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20 Cards in this Set
- Front
- Back
TURP
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Priority intervention – red colored urine with clots. Irrigate catheter gently with 30-50mL of bladder irrigating solution to help remove any clots. Goal is to have output pink in color w/ no visible clots. The flow rate of the CBI should be increased to achieve the desired result.
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Malignant Hyperthermia manifestations
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Tachycardia, tachypnea, hypercarbia,
dysrhythmias |
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T-tube post cholecystectomy
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*initially drainage (initially bloody, then green-brown bile)
*Report sudden increases in drainage or amounts exceeding 1,000 mL/day. |
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Peritoneal dialysis effluent
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normally colorless, light yellow, or straw colored; cloudy is a sign of peritonitis; bloody may require more frequent exchanges to prevent clots in catheter; brown may be due to presence of feces and bowel perforation is suspected.
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Erythropoietin alfa (Epogen, Procrit)
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*contraindicated for clients with uncontrolled hypertension
*Instruct the client to have blood drawn twice a week to monitor hemoglobin and hematocrit *Monitor the client’s blood pressure |
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Adverse effects of Inderal (propanalol)
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bradycardia, orthostatic hypotension, bronchoconstriction, mask symptoms of low blood sugar
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Digoxin
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Do not double dose.
Separate antacids by at least 2 hours |
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malignant hyperthermia treatment
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dantrolene (skeletal muscle relaxant)
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Epi-pen sequence
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1. Inject the pen
2.Remove the stinger 3. Clean with soapy water 4. Apply Ice 5. Get medical help |
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Meperidine (Demerol)
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discouraged in older adult clients due to the risk of
seizures. |
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What is the priority assessment for a client with a spinal injury
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Peripheral reflex and sensation changes. (The greatest risk to the client is neurological damage and this would manifest )
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Health promotion Irritable Bowel Syndrome
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Encourage the client to avoid food that contains dairy, eggs, and wheat products.
● Encourage the client to avoid alcoholic and caffeinated beverages. Beverages containing fructose and sorbitol should be avoided. ● Encourage the client to drink 2 to 3 L/fluid per day from food and fluid sources. ● Encourage the client to increase the amount of daily fiber intake (approximately 30 to 40 mg/day). |
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Treatment for biliary colic
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Anticholinergics
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Highest priority in a casted patient
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Decreased blood flow past the casted area (may be manifested by decreased pulse pressure)
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Intervention for a client having a tonic-clonic seizure who has become cyanotic
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Turn them onto their side. This will provide a patent airway.
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Adverse effect of Radiation therapy for laryngeal cancer.
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Difficulty swallowing (it indicates a swelling of the esophageal tissue and may lead to malnutrition.)
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Chest tubes
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Report drainage greater than 70ml/hr
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position for Insertion of central line
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Place the client in supine or trendelenburg position
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mannitol adverse effect
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paresthesias of extremities, fatigue, sleepiness,
rarely seizures |
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Medication to withhold before cardioversion
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digoxin
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