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19 Cards in this Set
- Front
- Back
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THESE CLINICAL MANIFESTATIONS DESCRIBE WHICH DISORDER?
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INDIGESTION TO SEVERE PAIN WITH FEVER AND JAUNDICE
PAIN IN RUQ THAT RADIATES TO SHOULDER AND SCAPULA N/V DIAPHORESIS ATTACKS OF PAIN OCCUR 3-6 HOURS AFTER INGESTION OF A MEAL |
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A PATIENT PRESENTS WITH JAUNDICE, INCREASED WBCS, AND AN ELEVATION OF INDIRECT AND DIRECT BILLI. WHAT COULD THIS PERSON HAVE?
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CHOLELITHASIS
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IF THE COMMON BILE DUCT IS OBSTRUCTED DUE TO CHOLELITHASIS, WHAT WILL THE STOOL LOOK LIKE? WHY
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CLAY COLORED AND FATTY BECAUSE THERE IS A BLOCKAGE OF BILE, WHICH GIVES STOOL ITS COLOR.
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WHAT IS THE NON-SURGICAL TREATMENT FOR CHOLECYSTITIS?
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PAIN MANAGEMENT
ANTIBIOTICS MAINTAIN F/E BAL ANTICHOLINERGICS IF NECESSARY. |
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WHAT IS THE NON-SURGICAL TX FOR CHOLELITHASIS?
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MEDICATIONS
CHOLESTEROL SOLVENTS (MTBE) DISSOLUTION MEDS (ACTIGALL) SHOCK WAVE LITHOTRIPSY |
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POST-OP LAP CHOLE NURSING CARE.
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MONITOR FOR BLEEDING
TAKE VITALS PLACE CLIENT ON LEFT SIDE LIQUIDS FIRST DAY - ADVANCE AS TOLERATED MONITOR B/S, ABD, FLATUS ANALGESICS LOW FAT DIET MONITOR DVT INCREASE ACTIVITY DEEP BREATHE |
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POST-OP OPEN CHOLE NURSING CARE.
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PREVENT RESP. COMPL. -TCDB
MONITOR BLEEDING (MONITOR FOR REDNESS, BLEEDING, DRAINAGE) INCREASE ACTIVITY AVOID HEAVY LIFTING ADVANCE DIET AS PER MD MONITOR B/S, FLATUS |
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A PATIENT PRESENTS WITH LUQ ABD PAIN. THE PAIN RADIATES TO BACK. THE PAIN IS DESCRIBED AS SUDDEN IN ONSET AND DEEP-PIERCING PAIN THAT IS AGGERVATED BY EATING AND NOT RELIEVED BY VOMITING. WHAT COULD IT BE?
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PANCREATITIS
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IF A PT. PRESENTS WITH ACUTE PANCRIATITIS, WHAT RESPIRATORY AND CARDIOVASCULAR CONDITIONS MAY BE PRESENT?
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THE PATINET MAY HAVE HYPOTENSION, TACHYCARDIA, SHOCK, HYPOVOLEMIA.
RESPIRATORY S/S TO MONITOR FOR INCLUDE CYANOSIS, DYSPNEA, CRACKLES IN LUNGS |
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WHY IS HYPOVOLEMIA A MANIFESTATION OF PANCREATITIS?
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BRADYKININ INITIATES THE INFLAMMATORY PROCESS, WHICH INCREASES CAPILLARY PERMEABILITY AND LEADS TO VASODILATION AND FLUID SHIFT TO ABD AND HANDS.
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WHAT GI S/S WILL BE PRESENT IN ACUTE PANCREATITIS?
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DECREASED OR ABSENT B/S
ILEUS MAY BE PRESENT N/V ABD DISTENTION |
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WHAT ARE INTEGUMENTARY MANIFESTATIONS OF ACUTE PANCREATITIS?
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FLUSHING
JAUNDICE GREY TURNER SPOTS ECCYMOSIS OF THE FLANK BLUISH FLANK DISCOLORATION CULLEN'S SIGN - BLUISH DISCOLORATION OF THE PERIUMBILICAL AREA. |
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A PATIENT IS DIAGNOSED WITH ACUTE PANCREATITIS AND PRESENTS WITH COMPLICATIONS SUCH AS N/V, ADB PAIN, ANOREXIA, FEVER, LEUKOCYTOSIS. WHAT CAN THESES S/S BE INDICATIVE OF?
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PSEUDOCYST DEVELOPMENT OR PANCREATIC ABSCESS
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WHAT SYSTEMIC COMPLICATIONS CAN RESULT FROM COMPLICATIONS OF PANCREATITIS?
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PLEURAL EFFUSION, ATELECTASIS AND PNEUMONIA
SHOCK HYPOCALCEMIA |
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SERUM AMALYASE IS USED TO DIAGNOSE ACUTE PANCRETITIS. A LAB VALUE OF WHAT IS DIAGNOSTIC?
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200 U/L
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WITH PANCREATITIS, WHAT WILL THE FOLLOWING LABS LOOK LIKE:
GLUCOSE LIPIDS CALCIUM AMALYSE |
GLUCOSE WILL BE HIGH B/C INSULIN SECRETION IS EFFECTED
LIPIDS WILL BY HIGH BECAUSE THE IS NO LIPASE TO BREAKDOWN FATS CALCIUM WILL BE LOW B/C IT'S BEING EXCRETED TOO RAPIDLY SERUM AMYLASE WILL BE HIGH |
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WHAT IS THE #1 TREATMENT OBJECTIVE OF PANCREATITIS
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PAIN MANAGEMENT
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WHAT IS THE DRUG OF CHOICE TO TREAT PANCREATITIS. NURSING RESPONSIBILITIES
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MORPHINE. MONITOR RESP. BEFORE AND AFTER ADMIN.
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TREATMENT OBJECTIVES FOR ACUTE PANCREATITIS?
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PAIN MANAGEMENT
PREVENT SHOCK - GIVE IV FLUIDS F/E BALANCE PREVENT INFECTIONS REMOVE CAUSE |
