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66 Cards in this Set
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ADHD MEDS |
D amphetamine and methylphenidate Monitor growth and development Give AFTER 1st meal or breakfast Give BEFORE 6pm |
2 highyield Stimulants for frontal lobe development ADHD |
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Sinus Brady cardia |
Atropine ( think HEART on TOP of PINE tree ) raises heart rate |
Treatment If problematic ? Eg. Cold clammy skin or any sign of lack of perfusion. Can also be caused by Vagal maneuver (bear down ) this is a hint also meaning if someone has HIGH HR try to do Vagal maneuver too |
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V FIB |
Treatment : D fib, before CPR , Lidocane, Amiodarone, Procainamide *reminder no need to what? SynchRonize* SYNCHRONIZE ON A-TRIAL ONLY with V fib CHAOTIC NO QRS |
Think LAP |
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V TACH |
NO PULSE - D fib and chest compressions PULSE - cardiovert with sedation( 1st) and synchronized (unlike V fib) also GIVE LIDOCANE Same for premature Ventricular Tachy give LIDOCANE
Wide BIZZARE QRS |
If you can Cee pulse Cardiovert Wide BIZZARE QRS |
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A FIB |
Cardiovert after TTE rule out clot
Digoxin - watch for s/s low K As well as CALCIUM CHANNEL BLOCKERS, BETA
MEMORIZE : Adeno beta calcium dig (lanoxin)
Chaotic with no P WAVE |
Digoxin 0.5- 1.5 or 2 check apical pulse for full 60 secs >2 is toxicity |
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A FLUTTER |
Treatment
MEMORIZE : Adeno beta calcium dig (lanoxin) Same as A fib - digoxin, CALCIUM CHANNEL BLOCKS and cardiovert Always monitor to Hyper K when dig is administered |
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SVT |
Treatment Vagal maneuver Adeno beta calcium dig Ice cold Think Atrial so drug start with A…Adenosine ( adenozine ) RAPID PUSH in less than 8 sec will put the HR down into a Zen state, so expect HR to STOP CARDIOVERT and BETA BLOCKER CALCIUM CHANNEL and even BLOCKERS |
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Torsade de pointed |
Cause by LOW Mag sulfate so to treat give MAGNESIUM cause MAG MELLOW THE HEART!!! |
Caused by which electrolyte also given to women in preeclampsia to prevent seizure |
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Asystole |
EPINEPHRINE if doesn’t work then ATROPINE
A tropine (2nd) S Y S T O L E (pineprine 1st)
Remember you CANT SHOCK this rhythm!!!! |
Unshockable rhythm!!!! Flat line |
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Cullen sign |
Blue or eccymosys discoloration by umbilical PANCREATITIS |
It’s a boy color |
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Homan sign |
TEST FOR DVT |
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Kernigs sign |
Test for hemorrhaGe this G in hemorrhage as in kerniGs |
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How long do we infuse blood ? When must we start? Needle size and reaction monitoring ? |
No more than 4hrs , within 30 minutes,20 gauge needle every 15mints You can give antibiotics cause it’s time sensitive when infusing blood just in a different Y tubbing not same |
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Ace inhibitors end in? |
Pril Chill the heart BP not HR NOT for PREGNANT WOMEN Riah for angioedema (swollen tongue) so risk for airways |
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Arbs ends in |
Sartans Satan take a chill pill on my BP not HR |
Ace and I works on same thing |
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Beta blockers end in |
LOL lowers BP Lowers HEART RATE DONT GIVE TO ASTHMA, COPD, HEART FAILURE and DIABETICS |
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Calcium channel blockers end in PINEAMILZEM |
PINE , AMIL, ZEM (as in Zen state of relax) Calm the heart lowes HR Nifidipine (also used in preeclampsia BP , lowers BP but not HEART RATE) all others lower both HR and BP DONT give CCB if BP <100 systole and HR <60 if you give titration / slow it down |
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Digoxin (NOT a BP MED)!!!! Lanoxin -Relaxin the heart ⬇️⬇️⬇️⬇️ |
Works for heart contractility, increase, lower HR cause the heart pumping enough blood no need to be nervous (tachy) |
Cause eye problem so maybe double reading, seeing, if K IS LOW risk of dig tox is higher |
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Diolators (open vessels ) |
Decrease BP (So BP LOW due to open vessels ) MEDS LIKE ISORSOBIDE TREAT ANGINA (not diuretics) DONT TAKE WITH VIAGRA ( sildenafil) vardenafil, tadalafil |
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Epistasis |
Avoid valsaval maneuver trigger it will cause heart to keep pumping more blood |
Karter always have these |
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Hurshscprung |
Hard time passing meconium or eating and distended abdomen |
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Thrombnolytic Drug |
Thrombolytic drugs end with -ace, such as streptokinase or alteplase, which is also known as tPA (tissue plasminogen activator). These are clot-buster drugs given to break down unwanted blood clots causing heart attacks and strokes. The sooner treatment is given, the quicker blood flow is restored to the area. |
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Antiviral |
Ends in Vir such as Acyclovir to treat VIRUSES |
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Anti ulcer |
Ends in “Zole” Omeprazole Reduce gastric acid production |
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Anti ulcer |
Ends in “dine” ranitidine Decrease production of stomach acid |
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Bronchiodialators |
These medications are given for asthma and COPD and include drugs ending in -terol and -phylline, such as albuterol, levalbuterol, theophylline, and aminophylline. |
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Depression and Anti-anxiety Drug Suffixes |
Medications used to treat depression and anxiety include the following:
Drugs ending in -pam or -lam are most likely a benzodiazepine, which are used to treat anxiety, and prolonged use may lead to physical dependence. Benzodiazepines include alprazolam (Xanax), diazepam (Valium), and lorazepam (Ativan).
Several tricyclic antidepressants end in -triptyline, such as amitriptyline and nortriptyline. These drugs are used to treat depression, bipolar disorder, anxiety, OC, and other mood disorders.
SSRIs (Selective Serotonin Uptake Inhibitors) block or delay the reabsorption of serotonin and are used to treat major depressive disorders and anxiety disorders. You’ll find that they end in -pram or -ine, such as fluoxetine (Prozac), sertraline (Zoloft), citalopram (Celexa), and escitalopram (Lexapro). |
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Corticosteroid Suffixes |
Corticosteroids are anti-inflammatory drugs used to control many different symptoms, but not a cure for the underlying disease process. Most corticosteroids end in -sone or -lone, including dexamethasone, prednisone, methylprednisolone, and triamcinolone.
Oral hypoglycemic agents lower blood sugar for the diabetic patient and include drugs ending in -ide, such as glyburide and glipizide.
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What are the drug suffixes for the different types of antibiotics? |
The suffix for tetracyclines is -cycline.
Examples: doxycycline Action: Broad spectrum antibiotic that treats bacterial infections. The suffix for aminoglycosides is -mycin or -micin.
Examples: gentamicin, tobramycin Action: Broad spectrum antibiotic that treats bacterial infections. The suffix for fluoroquinolones is -floxacin.
Examples: ciprofloxacin, levofloxacin Action: Broad spectrum antibiotic that treats bacterial infections. |
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antiemetics |
. The suffix for antiemetics is -azine.
Examples: promethazine Action: Treat and prevent nausea and vomiting. |
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Penicillin ends in and in same class as cephalosporin |
Cillin Not to be confused with tetracycline (these are bad for pregnancy) |
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Phenytoin is a |
Antiepileptic NOT GOOD FOR PREGNANCY |
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Is SERATONIN SYNDROME HIGH OR LOW |
Highhhhh
Clinical manifestations of serotonin syndrome include mental status changes (eg, anxiety, agitation, disorientation), autonomic dysregulation (eg, hyperthermia, diaphoresis, tachycardia/hypertension), and neuromuscular hyperactivity (eg, tremor, muscle rigidity, clonus, hyperreflexia). |
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Nitroglycerin for Angina Think MONA |
AONM aspiring Oxygyen nitroglycerin and Morphine |
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Know antidotes Potassium |
Kayaslate |
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Magnesium and calcium |
With these they do the opposite of their prefixes like eg. Hypo will produce hyperthings vice versa |
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To treat Atrial dysthymia’s |
Adena beta calcium Digitalis- lanoxin (digoxin) 0.5 to 2 is Digitalis |
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Pneumonectomy |
Removal of lung so no chest tube would be needed |
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Pneumonectomy |
Removal of lung so no chest tube would be needed |
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Pneumo and Hemo chest tube |
Pneumothorax epical (top) tube placement Hemo put it at basilar (bottom) ( for draining fluid /blood from LUNGS |
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First thing to do when water seal break |
Clamp it |
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Best thing to do when water seal break |
Submerg under water |
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If water seal breaks steps |
Clamp Cut Put in sterile water |
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If you aciddently pulled out the chest tube FIRST thing to do |
Cover with a glove hands |
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BEST THING TO DO |
Cover with Vaseline gauze |
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Bubbling in water seal intermittently is good or bad ? |
GOOD |
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Bubbling in water seal continues…good or bad |
Bad Tape it to stop continuous bubbling |
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Bubble in suction control chamber intermittently good or bad |
BAD |
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Bubbling in suction control chamber continuously hood or bad? |
GOOD |
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True or false Thoracenthesis has a lesser infection than Chest tube |
True |
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True or false? Never clam a chesttube more than 15 seconds without doctor order |
True |
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All Congenital heart defect are All trouble CHD start with T (e.g Tet of fallot cynosis) E.g Ventricular heart defect is not trouble PDA not trouble |
T R - if 🩸shunt from R to L (troubl o u B L from Left to R no trouble e ALL OF THE Congenital heart defect KIDS HAVE A MURMUR and will need echocardiogram |
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Tet of fallot |
VORP |
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Contact : Enteric (can be caught oral fecal) |
Cdiff, Hep A (nus) Staph Herpes Shingles (even though it’s droplet 🙄 RSV ( remember seems droplet but it’s contact) think CONTACT ME TO RSVP Private room is preferred |
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Hep B |
Think Hep (Blood) |
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In prioritizing the modifying phase is more important (eg, throw up, angina , myocardia infarction , unstable, stable, etc) |
Don’t let age and gender fool you. Only pay attention to age in peds |
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Muscle relaxers |
Baclofen/Flexeril “flex your Bac” “Baclofen puts you on your Baclofen” o Drowsiness o Muscle weakness Three teachings o Don’t drink alcohol/drive o Don’t operate heavy machinery o Don’t be responsible of the independent care of children under 12 |
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Antidote Heparin or blood thinners |
Protamine |
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Coumadin AKA WAFRIN antidote |
Vitamin K |
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betamethasone (postpartum maternity) |
Help with lung maturity |
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Methergine |
o Vasoconstrictor o Stops post partum bleeding o Increase BP is a side effect. |
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Magnesium Sulfate |
. Hypermagnesemia o Slows uterine contractions o Slows resp rate… you want them to be at least 12 or stop mag o Blood pressure goes down… get out of bed slowly o Reflexes go down. You want her to have a 2 reflex.. or stop mag |
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Colors of Lochia |
. 1. Rubra- red (RUBY RED) 2. Serosa- pink (SEROSA PINK) 3. Alba- white (JESSICA ALBA IS WHITE)
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Angina with crushing substernal chest pain is expect TRUE OR FALSE ? |
True |
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Personality disorders not same as psychosis ?TRUE OR FALSE? |
TRUE Narcissistic Paranoid |
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ECT |
Can’t drive for course if therapy DONT TAKE ANY ANTICONVULSANTS Electroconvulsive therapy (ECT) uses an electrical current applied to the scalp to induce a generalized seizure in an anesthetized client. Prior to the procedure, the client should be NPO and not take anticonvulsant medications. Temporary confusion and memory loss are common after the procedure. Clients should be instructed not to drive during the course of ECT treatment. |
NPO status is required for 6-8 hours prior to treatment except for sips of water with medications (Option 4). Anesthesia (eg, methohexital, propofol) and a muscle relaxant (eg, succinylcholine) will be administered; clients are unconscious and feel no pain during the procedure. Driving is not permitted during the course of ECT treatment (Option 2). Temporary memory loss and confusion in the immediate recovery period are common side effects of ECT (Option 3). |