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Treatment Flashcards

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1
Q

What is the treatment Plan for FVE

A
  1. Low Na/ restrict fluid
  2. I/O and daily weight
  3. Diuretics
  4. Bed rest induces diuresis
  5. Physical assessment
  6. Give IVF slowly to elderly
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2
Q

What is the treatment plan for FVD

A
  1. Prevent further loss
  2. Replace volume - PO (mild), IV (severe)
  3. Safety Precautions- High risk for falls, monitor for overload
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3
Q

Treatment for Hypermagnesemia

A

Ventilator
Dialysis
Calcium gluconate (antidote for mg toxicity)
Safety precautions

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4
Q

Treatment for Hypercaclemia

A 
Move
Fluids prevent kidney stone
Sodium phosphate enema-drives P up and Ca goes down
Steroids
Add Phosphorus to diet
safety precautions
Vit D to use Ca
Calcitonin decreases serum ca
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5
Q

Treatment for Hypomagnesemia

A

Increase Mg
Check Kidney function before giving Mg
Seizure precautions
Eat Mg

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6
Q

Treatment for Hypocalcemia

A

Vit D
Phosphate binders
IV Ca - but make sure client is on telemetry

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7
Q

Treatment for hypernatremia

A

Restrict Na
Dilute client with fluids
Daily weight/ I & O
Lab work

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8
Q

Treatment for Hyponatremia

A

Increase Na
Restrict water
If having neuro problems : Give Hypertonic solution

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9
Q

Treatment for Hyperkalemia

A

Dialysis
Calcium Gluconate
Glucose and Insulin
Sodium Polystyrene sulfonate (Kayexelate)

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10
Q

Treatment for Hypokalemia

A

Give potassium
Spironolactone
Eat more potassium

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11
Q

Treatment for Respiratory Acidosis

A
  • Fix breathing problem
  • Treat pneumonia, get rid of secretions by postural drainage, percussion (vibration therapy), deep breathing exercise, suctioning, fluids, elevate HOB, and incentive spirometry
  • pneumothorax
  • Encourage post-op turn, ,cough and deep breathe every hour
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12
Q

Treatment for Respiratory Alkalosis

A 
Do not wait for the kidneys to kick in
Breathe into a paper bag
May ask client to decrease respiratory rate
treat cause
monitor ABG's
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13
Q

Treatment for Metabolic Acidosis

A

Treat the problem

Drug to help acidosis, IV Na bicarb

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14
Q

Treatment for Metabolic Alkalosis

A

Fix problem

Replace Potassium

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15
Q

Treatment options for someone with burns

A
  1. Fluid replacement
  2. Emergency Management: blanket cool water, remove jewelry, patent airway, dry cloth
  3. Medications: Albumin
  4. Pain management: Lowest amount of narc to releve pain
  5. Grafting
  6. Immunization: Tetanus Toxoid, Immune Globulin
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16
Q

How often can we reharvest from a skin graft

A

12-14 days

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17
Q

Treatments for Cancer

A

Radiation - Internal (brachytherapy)/ External (teletherapy, beam radiation)
Chemotherapy

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18
Q 
Treatment for?
Electrosurgical excision
Laser 
Cryosurgery
Radiation and chemo for late stages
Conization
Hysterectomy
A

Tx for Cervical Cancer

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19
Q 
Treatment for?
Hysterectomy
TAH (Total abd hysterectomy)
Radical hysterectomy
Radiation
Chemo
Estrogen inhibitors
A

TX for uterine cancer

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20
Q 
Treatment for?
Surgery
chemo
hormonal therapy
radiation
A

Tx for Breast cancer

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21
Q

Treatment for?
Surgery
Lobectomy
pneumonectomy

A

Tx for Lung Cancer

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22
Q 
Treatment for?
Surgery
Radiation
Chemo
Speech rehab
A

Treatment for Laryngeal Cancer

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23
Q

Treatment for?
Surgery, radiation, chemo
Colostomy

A

Treatment for colorectal cancer

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24
Q 
Treatment for?
Surgery
Ileal conduit
may be impotent
hourly output
increase fluids
A

Treatment for bladder cancer

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25
Q

Treatment for?
Watchful waiting
surgery- radical prostectomy
TURP(only for symptom)

A

Treatment for prostate cancer

26
Q

Treatment for?
Surgery
Chemo
Radiation

A

Treatment for Stomach Cancer

27
Q 
Treatments for?
Anti-thyroids
Ioidine compounds
Beta Blockers
Radioactive Iodine
Surgery
A

Treatment for hyperthyroidism

28
Q

Treatment for?

Levothyroxine, thyroglobulin, liothyronine

A

Treatment for hypothyroidism

29
Q

Treatment for?
IV calcium
Rangel, phosphorus binding drugs

A

Hypoparathyroidism

30
Q

What can you do as a treatment optionf or someone with pheochromocytoma

A

surgery to remove tumours

31
Q

What do you do for someone with addisson’s disease

A 
Combat shock (losing sodium and water)
Increase Na in diet
processed fruit juice/ broth
I/O and daily weight
Placing on mineralcorticoid drug (Fludrocortisone.. it's aldosterone)
32
Q

Treatment for?
Adrenalectomy (unilateral or bilateral)
Quiet environment
diet pre-treatment: Increased K, Decrease Na, increased Protein, and increased Ca.

A

Treatment for cushing’s disease

33
Q

Treatment for type I diabetes

A

Insulin

34
Q

Treatment for type II

A

start with diet and exercise then add oral agents, and maybe insulin

35
Q

Treatment for DKA

A 
Find the cause
hourly sugar and K check
IV insulin
ECG
Hourly outputs
ABGs
IVF--> NS, then switch to D5W to prevent hypoglycemia
36
Q

Treatment for Chronic stable angina

A

1) Nitroglycerin Sublingual
2) Beta Blockers (for prevention of angina)
3) Calcium channel blockers (prevention of angina)
4) Asprin
5) Client teaching to rest, avoid overeating, dress warm etc..

37
Q

If a major arrhythmia occurs as a result of Acute coronary syndrome what is priority treatment for V-FIB

A

SHOCK.
If that doesn’t wrok, give Epinephrine (vasopressor)
Also Amiodarone and lidocaine are anti-arrhythmias

Watch for Hypotension with amiodarone and
Lidocaine Toxicity: Neuro changes with lidocaine

38
Q

What drugs are used for treatment in ED for MI

A

Oxygen
Aspirin -chew
Nitroglycerin
Morphine

39
Q

What position do you need the patient to be if they have an MI

A

Head up position as it decreases workload of Heart and Increases CO

40
Q

Treatments for Acute Coronary syndrome

A

1) Fibronolytics-
2) Medical Interventions- PCI, CABG
3) Cardiac Rehab

41
Q 
A patient is on:
1) Ace Inhibitors
2) ARBS
3)Digitalis
4)Diuretics
What are these used for
A

Treatments for HF

42
Q 
A patient is is on:
- O2
-Diuretics
-Nitroglycerin
-Morphine
-Nesiritide
What are these used for
A

Treatment for Pulmonary Edema

43
Q

What position do you put someone who has Pulmonary edema

A

Upright, legs down

44
Q

How do you prevent pulmonary edema

A

Auscultate lung sounds and avoid excess fluid

45
Q

Treatment for Cardiac Tamponade

A

Remove blood from around the heart

Surgery

46
Q

Arterial disorders of lower extremity are treated with

A

Angioplasty or endarterectomy

47
Q

Treatment for chronic arterial insufficiency

A

Dangle

48
Q

Treatment for chronic venous insufficiency

A

Elevate

49
Q

When someone is on a low protein, low sodium and high carb diet.
As well as monitoring I/O, dialysis and diuresing

A

Treatment for glomerulonephritis

50
Q

When someone is getting a high protein, low sodium diet. Ace inhibiotors, corticosteroids, and lipid lowering drugs as well as anticoagulants and dialysis

A

Treatment for nephrotic syndrome

51
Q

When someone is receiving Extracorporeal shock wave lithiotripsy (ESWL) and is receiving ketorolac, ondaserton, and hydromorphone what is this commonly treated for

A

Kidney Stones

52
Q

What is the treatment goal for pancreatitits

A

Control Pain

53
Q

How do we control pain in pancreatitis

A
  1. decrease secretions: NPO, NGT to suction, bed rest
  2. Pain meds
  3. Steroids
  4. anticholinergics
  5. pantoprazole
  6. H2 receptor antagonists
  7. Antacids
  8. Maintain fluid and electrolyte balance
  9. Maintain nutritional status (TPN)
  10. Insulin (pancreas not making it, steroids given and TPN)
  11. Check weights
  12. Eliminate alcohol
54
Q

If someone is on antacids, vitamins, diuretics
we are monitoring daily weights and I/O
having them on bleeding precautions and measuring abdominal girth

A

They have cirrhosis

55
Q

When someone is on lactulose, they are given cleansing enemas, have low protein diet and are monitored for ammonia

A

They have hepatic coma

56
Q

When someone is receiving blood, is being monitored for VS, CVP, receives oxygen, octreotide, is having a balloon tamponade put in, has cleansing enemas, gets lactulose and is receiving saline lavage….what are they getting treatment for

A

Esophogeal varices

57
Q 
If someone is on:
1) Antacids
2) PPI
3) H2 antagonist 
and are told to decrease stress, stop ssmoking, avoid caffeine, and should be seen after a year what are they treated for?
A

Peptic Ulcer

58
Q 
When someone is receiving:
1) Small frequent meals
2)Has to sit up 1 hour after eating
3) Has to have an elvated HOB
and is taught a healthy diet and lifestyle change, what could they have
A

Hiatal hernia

59
Q

Someone who can sit semi-recumbent with meals, lies down after meals, has no fluids with meals, has frequent small meals and avoids foods high in carbs and electrolytes, what are they treated for?

A

Dumping Syndrome

60
Q

When someone receives low fiber diet, and avoids hot/cold foods and smoking… as well as receive antidiarrheal, anitibiotics, steroids what is this person treated for?

A

Ulcerative colitis, Chron’s

61
Q

What kind of surgery can a person with ulcerative colitis receive

A 
Total colectomy (ileostomy is formed)
Koch's ileostomy or J pouch (no external bag)
62
Q

What kind of treatment can a person with Chron’s receive

A

They try not to do a surgery for a patient with Chron’s but they may remove the affected area, client may end up with an ileostomy or colostomy.

NCLEX (21 decks)

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