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43 Cards in this Set
- Front
- Back
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3rd spacing is abnormal movement of fluid into
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body cavity that usually has no fluid
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Intracelleluar electrolytes moving into extracellular fluid will cause
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hyperkalmeia
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passive movement of molecules from a HIGH concentration to a LOWER concentration
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diffusion
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flow of water from low solute concentration to high solute concentration
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osmosis
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A normal change in older adults is
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hyponatremia
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a person with impaired consciousness and decreased thirst sensitivity is at risk for
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hypernatremia
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A positive chvostek sign(hypocalcemia) the nurse would administer
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calcium gluconate
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a patient with high phos would most likely cause a low
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calcium
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During the incubation phase(preicteric) of viral hepatitis a pt would report
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anorexia and RUQ discomfort
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What is the treatment for hepatitis B?
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there is no specific treatment
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Family members of a pt with hepatitis A ask how they can prevent from getting the disease
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receive immune globulin
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Early signs of hepatic encephalopathy?
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irritable and lethargic
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Patient has severe midepigastric or LUQ pain what do you think
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acute pancreatitis
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what lab would be elevated with acute pancreatitis
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amylase
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what management should be included with acute pancreatitis
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NG tube-wants nothing to enter duodenum
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what is the preferred treatment for constipation
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tap water or hypertonic solution
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the site localizing appendicitis is called what?
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Mcburney's point
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how should a colostomy look 8 hours after
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brick-red,puffy stoma that oozes blood
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what is the first indication of fluid and electroltye imblance
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confusion
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excessive H2O intake can cause:
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hyponatremia,cerebral edema, seizues, coma, death
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When metabolic alkalosis occurs the potassium is usually
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low
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Potassium should be given at a rate of
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10mEq/hr
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if you have low calcium your phos is usually
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high
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what is the antidote for calcium?
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mag sulfate
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If a patient has metabolic alkalosis they have a high bicarb, what excretes bicarb
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diamox
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What conditions would you give a hypotonic solution for
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HHNKS and DKA
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When giving a hypertonic solution you should always assess what?
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lung sounds, pulm edema
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What do you expect to see when you transfuse granulocytes?
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fever,chills, flu like symptoms
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signs of hemolytic reaction?
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burning vein, lumbar pain, flank pain,flushing face,CP
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When DC a central line instruct pt to
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hold breath(prevent air embolism)
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First sign of septicemia?
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tachycardia
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handwashing is the best thing to prevent
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infection
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what to do if CVP is disconnected
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clamp, head down, left side, O2, monitor and call MD
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Rebound tenderness is done to check for what?
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peritonitis and appendicitis
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RUQ discomfort and anorexia are signs of?
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preicteric phase of hepatitis
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Signs and symptoms of fulminant hepatitis inlcude
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confusion, solnolence, ascites,^bleeding time
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what do you instruct your pt to do after liver biopsy?
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right side for at least 6hrs
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pain in LUQ,midepigastric, severe sudden back pain, aggravating by eating and recumbent position
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signs of pancreatitis
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grey's turners is
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ecchymosis in flank area
for pancreatitis |
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cullen sign is
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ecchymosis around umbillicus
for pancreatitis |
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what is the drug of choice for pancreatitis
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demerol
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Osler nodes are?
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painful,tender, red/purple pea sized lesions usually on fingertips
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a noninfectious cause of acute pericarditis
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uremia
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