Other NCLEX Flashcards
What to do for: Bradycardia
Meds: atropine, isoprotenelol
Action: Pacemaker
What to do for: A fib
Meds: Amiodarone, adenosine, verapamil
Action: Synchronized cardioversion
What to do for: Supraventricular tachycardia
Meds: Amiodarone, adenosine, verapamil
Action: Synchronized Cardioversion
What to do for: V tach w/ pulse
Meds: Amiodarone, adenosine, verapamil
Action: Synchronized Cardioversion
What to do for: V tach w/ NO pulse
Defibrillate
What to do for: V fib
Meds: Amiodarone, Lidocaine, Epi
Action: Defibrillate
Height of a cane
Greater trochanter
Going UP stairs with crutches
- Good leg, 2. Crutches and bad leg.
Going DOWN stairs with crutches
- Crutches. 2. Bad leg. 3. Good leg.
COPD ABGs
Hypoxemia = Pao2 < 80 Hypercarbia = paCO2 > 45
DKA vs. HHS
DKA: bg>300; ketones present; metabolic acidosis; Kussmal breathing; acetone breath
HHS: bg>600; no ketones, no acidosis; seizures; reversible paralysis
ileal conduit
has a pouch; no need to self-catheratize
S/s of thyroid storm
hyperthermia, hypertension, delirium, vomiting, abdominal pain, tachydysrhythmias, chest pain, dyspnea, palpitations.
Meds: thionamides (methimazole or proplythiouracil) followed by sodium iodide.
Autonomic Dysreflexia
s/s severe hypertension, bradycardia, severe headache, flushing, sweating above injury, goose bumps below injury, nasal stuffiness, nausea,
Complication post spinal-cord injury; has to do with stimulation of sympathetic nervous system and inadequate compensatory response by parasympathetic nervous system.
Nursing actions:
1. sit up
2.notify provider
3.determine cause: distended bladder- most common, fecal impaction? cold stress? tight clothing? undiagnosed injury/infection.
4. treat cause (catheterize/irrigate)
5. monitor v/s for severe hypertension and bradycardia
6. administer antihypertensives
Right sided CVA
- altered perception of deficits
- unilateral neglect syndrome
- loss of depth perception
- poor impulse control/judgement
- left hemiplegia
- visual changes
Left sided CVA
- expressive/receptive aphasia
- agnosia
- alexia
- agraphia
- right extremity hemiplegia
Zenker’s diverticulum
condition r/t mucus in the pharynx
surgical/endoscopic treatment
priority: airway
Cushings:
hypercortisolism – over secretion of cortisol from adrenal cortex
s/s weakness, fatigue, sleep issues, back/joint pain, altered emotions, decreased immune system, thin/fragile skin, bruising and petechiae, hypertension, tachycardia, gastric ulcers, weight gain, dependent edema, muscle atrophy – “moon face”
labs: elevated plasma cortisol levels, high ACTH levels, K and Ca decreased, glucose increased, Na increased, lymphocytes decreased.
treat w/ ketoconazole - adrenocorticosol inhibitor, mitotane
Addisons
hypocortisolism – under secretion of cortisol from adrenal cortex
s/s: weight loss, salt craving, hyperpigmentation, weak/fatigue, n/v, gi issues, dizziness, severe hypotension, dehydration, hypoNa, hypoglycemia, hyperK, hyperCa,
labs: increased K, increased Ca, decreased Na; increased BUN and creatinine, decreased serum cortisol
treat w/ hydrocortisone, prednisone
