randoes Flashcards
highest priority to anticipate in a Upper
suctioning due to seizures
highest priority to anticipate in a Downer
intubation/ventilation bc of respiratory arrest
what 2 situations would respiratory arrest be a priority?
Overdose of a Downer
Withdrawal of an Upper
when should you administer aminoglycosides ?
Use them when nothing else works bc they are unsafe and have very toxic levels therefore safety becomes an issue so carefully monitor pt
what are the major side effects of aminoglycosides?
Ototoxicity & Nephrotoxic
Ex of when to use aminoglycosides
TB
pyelonephritis
septic shock
infection
all aminoglycosides end in
mycin
(ex gentamycin, but if it includes thro discard it )
what do toxic levels of ammonia lead to?
encephalopathy
how ammonia excreted?
liver helps clear it up from bloodstream by turning it into urea which is then excreted through urine
What is positive inotropy
the heart’s muscle contractions become stronger, which helps the heart pump more blood with each beat (improve cardiac output)
What is negative inotropy
the heart’s muscle contractions become weaker, so the heart pumps blood less forcefully with each beat
what is a pneumothorax
this is a collapsed lung, and occurs when air enters the space between the lungs and chest wall
what does a pneumothorax chest tube do?
removes air
(bubbling is expected)
what is a hemothorax
condition where blood accumulates in the pleural space, the area between the lungs and chest wall
what does a hemothorax chest tube do?
removes blood
(should be draining and not bubbling)
paracentesis
needle inserted through abdominal wall into peritoneal activity to withdraw fluid accumulated due to ascites
how to differentiate crohn’s disease from ulcerative colitis
bleeding is common in ulcerative colitis and not in crohns.
anterior pituitary gland location
in the brain right below the hypothalamus
function of anterior pituitary gland
produces and releases hormones
ACTH -produces cortisol
FSH - stimulates ovarian egg production and sperm
LH - trigger ovulation
Prolactin
GH- growth hormone
TSH - stimulates T3 &T4 hormone
location of posterior pituitary gland
right below the hypothalamus
function of posterior pituitary gland
does not produce hormones only stores and releases them
ADH - regulates water balance regulating the amount of water and salt in the body
Oxytocin - involved in labor and childbirth
location of adrenal gland
right on top of the kidneys
characteristics of addisons disease
-low blood pressure
-low temp (cold intolerance)
-low sodium
-low blood sugar
-low mood and energy
-loss of body hair
-low weight due to fluid loss
-high potassium
-high pigmentation
-decreased sex drive
-crave salty food
-depression
characteristics of Cushing’s Disease
-high blood pressure
-high sodium
-high blood sugar
-high risk of infection
-excess body hair
-big round abdomen
-moon face, buffalo hump
-weight gain
-thin skin (bruises easily)
hypothyroidism
hyperthyroidism
