Positions Flashcards
Tube feeding with decreased LOC position
Right/Elevated
Air/Pulmonary Embolism position
Left/Lower
After lumbar puncture & oil based myelogram position
Flat supine (8hrs)
Heat stroke position
Flat w/ legs elevated
After myringotomy position
On Affect ear
Cataract surgery position
On unaffected side
Thyroidectomy position
Semi-fowlers
Infant w/ spina bifida position
Prone
Bucks traction position
Elevate food of bed
Prolapsed cord position
Knee to chest / trendelenburg
Cleft lip position
Supine or lateral on unaffected
Above knee amputation position
First 24hr on pillow, position prone daily for hip extension
Below knee amputation position
Foot of bed elevated first 24hrs w/ prone daily for hip extension
After supratentorial surgery position
Elevate HOB 35-45
Infratentorial surgery position
Flat and lateral
During internal radiation
Bed rest
Autonomic dysreflexia position & signs/symptoms
Elevate HOB first, loosen constricting clothing, assess for bladder distention, administer antihyperstensive
Pounding headache, profuse sweating, nasal congestion,goose flesh, bradycardia & HYPERTENSION
Caused by a spinal cord injury ( at T-7 or above)
Shock position & drug
Modified trendenburg (extremities elevated 20, knees straight, head slightly elevated)
Drug: Intropine
Pancriatitis pain med
Demerol
Myastenia Gravis
Worsens w/ exercis & improves w/ rest
Positive reaction to Tensilon - symptoms improve
Cholinergic crisi- tensilon worsen symptoms - stop medication
Metabolic acidosis
From the ass ( diarrhea)
Metabolic alkalosis
From the mouth (vomiting)
Hypothyroidism (myxedema)
Slow physical & mental function, sensitive to cold, dry skin & hair
Hyperthyroidism (Grave’s)
Accelerated physical and mental function, sensitive to hot, fine/soft hair
Skinny, nervous, buldging eyes, up all night, tachycardia
Thyroid storm: increased temp, pulse and HTN
Hypo-parathyroid (hypocalcemia)
CATS: convulsions, arrhythmias, tetany, spasms, stridor, muscles rigid and tight
Diet: high ca low phosphorus
Drug: synthroid
Hyper-parathyroid (hypercalcemia)
Sedated: fatigue, muscle weakness, renal caliculi, back and JOINT PAIN
Diet: low ca high phosphorus
Hypovolemia
Increases temp, rapid/weak pulse, hypotension, increased RESPIRATIONS, anxiety
Specific gravity > 1.030
Hypervolemia
Bounding pulse, hypertension, SOB, dyspnea, rares/crackles, peripheral edema,
Urine specific gravity < 1.010
Semi-fowlers
Diabetes Insipitus (DI)
Decreased ADH Polyuria Thirst Dehydration Weakness
Drug: vasopressin
SIADH
Increased ADH
Change in LOC
Decreased derp tendon reflexes, tachycardia
N/v/a
Drug: declomycin, diuretics
Hypokalemia
Vomiting, NG suction, diuretics, not eating
Muscle weakness & cramps
Dysrhythmias
Treat: increase K (raisins, bananas,apricots, oranges, kiwi, beans, potatoes, carrots, celery)
Hyperkalemia
Kidney troubles, aldactone
MURDER: muscle twitching, weakness, urine (oliguria/anuria), respiratory depression, dcreases cardiac contactibility, ECG changes, reflexes, flaccid paralysis
First assess pulse rate
Treat: glucose & insulin, diuretics, kayexulate, calcium gluconate
Hyponatremia
Too much water (SIADH)
Nausea, muscle cramps & twitching, increased ICP, convulsions
Needs sodium
Hypernatremia
To much sodium not enough water (dehydration) - DI
Increased temp, weakness, disorientation/delusions, hypotension, tachycardia, dry mouth, swollen tongue
Hypotonic solution
Hypocalcemia
Not enough PTH
CATS: convulsions, arrythmias, tetany, muscle spasms - rigid & tight
Positive trousseau & tchvoskis signs
Hypercalcemia
Too much PTH
Sedated: muscle weakness & flacid, lack of coordination, abdominal pain, confusion, absent tendon reflexes, polyuria
Hypermagnesium
Renal failure, antacids
Sedated: mucle weakness & flaccid, hypotension, facial flushing, absent deep tendon reflexes, shallow respirations, EMERGENCY
Calcium gluconate (antidote)
Hypomagnesium
Diarrhea, alcoholism
Muscle rigid & tight,tremors, tetany, seizures, dyrshythmias, depression, confusion, dysphagia
Dig toxicity
Addisons
Low aldosterone
Initially hyperkemia (muscle twitching, weakness, flaccid paralysis). HypoNa, HyperK, hypoglycemia, dark pigmentation, fractures, alopecia, weight loss, GI distress, hypotension
Addisonian crisis: severe hypertension & vascular collapse - n/v, confusion, abdominal pain, extreme weakness, hypoglycemia, dehydration, decreased BP
Cushings
Too many steriods
HyperNa, HypoK, hyperglycemia, prone to infection, muscle wasting, weakness, edema, Hypertension, hirutism, moon face / buffalo hump
Tetralogy of fallot
DROPS: child drops to floor or squats
Defect, septal
Right ventricular hypertrophy
Overriding aorta
Pulmonary stenosis
MAOIs
Priates say arrr (Parnate, marplan, nardil)
PaNaMa
Metallic bitter taste
Tylenol antidote
Mucomyst
Diluted in cola, water or juice
Given orally or by ng tube after verification that the stomach is empty through emisis or gastric lavage
Cord compression position
Trendelenburg
Vetilator alarms
HOLD: high alarm- obstructed
Low alarm - disconnected
Hyperglycemia
Hot & dry = sugar high
Hypoglycemia
Cool & clammy - need some candy
Increased ICP
Increased BP, decreased pulse, decresed respirations
Cushings triad
Shock
Decreased BP, increased pulse, increased respirations
Cor pulmonae
Right sided heart failure - occurs with bronxhitis or emphysema (COPD)
Edema, jugular distention
Jews
No meat & milk together
Phobic disorders
Systemic desensitization
Heparin antidote & test
Protamine sulfate
aPTT
Coumadin antidote & test
Vitamin K
PT & INR
Ammonia antidote
Lactulose
Iron antidote
Deferoxamine
Dig antidote
Digibind
Alcohol withdrawl drug
Librium
Narcotic addicts pain med
Methadone
Vtach drug
Lidocaine
SVT drug
Adenosine or adenocard
Asystole drug
Atropine
CHF drug
ACE inhibitor “pril”
Apresonline - report flu like symptoms
Status Epilepticus assessment & drug
LOC
Valium
Diverticulitis pain
LL quadrant
Appendicitis pain & post position
RL quadrant w/ rebound tenderness
Right side w/ legs flexed
Acites
Portal hypertension + albuminemia
Fat embolism
Petechia, blood tinged sputum, increases ESR, respiratory alkalosis, hypocalcemia, increased serum lipids, & snow storm
Given heparin
Amniocentesis
Before 20wks
Cardiac and pulmonary abnormalities