Random Questions Flashcards
Air/Pulmonary Embolism name 3 signs and symptoms, and turn patient to the ____ side and ____ the head of the bed
chest pain, difficulty breathing, tachycardia, pale/cyanotic, sense of impending doom. (left, lower)
Women in labor with un-reassuring FHR (late decals, decreased variability, fetal bradycardia). What to do? 3 things
Turn on left side
stop Pitocin
increase IV fluids
Tube feeding w/ decreased LOC. Place patient on ___ side (promotes emptying of stomach) with the HOB ____ (to prevent aspiration
right, elevated
During an epidural position how to place the patient ?
side-lying
After a lumbar puncture ( and an oil-based myelogram) pt lies _____ to prevent ____ and leaking of ______
supine, HA & CSF
Pt w/ heat stroke? _____ with legs ____
flat, elevated
During continuous bladder irrigation ? catheter is taped to ____ so leg should be kept ____, no other positioning restrictions
thigh, straight
After myringotomy- position patient on side of _____ ear after surgery to allow?
affected , to allow drainage of secretions
After cataract surgery-> patient will sleep on ______ side with a ____ _____ . How long ?
unaffected side, night shield 1-4 weeks
After thryoidectomy-> low or _______, support head, neck, shoulders
semi-fowlers
Infant with spin bifida? Position them ____ so that sac does not rupture
prone
Bucks tractions ? Positioning ? for counter-traction
elevate foot of bed
After total hip replacement -> don’t sleep on which side? don’t flex hip more than ___ degrees. Maintain hip ___ by separating ___ with pillows
affected
45
abduction
thighs
Positioning gor prolapsed cord?
knees to chest
Trendelenburg
Infant with cleft lip - position on ___ or in ___ ___ to prevent trauma to suture line, while feeding hold baby in ____ ____
back, infant seat , upright position
To prevent dumping syndrome( post-op ulcer/stomach surgeries) eat in ___ position , lie down after meals (how long?) also restrict ? low ___ and ____ diet, with small frequent meals
reclining , 20-30 mins, fluids, CHO & fiber
Above the knee amputation-> first 24 hours? how to position daily to provide for hip extension ?
elevate on pillow, prone
Below the knee amputation -> first 24 hours? how to position daily to provide for hip extension ?
elevate foot of bed, prone
Detached retina-> area of detachment should be in what position ?
dependent
Administration of enema? (positioning)
left-side lying with knees flexed (SIMs)
After supratentorial surgery (incision behind hairline) -> positioning?
elevate HOB 30-45 degrees
After infratentorial surgery (incision at nape of the neck)-> position pt ____ and ____ on either side
flat & lateral
During internal radiation -> on _____ while implant is in place
bedrest
Autonomic Dysrefelxia/ Hypereflexia : s/s HR? BP? pounding headache , profuse sweating , nasal congestion, goose flesh, how to position ?
bradycardia, hypertension, elevate HOB first before any other implementation
Shock-> ____ with extremities elevated _____ degrees, knees ____, head _____ ____ (modified trendelenburg)
bedrest , 20 , straight, slightly elevated
Head Injury : HOB ? to decrease intracranial pressure
30 degrees
Peritoneal Dialysis when outflow is inadequate-> turn patient ??? Before checking for kinks in tubing
side to side
Lumbar puncture- AFTER the procedure , the client should be placed in what position for how long?
supine, 4-12 hours as prescribed
_____ for pancreatitis not ____ ____
demoral, morphine sulfate
1) Worsens with exercise and improves with rest
2) A + reaction to Tensilon- will improve symptoms
3) Causes by excessive medication- STOP MEDS- giving Tensilon will make it worse
myasthenia gravis
myasthenia crisis
cholinergic crisis
Given for head injury patients (osmotic diuretic) crystalizes at room temp so always use ___ needle
mannitol , filter
Prior to a liver biopsy its important to be aware of what lab result?
prothrombin time
From the ass- diarrhea - ?
From the mouth - vomiting - ?
metabolic acidosis
metabolic alkalosis
Myxedema/ hypothyroidism : slowed ___ and ____ function, sensitivity to ? ___ skin & hair
mental and physical, cold, dry hair and skin
Another name for hyperthyroidism ? mental & physical functioning is? sensitive to ? hair type?
Graves Disease , accelerated, heat, fine/soft
Thyroid Storm -> INCREASED (3 things)
BP, pulse, temp
Post-thyroidectomy: positioning to prevent neck flexion/hyperextension, what at bedside?
semi-fowlers
Hypo-parathyroidism - CATS and diet?
convulsions, arrythmia, tetany, spasms, stridor, high CA and low phosphorus diet
Hyper-parathyrodism- Think sedations, a lot of calcium , name 3 symptoms and their diet
fatigue, muscle weakness, renal calculi, back and joint pain , low CA and high phosphorus diet
Hypovolemia -> pulse? BP? temp? resp? Urine Specific Gravity
increased temp, rapid/weak pulse, increase resp. , hypotension, anxiety , urine specific gravity >1.030;
Hypervolemia -> pulse? BP? temp? Urine Specific Gravity
bounding pulse, SOB, dyspnea, rales/crackles, peripheral edema, HTN, USG
Diabetes Insipidus is an _____ in _____? Name some symptoms? what drug to admin?
decrease ADH, polyuria, excessive thirst, dehydration , admin Pitressin
SIADH is a ____ in _____? s/s and meds
increase in ADH, change in LOC, decreased DTR , tachycardia, n/v, HA, admin declomycin & diuretics
Hypokalemia - name two s/s what foods to eat other than bananas?
muscle wekaness, dysrythmia ( apricot, rasins, oranges, beans, potatoes, carrots, celery)
Hyperkalemia- MURDER
muscle weakness, urine (oliguria, anuria), respiratory depression, decreased cardiac contractility, ecg changes, reflexles
Hyponatremia- name some s/s
How to treat?
nausea, muscle cramps, increased ICP, muscular twitching , convulsion - osmotic diuretic and fluids
Hypernatremia - name some s/s and treatment
increased temp, weakness, disorientation/delusion, hypotension, tachycardia, HYPOTONIC
Hypocalcemia- CATS
convulsions, arythmia, tetany, spasms, stridor
Hypercalcemia- s/s
muscle weakness, lack of coordination, abdominal pain, confusion, absent deep tendon reflexes , shallow respirations, EMERGENCY
HypoMg- think non sedation
tremors, tetany, seizures, dysrythmia, depression, confusion, dysphagia, dig toxicity
HyperMg- think sedation
depresses the CNS, hypotension, fascial flushing, muscle weakness, absent deep tendon reflexes, shallow respirations, EMERGENCY
Addison’s: hypo___, hyper___, ___ pigmentation , decreased resistance to ___, fractures, hair?, weight? GI distress
hypoNA, hyperK, dark, stress, alopecia,
Cushings: hypo____, hyper_____, prone to ? muscle ____ and ______ , edema , BP?, (2 other specific symptoms)
hypoK, hyperNA, infection, weakness/wasting, HTN, hirsutism, moonface/buffalo bump
Addisonian crisis: blood sugar? bp? other symptoms
nausea/vomiting, confusion, abdominal pain, extreme weakness, hypoglycemia , dehydration, decreased BP
Hypersecretion of epi/norepi , persistent HTN, increased HR, hyperglycemia, diaphoresis, tremor, pounding HA, avoid stress, frequent bathing and rest breaks, avoid cold and stimulating foods, surgery to remove this tumor
pheochromocytoma
a rare, but life-threatening, idiosyncratic reaction to neuroleptic medications that is characterized by fever, muscular rigidity, altered mental status, and autonomic dysfunction. Often occurs shortly after the initiation of neuroleptic treatment, or after dose increases.
Neuroepileptic syndrome - you get hot, stiff, sweaty, BP, pulse, and respirations increases, you start to drool
Danger : Never get pregnant with a german
german measles dangerous when you’re pregnant
What comes first when drawing up regular insulin and NPH together ?
regular
Tetralogy of fallot : DROPS
child drops to floor or squats: 1) defect, septal 2) right ventricular hypertrophy 3) overriding aorta 4) pulmonary stenosis
Parnate, Marplan, Nardil
MAOIs used for depression thing Arrrrr like a pirate
Autonomic dysreflexia: potentially life threatening emergency. 1) what do you do first ? 2) loosen constrictive clothing 3) assess for bladder distention and bowel impaction 4) administer what meds ?
elevate head of bed 90 degrees , admin antihypertensives (may cause stroke, MI, seizure
MAOI’s go !! ( PANAMA) - what they taste like ?
parnate, marplan, nardil -> metallic
Digoxin 1) Check 3 things . 2) Hold meds
check pulse, check dig levels, check K+ , hold if BP is less than 60
Amphojel
Tx of GERD and kidney stones. watch out for constipation
Vistaril- use? watch for? given when ?
Tx of anxiety and itching, watch for dry mouth , given prep commonly
Versed- use? watch for?
conscious sedation , hypotension and resp. depression
PTU and Tapazole- use?
prevention of thyroid stom
Sinemet- use? s/s?
Tx of parkinson, sweat, saliva, urine may turn red/brown , and causes drowsiness
Artane - use? effect?
Tx of parkinson.. sedative effect
Cogentin- use? effect?
x of parkinson and extrapyramidal effects of other drugs T
Tigan - use? effect?
Tx of post-op n/v and for nausea associated with gastroenteritis
Timolol (Timpotic)- use?
Tx of glaucoma
Bactrim
antibiotic, don’t take if allergic to sulfa drugs, diarrhea is a common side effect , drink plenty of fluids
Gout meds - tuPAC
Probenecis (benemid) , Colchicine , Alluopurinol (Zyloprim)
Apresoline (hydralazine)
txt for HTN and CHF , report flu-like sx, rise slowly from sitting to lying position , take with meals
Bentyl
txt if irritable bowel disease, asses for anticholinergic effects
Calan( verapamil)
CCB, txt of HTN, angina, assess for constipation
Carafate
tx of duodenal ulcers, coats the ulcer , so take before meals
Theophylline
tx of asthma and COPD, therapeutic drug level 10-20
Mucomyst is the antidote for? admin ?
tylenol, orally
Diamox
tx of glaucoma, high altitude sickness, don’t tale if allergic to sulfa drugs