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aa Orgo > Sep 1 > Flashcards

Sep 1 Flashcards

1
Q

Hyperthyroid tx: total thyroidectomy

A

Risk for hypocalcemia, because you probably took part of the parathyroid

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2
Q

Hyperthyroid tx: partial thyroidectomy

A

Risk for thyroid storm

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3
Q

Thyroid storm symptoms

A

Temp 105
Extreme htn
Extreme tachy
Delirium

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4
Q

Thyroid storm tx

A

Lower their temp and give oxygen at 10 liters

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5
Q

Thyroidectomy post op first 12 hours

A

For both partial and total, top priority is airway and bleeding

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6
Q

Thyroidectomy post op 12 to 48 hours

A

Partial- watch for storm

Total- watch for tetany (t for t)

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7
Q

Myxedema tx

A

Give thyroid hormone

Do NOT sedate

Never hold thyroid pills for myxedema patient even before surgery because they’d be way too susceptible to over sedation

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8
Q

Adrenal cortex disease hint

A

They all start with A or C

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9
Q

Addisons …three things about what it is

A

Adrenal cortex undersecretion

These people can’t adapt to stress, they can’t respond and they’re blood sugar and BP drop, leading to shock

Their skin is hyper pigmented

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10
Q

Addisons tx

A

Steroids (things that end in sone)

Think- in addisons you add a sone

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11
Q

Cushings

A

Over secretion of adrenal cortex

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12
Q

Signs and symptoms of cushings is the same as

A

Steroids

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13
Q

Cushings tx

A

adrenalectomy

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14
Q

Kids toys: nothing with small parts for age

A

4 or less

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15
Q

Kids toys: If O2 is in use

A

nothing metal/dycast

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16
Q

Kids toys: If immunosuppressed

A

must be plastic, metal or something else you can sterilze

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17
Q

Best toy: 0 to 6 months

A

musical mobile or something soft

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18
Q

Best toy: 6 to 9 months

A

They’re learning object permanence, so use a cover-uncover toy like jack in the box.

The WORST toy for this age is the mobile

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19
Q

Best toy: 9 to 12 months

A

Speaking toys because they’re working on talking

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20
Q

Best toy: They can’t do anything purposeful until 9 months. So if the kid is under 9, do NOT pick answers with words like

A

build, sort, stack

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21
Q

Best toy: 1 to 3 years

A

Push-Pull toy
Finger painting
NO finger dexterity games

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22
Q

Best toy: Preschool

A

Finger dexterity

Balance (tricycle, dance)

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23
Q

Best toy: School age

A

The 3 Cs

  • Creative: Instead of coloring books, give them blank paper
  • Collecting stuff
  • Competitive
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24
Q

Laminectomy

A
  • Removing vertebral spines

- Purpose is to remove nerve root compression

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25
Q

When you get a laminectomy (or any neuro) question look at

A

the location (cervical, thoracic, lumbar)

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26
Q

Laminectomy: Most important pre op check for Cervical

A

Breathing

Arm/hand function

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27
Q

Laminectomy: Most important pre op check for Thoracic

A

Cough mechanism

bowels

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28
Q

Laminectomy: Most important pre op check for Lumbar

A

Bladder

Legs

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29
Q

Laminectomy: Best answer for Post Op, no matter what the location is

A

Log Roll

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30
Q

Laminectomy: Dangling

A

-Don’t do it for longer than a couple seconds (unlike with other operations)

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31
Q

Laminectomy: They can sit for

A

30 minutes (for meals)

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32
Q

Laminectomy: Ambulating

A

they can walk, stand, lay down without restriction

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33
Q

Laminectomy: Cervical complications

A

pneumonia

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34
Q

Laminectomy: Thoracic complications

A

Pneumonia

Illeus

35
Q

Laminectomy: Lumbar complications

A

Urinary retention

Leg problems

36
Q

Anterior thoracic laminectomy needs

A

chest tubes

37
Q

Laminectomy with fusion

A

takes bone graft from illiac crest

The hip incision causes more complications than the spine incision

38
Q

Laminectomy Discharge teaching: Temporary things

A
  • Don’t sit longer than 30 minutes for 6 weeks
  • Lay flat and log roll for
  • No driving
  • No lifting over 5 lbs
39
Q

In general, if you don’t know how long to restrict something choose

A

6 weeks

40
Q

Laminectomy Discharge teaching: Permanent things

A
  • Lift with knees
  • Never lift something over your head (cervical)
  • No horseback riding, off road biking etc
41
Q

Creatinine range

A

0.6 to 1.2

42
Q

INR range

A

2s - 3s

43
Q

Creatinine changes

A

low priority. Only report if they’re having a dye procedure

44
Q

INR over 4

A

category C (means you have to do something)

Hold warfarin
Assess
Prepare vitamin K
Call

45
Q

For any situation that’s a category C, the 4 generic steps

A

Hold
Assess
Prepare
Call

46
Q

K range

A

3.5 to 5.3

47
Q

K 5.4 to 5.9 category

A

category C

48
Q

K 6 and over category

A

D

49
Q

K less than 3.5 category

A

C

Hold nothing
Assess heart
Prepare K
Call

50
Q

what do you do about pH in the 6s

A

Do vitals

Call

51
Q

BUN range

A

10 to 20

52
Q

BUN out of range, what do you do

A

assess for dehydration

53
Q

Hemoglobin range

A

12 to 18

54
Q

Hemoglobin Category C

A

less than 7

Assess for bleeding
Prepare for transfusion

55
Q

CO2 range

A

35 to 45 (same as pH minus the 7)

56
Q

CO2 Category C

A

in the 50s
Assess respiratory
Use pursed lip

57
Q

CO2 Category D

A

in the 60s

  • this is criteria for resp failure
  • Stay with them
  • Assess resp
  • Prepare to intubate
  • Call for help
58
Q

Hematocrit range

A

36 to 54 (it’s 3 times the hemoglobin levels)

59
Q

Hematocrit elevated, what category

A

just a B, just assess dehydration

60
Q

PO2 (not POX) range

A

80 to 100

61
Q

PO2 category C

A

Low 70s

Give O2

62
Q

PO2 category D

A

Low 60s

  • Give O2
  • Assess
  • Prepare to intubate
  • Call
63
Q

Anemia and POX reading

A

Anemia falsely elevates POX, so you need to check O2 in another way. Same is true with dye procedures

64
Q

BNP that indicates HF

A

under 100

65
Q

Change in Na category

A

C

66
Q

WBC range

A

5000 to 11000

67
Q

ANC (Neutrophil) range

A

500 +

68
Q

WBC below 5000 category

A

C

69
Q

ANC (Neutrophil) below 500 category

A

C

70
Q

Highest, most serious priority lab values

A

pH/K…….6s

CO2/PO2……..60s

Platelet…..less than 40

71
Q

Psyc drugs all have these SE

A

decrease BP

Weight change

72
Q

1st gen anti psyc drugs all end in

A

zine (we use zines for the zany)

73
Q

1st gen anti psyc drugs: in small doses are used as

A

antiemetics

74
Q

1st gen anti psyc drugs: are some of the major

A

tranquilizers

75
Q

1st gen anti psyc drugs: SE: A, B, C, D, E, F, G

A 
Anticholingeric 
Blurred Vision
Constipation
Drowsy
EPS (like parkinsons)
Fotosynthesis (sun burn)
aGranulocytosis
76
Q

1st gen anti psyc drugs: SE: A

A

Anticholingeric

77
Q

1st gen anti psyc drugs: SE: B

A

Blurred Vision

78
Q

1st gen anti psyc drugs: SE: C

A

Constipation

79
Q

1st gen anti psyc drugs: SE: D

A

Drowsy

80
Q

1st gen anti psyc drugs: SE: E

A

EPS (like parkinsons)

81
Q

1st gen anti psyc drugs: SE: F

A

Fotosynthesis (sun burn)

82
Q

1st gen anti psyc drugs: SE: G

A

aGranulocytosis

83
Q

consideration for SE vs TE

A

you don’t have to report SE, they’re expected

84
Q

Decanate

A

a drug that’s long acting and given IM; it’s used for non-compliant patients by court order

aa Orgo (196 decks)

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