Neurosensory And Musculoskeletal Flashcards
Osteoarthritis
Crepitus with joint movement
Decreased ROM
Joint pain resolved with rest
Amyotrophic lateral sclerosis
1 monitor pulse ox
Frequent rest periods
Medicare for pain on regular schedule
Admin baclofen for spasticity
Right hemispheric stroke
Impulsive behavior
Poor judgment
Lack of awareness
Neurological deficit on left side
Left Hemispheric stroke
Inability to read
Aphasia
Carbidopa-levodopa
Orthostatic hypotension
Avoid high protein foods
Expect dark colored secretions
Can take weeks-months to take effect
Recombinant tissue plasminogen activator
Embolism stroke
Dissolves blood clot
Med used for Hemophilia
Recombinant factor VIII
Med used for Angina
Nitroglycerin
Med used for ventricular dysrhythmias
Lidocaine
Viral meningitis intervention
Check capillary refill every 4 hr
Vitals and neurological status every 4 hr
Reduce exposure to light
Multiple sclerosis
Intention tremors
Hyperactive deep tendon reflexes
Gillian Barre syndrome
Ascending paralysis
Myasthenia gravis
Increased lacrimation
Tensilon test
Manifestation of increased inter-cranial pressure
Restlessness
Nursing intervention: status epilepticus
IV antiepileptic meds may be needed
Administering alendronate for osteoporosis
8oz water
Remain upright 30 min after
Bisphosohonates
Decrease serum calcium
Rheumatoid arthritis
Bilateral
Ulnar deviation
Osteoarthritis
Unilateral
Spine fracture
Ménière’s disease
Move head of bed slowly
Avoid consuming foods high in salt -fluid retention
Retinal detachment
Flashes of bright light
Primary angle closure glaucoma
Admin osmotic diuretics IV bolus
Decrease intraocular pressure and prevent damage to eye
Spastic bladder intervention
Stroke clients inner thigh
SIADH?
Excessive secretion of ADH
Kidneys retain water
Urine is concentrated
Urine output decreases
Extracellular volume increase
SAIDH lab values
ADH above (1-5)
Low serum sodium
High urine sodium
Increased urine specific gravity above (1.010-1.025)
Diabetes insipidous indicator
Water deprivation test (hold fluids 8-12 hr)
IV access
Monitor for dehydration (hypotension, tachycardia, dizziness )
Diabetes insipidous interventions
Increase fluids
Decrease sodium
Propranolol
Check pulse
Monitor BP
ECG
Hypoglycemia monitoring
Rheumatoid arthritis labs
Positive Anti-CCP antibodies
Increase in RF antibody (1:40-1:60) norm is 1:20
Elevated ESR
Positive C-reactive protein
Elevated WBCs
PICC
Initial dressing change within 24 hr placement
Assess every 8 hr
Change tube and cap every 3 days
Obtain blood samples
Change transparent dressing every 7 days
Cover when showering
No BP in arm with PICC
Symptomatic Bradycardia meds
Atropine
Isoproterenol
Electric: pacemaker
A fib, SVT, ventricular tachycardia with pulse meds
Amiodarone
Adenosine
Verapamil
Electric: synchronized cardioversion
Ventricular tachycardia without pulse OR ventricular fibrillation meds
Amiodarone
Lidocaine
Epinephrine
Electric: defibrillator
Peritonitis
Micro organisms in peritoneum
Infection Fever Purulent drainage Redness or swelling Cloudy or discolored drained dialysate
Ischemic attack
Visual disturbance Dizziness Slurred speech Weak extremity Temperature monitoring Vitals Electrocardiogram Elevate head 30 degrees
Thyroidectomy post op
Thyroid hormone replacement therapy
High-Fowler’s
Check surgical dressing and back of neck for bleeding
Humidify air, cough, deep breath
Laryngeal nerve damage (speak post op and every 2 hr)
Hypocalcemia
Tetany
Mechanical ventilation interventions
2 staff members to reposition or resecure tube
Soft wrist restraints
Suction for patent airway
Resuscitation bag available
Resp status every 1-2 hrs
Hypokalemia s/s
Weak, irregular pulse Hypotension Muscle cramping Decreased muscle tone Hypoactive reflexes Premature ventricular contractions dysthymia Polyuria Metabolic alkalosis Constipation
Hyperkalemia s/s
Hypotension Restlessness Flaccid paralysis Premature ventricular contractions, vfib, wide QRS Hyperactive bowels Oliguria Metabolic acidosis
Digoxin
Count pulse 60 sec
If less than 60 bpm or over 100 bpm call provider and don’t admin
Digoxin toxicity
Fatigue
Muscle weakness
Confusion
Loss of appetite
Nitroglycerin
Headache is expected
Sit and lie down slowly
HIV/AIDS immunizations can receive
Hep B HPV Influenza Meningococcal Pneumococcal TDaP
Chest pain interventions
ECG
pain management
Urine output
ABGs
Cardiac enzymes
Electrolytes
O2 2-4L
IV access
Energy conservation
