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28 Cards in this Set

  • Front
  • Back
What med may be given prophylactically to reduce the severity and duration of symptoms for pts undergoing hip surgery?
Haldol
A pt who has lived in the same small town for many years run's a red light on a street that he normally travels on and gets pulled over by police. He tells police that that must be a new light b/c it was never there before. What is this a sign of ?
Amnesia- he doesn't remeber the light ever being there, he forgot.
When looking for cause or contributing factors of depression we should look for a lifelong history of ?,?,? and declining ? and medical ?
losses,
loneliness,
crises,
health,
conditions
You discover 2 alzheimer's pts having an argument in the hall, what is the best intervention?
split them up and redirect them
If a pt is having a seizure, what is an intervention that will prevent them from aspirating?
turn their head to the side
If a pt presents in the ER that is taking dilantin for seizures can you DC the med?
NO, this will lower the pts threshold for seizures
Pysch symptoms of TBI get worse over time due to the non-ability to ?
adapt
Common S/E of Depakote include ?, ? gain, and ?
tremor,
weight,
sedation
The pt is having an acute exacerbation of psychosis and has already been given an antipsychotic that isn't releaving the symptoms yet, what med can be given to enhance the effectiveness of the antipsychotic?
Depakote
The nurse feels unable to intervene therapeutically with a pt who presents a management problem and has problems that impede care, who can the nurse reach out to help deal with this situation?
The psychiatric liasion nurse
Who should have suicidal ideation assessed on them?
everyone
You have a TBI patient that is presenting with no energy and has been experiencing trouble concentrating. What medication should you expect to be ordered?
Ritalin
A pt tells the nurse that she is taking a herbal medication that has been proven to be effective as anti-depressent medication that has been prescribed by her Dr. What herbal medicine do you suspect she is talking about?
St. John's Wart
The most recent studies show that the herbal therapy medicine ? has similiar efficacy to standard antidepressants and causes fewer ?'s
St. John's Wart,
Side-Effects
A pt shows up in the ER and tells you that she is taking and SSRI antidepressant and wants to add St. John's Wart to her meds to help further help with her depression. What should you warn her about this combination?
That St. John's wart is mildly seratonergic and may cause serotonin syndrome.
A pt presents in the ED that is exibiting delirium, restlessness, tachycardia, Fever, and elevated BP and she is known to be taking SSRI's for her depression. What complication do you suspect?
Serotonin syndrome,
A pt is taking a herbal medication to help with his memory and he tells you that he has noticed bruising quite freguently since he started taking this herbal med. What herbal med do you suspect he is taking?
Ginkgo biloba
Kava Kava and valerian are both taken to help with? Which one of these meds has also been used as and analgesic and anesthetic?
anxiety,
Kava Kava
A pt tells you that she has been taking a herbal medicine for a long time to help with her anxiety. She is presenting with abnormal muscle movements and yellow scaly skin. What herbal medicine do you think she is taking?
Kava Kava
Valerian is used as an antianxiety agent and has also been reported to have ? and ? properties.
antidepressant,
sedative
A pt tells you that she is brewing a herbal remedy tea to help her with her sleep, which herb do you think she is using?
Valerian
If the herbal remedy Valerian is taken when by a person that is already drinking alcohol and has presented with decreased HR, decreased BP and decreased RR, what do you believe the cause of these decreases to be ?
potentiation, when Valerian is taken with other CNS depressants it has the potential to potentiate the effects.
A pt presents to the ER with a loss of consciousness for approximately 15 minutes after a MVA what classification of TBI severity is he classified under?
Mild
A pt with a TBI that has a LOC of 0-30 minutes is classified in the ? range.
mild
A pt that presents to the ER with and altered mental status from 0-24hrs after hitting his head after falling off of a bike is classified in the ? range
mild
A pt cannot remember anything that has happened for the last day after being hit in the head with a baseball, what level of severity would he be put under on the TBI scale?
mild
You have just finished rating a pt using the Glasgow Coma Scale that has suffered a head injury. The score from the scale is 14, what classification does this put the pt under on the TBI severity table?
mild
If a pt has Post-traumatic amesia less than 1 day it would be rated as ? on the TBI scale.
mild