anus
Skin stuff
RSV
Droplet
PPE
Deadicated equ
Neg air
types of diseases
mask gloves no gown only when doing pt care
hand washing
yes
yes
meningitit, Hflu-epiglottitis
Airborn
PPE
equipment
neg
MAsk,glove, gown
Maybe
Yes
MMR and TB
Donning and doffing
Donning-Put on reverse alphabet but mask is second
Doffing-Alphabetical order inside room but mask outside
IV drip rates
gtt/min
mini-60gtts/ml
macro-10gtts/ml
how to measure height of crutch?
hand grip
2-3 finger widths below andterior axillary fold to a point lateral and slightly in front of the foot
elbow flextion is about 30 deg
When do you use points for crutches?
Even for even odd for odd
How many limbs are effected
2-mild
4-major
swing for non-weight bearing
Stairs and crutches
up with the good and down with the bad.
Delusions one thing 3 types
No sensory
Paranoid delusions someone is to harm you
Grandiose delusions you are god
Somatic X ray pregnant thought about body part
Hallucinations
Sensory idea or belief
Difference between Hallucination and illusion
Illusion there is a referent
What are the functional psychosis and tx
schizo schzo major manic
acknowledge feeling
present reality
set. limit
Phychosis of dementia tx
Acknowledge feelings
redirect
Psychotic delirium
Acknowledge assure
What are the loosening of association
Flight of ideas-Each phrase makes sense but together they do not
word salad- Babble
Neologism-makes up words
How to think of Diabetes inspitus
Dehydration
What are the 3 ps of diabetes
Polydipsia
Polyphagia
Polyuria
Insulins
how to remember onset/peak duration
Regular-anything ends in R
NPH-not fast and not in the bag
124681012
Humalog-lispro 15/30/3
Lantus-glargine low risk no peak
S/S for low bg
Drunk in shock
S/s for high BG
DKA
Dehydration
Kussmaul
A high acidosis-so high K+ acitone breath anorexia
What are the electrolyte sentences
Kalemias do the same as their prefix except for urine output and heart rate
Calcium and mag do the opposite of their prefix
What do you think when you hear thyroid
metabolism
how to tx thyroidtoxicosis
O2 then ice cool down
SIADH and DI
Fluid overload vs dehydration
Lithium and other drug toxic
06-12
10-20
Opisthotonos
Kernikterous baby positioning and put them on their side
Dumping syndrome s/s
drunk, shock, and ab distress
Addisons vs cushings
Not enough secreation-Addisons
Too much-Cushings
Mrs addison and her cousin a needs steriods and c needs. to cut it out
paresthesia vs paresis
Nerve vs mm
NERVE root compression s/s
3 ps
pain paresthesia and paresis
When do we see the doc during preg and induce
ones a month 7 months
once every two weeks at 28 weeks
once a week 36 weeks
42 weeks-deliver
Presenting station
neg is neg news pos is pos news
WHat to check on the cord after delivery
3 vessels
AVA
Bleeding after pregnancy
Excessive-one pad q 15 mins or less
WHat are tocolytics
Stop labor
terbutaline -tachy
mag-Check respiratory and reflex
Oxytoxics
Stimulate contractions
Ptosis, Methergine
What two medications are given for fetal respirations
Betameth-mom
Servanta-surfactant-abbe
Four rules for prioritization
- Acute beats Chronic
- Fresh post op beats medical or surgical (first 12 hours)
- Unstable beats stable
High priority Organs if in mod! 6
brain
lung
heart
liver
Kidney
pancreas
auscultation of heart spots
A P
T M
Normal specific gravity
1.005-1.030
red blood cell count
4-6 x10
red blood cell count
4-6 x10
