Treatment Flashcards by Fairouzjiwa Jiwa

What is the treatment Plan for FVE

Low Na/ restrict fluid
I/O and daily weight
Diuretics
Bed rest induces diuresis
Physical assessment
Give IVF slowly to elderly

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What is the treatment plan for FVD

Prevent further loss
Replace volume - PO (mild), IV (severe)
Safety Precautions- High risk for falls, monitor for overload

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Treatment for Hypermagnesemia

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

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Treatment for Hypercaclemia

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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Treatment for Hypomagnesemia

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

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Treatment for Hypocalcemia

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

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Treatment for hypernatremia

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

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Treatment for Hyponatremia

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

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Treatment for Hyperkalemia

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

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Treatment for Hypokalemia

Give potassium
Spironolactone
Eat more potassium

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Treatment for Respiratory Acidosis

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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Treatment for Respiratory Alkalosis

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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Treatment for Metabolic Acidosis

Treat the problem

Drug to help acidosis, IV Na bicarb

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Treatment for Metabolic Alkalosis

Fix problem

Replace Potassium

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Treatment options for someone with burns

Fluid replacement
Emergency Management: blanket cool water, remove jewelry, patent airway, dry cloth
Medications: Albumin
Pain management: Lowest amount of narc to releve pain
Grafting
Immunization: Tetanus Toxoid, Immune Globulin

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How often can we reharvest from a skin graft

12-14 days

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Treatments for Cancer

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

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

Tx for Cervical Cancer

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

TX for uterine cancer

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Treatment for?
Surgery
chemo
hormonal therapy
radiation

Tx for Breast cancer

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Treatment for?
Surgery
Lobectomy
pneumonectomy

Tx for Lung Cancer

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Treatment for?
Surgery
Radiation
Chemo
Speech rehab

Treatment for Laryngeal Cancer

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Treatment for?
Surgery, radiation, chemo
Colostomy

Treatment for colorectal cancer

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

Treatment for bladder cancer

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

Treatment for prostate cancer

Treatment for? Surgery Chemo Radiation

Treatment for Stomach Cancer

``` Treatments for? Anti-thyroids Ioidine compounds Beta Blockers Radioactive Iodine Surgery ```

Treatment for hyperthyroidism

Treatment for? | Levothyroxine, thyroglobulin, liothyronine

Treatment for hypothyroidism

Treatment for? IV calcium Rangel, phosphorus binding drugs

Hypoparathyroidism

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

surgery to remove tumours

What do you do for someone with addisson's disease

``` 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) ```

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

Treatment for cushing's disease

Treatment for type I diabetes

Insulin

Treatment for type II

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

Treatment for DKA

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

Treatment for Chronic stable angina

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..

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

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

What drugs are used for treatment in ED for MI

Oxygen Aspirin -chew Nitroglycerin Morphine

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

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

Treatments for Acute Coronary syndrome

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

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

Treatments for HF

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

Treatment for Pulmonary Edema

What position do you put someone who has Pulmonary edema

Upright, legs down

How do you prevent pulmonary edema

Auscultate lung sounds and avoid excess fluid

Treatment for Cardiac Tamponade

Remove blood from around the heart | Surgery

Arterial disorders of lower extremity are treated with

Angioplasty or endarterectomy

Treatment for chronic arterial insufficiency

Dangle

Treatment for chronic venous insufficiency

Elevate

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

Treatment for glomerulonephritis

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

Treatment for nephrotic syndrome

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

Kidney Stones

What is the treatment goal for pancreatitits

Control Pain

How do we control pain in pancreatitis

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

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

They have cirrhosis

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

They have hepatic coma

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

Esophogeal varices

``` 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? ```

Peptic Ulcer

``` 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 ```

Hiatal hernia

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?

Dumping Syndrome

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?

Ulcerative colitis, Chron's

What kind of surgery can a person with ulcerative colitis receive

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

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

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.