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564 Cards in this Set
- Front
- Back
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TYLENOL ANTEDOTE
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MUCOMYST
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NURSING ASSISTANT VS. LPN/LVN
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STANDARD, UNCHANGING PROCEDURE VS. STABLE PT. WITH EXPECTED OUTCOME
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INSULIN NEEDS DURING PREGNANCY
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INCREASE
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INSULIN RESISTANCE DURING PREGNANCY
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INCREASES AS A RESULT OF PLACENTAL HORMONES
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SXS'S OF HYPONATREMIA
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N/V/D
HA CONFUSION LOSS OF ENERGY, FATIGUE RESTLESSNESS, IRRITABILITY MUSCLE WEAKNESS, SPASMS, CRAMPS SEIZURES UNCONSCIOUSNESS COMA |
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TRANSMISSION - HEPATITIS A, B, C
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CONTAMINATED FOOD, BLOOD AND STOOL
BLOOD/ BODY FLUIDS (DRUG ABUSE, SEXUAL CONTACT) BLOOD/ BODY FLUIDS (DRUG ABUSE, SEXUAL CONTACT) |
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CANES - WHAT HAND, DISTANCE IN FRONT, ELBOW ANGLE
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STRONG HAND
6-10" 30 DEGREES OF FLEXION |
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NORMAL BS LEVELS
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70-110
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SAYING FOR HYPO/HYPERGLYCEMIA
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COLD AND CLAMMY, NEED SOME CANDY!
HOT AND DRY, SUGAR IS HIGH! |
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SXS'S OF HYPOGLYCEMIA
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COLD, CLAMMY SKIN
PALE CONFUSION TACHYCARDIA SHAKINESS DIZZINESS HUNGER HA SEIZURE |
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SXS'S OF HYPERGLYCEMIA
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HOT, DRY SKIN
LETHARGY FREQUENT URINATION INCREASED THIRST RAPID, DEEP RESPIRATIONS OR SOB |
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NORMAL CREATINE LEVELS AND ITS GENERAL USE
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0.6-1.2, KIDNEY FUNCTION
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NORMAL ESR LEVELS AND ITS GENERAL USE
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0-20, INFLAMMATION
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NORMAL AST LEVELS AND ITS GENERAL USE
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8-20, LIVER FUNCTION
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ORTHOSTATIC HYPOTENSION IS A COMMON ADE, ESPECIALLY WITH WHAT CLASS OF DRUGS
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ANTIPYSCHOTICS
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DIABETES SICK DAY RULES
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TAKE INSULIN/ PO MEDS AS USUAL
TAKE BS Q 3-4H BS>200 TEST FOR KETONES, >300 REPORT TO MD SMALL FREQUENT MEALS V/D = 1/2c COLA, JUICE, BROTH Q 30M V/D = REPORT TO MD |
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SEMI-FOWLERS POSITION
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SUPINE
HOB 30 DEGREES |
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CRANIAL NERVES, NAME THEM
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I - OLFACTORY, II - OPTIC, III - OCULOMOTOR, IV - TROCHLEAR, V - TRIGEMINAL, VI - ABDUCENS, VII - FACIAL, VIII - VESTIBULORCOCHLEAR, IX - GLOSSOPHARYNGEAL, X - VAGUS, XI - ACCESSORY, XII - HYPOGLOSSAL
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NORMAL CVP VALUE
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3-12
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SXS'S OF FVE
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BOUNDING PULSE
ELEVATED BP DISTENDED NECK VEINS EDEMA HA POLYURIA DIARRHEA LIVER ENLARGEMENT |
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NORMAL ALBUMIN LEVELS
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3.4-5.4
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PARATHYROID CONTROLS THESE LEVELS IN THE BLOOD, DESCRIBE THEIR RELATIONSHIP
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PTH AND CALCIUM
INVERSELY RELATED |
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DEFINE MYXEDEMA, WHEN ARE YOU LIKELY TO SEE IT
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SLOWING OF ALL BODY FUNCTIONS + EDEMA
WITH HYPOTHYROIDISM |
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ASSESSMENT THAT IS SEEN WITH CHRONIC USE OF COCAINE
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NASAL SEPTUM
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ASSESSMENT THAT IS SEEN WITH CHRONIC USE OF BARBITURATES
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LACK OF COORDINATION
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ASSESSMENT THAT IS SEEN WITH CHRONIC USE OF NARCOTICS
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CONSTRICTED PUPILS
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DEFINE DELERIUM TREMENS, WHEN ARE YOU LIKELY TO SEE IT, HOW DO WE TREAT IT
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"THE SHAKES"
WITH ALCOHOL W/D WITH BENZODIAZEPINES |
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EARLY SXS'S OF INCREASED ICP
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CONFUSED
STUPOROUS DECREASED LOC |
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LATE SXS'S OF INCREASED ICP
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DECEREBRATE POSTURING
SEIZURES |
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DEFINE DUMPING SYNDROME
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STOMACH CONTENTS RAPIDY DUMPED INTO SMALL INTESTINE, COMMONLY SEEN AFTER GASTRIC SURGERY
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FOODS TO AVOID WITH DUMPING SYNDROME
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SIMPLE CARBS
DAIRY ALCOHOL FLUIDS WITH MEALS |
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DESCRIBE FLUID REGULATION FOR SOMEONE SUFFERING FROM DUMPING SYNDROME
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DON'T DRINK WITH MEALS
DON'T DRINK 30 MIN BEFORE OR 30 MIN AFTER MEALS |
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WHAT IS THE MOST DANGEROUS BLOOD TRANSFUSION REACTION
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HEMOLYTIC
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SXS'S OF HEMOLYTIC BLOOD TRANSFUSION REACTION
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N/V
PAIN IN LOWER BACK HEMATURIA |
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WHAT IS BUN, WHAT INFORMATION DOES IT GIVE US
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UREA IS A CHEMICAL WASTE PRODUCT OF PROTEIN DIGESTION
LIVER AND KIDNEY FUNCTION |
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DEFINE NYSTAGMUS
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INVOLUNTARY OSCILLATORY MOVEMENT OF THE EYE
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DEFINE STRABISUMS
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EYE MISALIGNMENT OFTEN CAUSED BY POOR MUSCLE CONTROL OR EXTREME FAR SIGHTEDNESS
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ASSESSMENTS FOR INCREASED ICP IN OLDER CHILDREN AND ADULTS
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DISORIENTATION
BEHAVIOR CHANGES DECREASED CONSCIOUSNESS HA LETHARGY NEUROLOGICAL SYMPTOMS SEIZURES VOMITING |
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EXPECTED OUTCOMES OF COCAINE W/D
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SEVERE CRAVINGS
DEPRESSION FATIGUE HYPERSOMNIA |
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EXPECTED OUTCOMES OF AMPHETAMINE W/D
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DEPRESSION
DISTURBED SLEEP RESTLESSNESS DISORIENTATION |
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EXPECTED OUTCOMES OF BARBITURATE W/D
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N/V
TACHYCARDIA COURSE TREMORS SEIZURES |
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EXPECTED OUTCOMES OF NARCOTIC W/D
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RUNNY NOSE
YAWNING FEVER MUSCLE/ JOINT PAIN DIARRHEA |
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DEFINE PLACENTA PREVIA
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BABY'S PLACENTA COVERS THE MOTHER'S CERVIX CAUSING PAINLESS VAGINAL BLEEDING
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T/F CHEMOTHERAPY CAUSES IMMUNOSUPPRESSION
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TRUE
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DESCRIBE OPTIMAL POSITIONING FOR A PATIENT WITH A SALEM SUMP, WHY IS THIS BEST?
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UPRIGHT, 60-90 DEGREES
FACILITATES SWALLOWING AND TUBE PLACEMENT THROUGH GI TRACT |
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DESCRIBE HOW TO INJECT HALOPERIDOL DECANOATE
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IM INJECTION
21G, 2" NEEDLE ADMINISTER IN SINGLE DOSE PLACE PT. IN RECUMBENT POSITION FOR 30 MIN AFTER |
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TX FOR SECOND DEGREE BURNS
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SOAP AND OINTMENT
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SXS'S OF MS
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NUMBNESS OR WEAKNESS IN ONE OR MORE LIMBS
PARTIAL/ COMPLETE LOSS OF CENTRAL VISION TINGLING/ PAIN IN PARTS OF BODY TREMOR, LACK OF COORDINATION, UNSTEADY GAIT SLURRED SPEECH FATIGUE DIZZINESS |
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T/F PATIENT'S WITH MS EXPERIENCE DECREASED PAIN PERCEPTION
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TRUE
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DEFINE UTERINE FIBROIDS
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BENIGN TUMORS
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SXS'S OF UTERINE FIBROIDS
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MENORRHAGIA/ DYSMENORRHEA
BACKACHE CONSTIPATION |
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DEFINE GOUT
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ACUTE INFLAMMATORY ARTHRITIS
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SXS'S OF GOUT
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PAIN, REDNESS, TENDERNESS IN JOINTS
AFFECTED JOINT IS HOT, SWOLLEN AND TENDER |
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GOUT DIET
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ADEQUATE FLUID INTAKE, ESPECIALLY WATER
AVOID ALCOHOL MODERATE PROTEIN* LIMIT RED MEAT, FISH, POULTRY |
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DESCRIBE THE PENROSE DRAIN
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DRAIN LEFT INSIDE WOUND TO PROMOTE HEALING
STICKS OUT OF WOUND AND GROUNDED ON DRESSING GRAVITY PULLS FLUID OUT OF THE WOUND CAN BE MESSY |
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DESCRIBE AN EWALD TUBE
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LARGE, OROGASTRIC TUBE DESIGNED FOR RAPID LAVAGE
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IN THE MOST BASIC SENSE, WHAT POSITION IS BEST FOR A FRACTURED FEMUR
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NEUTRAL POSITION
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PH OF ASPIRATE IF NGT IS CORRECTLY PLACED
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0-4
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DESCRIBE RH-COMPATIBILTY
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RH- NEGATIVE MOTHER DEVELOPS ANTIBODIES AGAINST RH-POSITIVE BABY
ANTIBODIES WILL DESTROY BABY'S RBC'S RHOGAM PREVENTS PRODUCTION OF ANTIBODIES |
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ADE's of DILAUDID
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DECREASED BP
ORTHOSTATIC HYPOTENSION BRADYCARDIA |
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NORMAL VALUE: SPECIFIC GRAVITY
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1.010 - 1.030
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NORMAL VALUE: URINE PER HOUR
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30-60 cc's
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AROUND THE CLOCK ANALGESIC ADMINISTRATION VS. PRN ANALGESIC ADMINISTRATION
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MORE EFFECTIVE IN MAINTAINING BLOOD LEVELS
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SXS'S OF HYPERTHYROIDISM ARE RELATED TO...
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INCREASED METABOLISM
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PYLORIC STENOSIS
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NARROWING OF THE PYLORUS, THE OPENING FROM THE STOMACH INTO THE SMALL INTESTINE
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SXS'S OF PYLORIC STENOSIS
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LETHARGIC
DEHYDRATED MALNOURISHED |
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SYSTEMATIC DESENSITIZATION
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BEHAVIOR MODIFICATION; GOAL IS TO ERADICATE THE PHOBIC RESPONSE AND REPLACE IT WITH RELAXATION RESPONSE
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INFANT, NORMAL BP:
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60/40 - 80/50
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INFANT, NORMAL HR:
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120-140
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INFANT, NORMAL RR:
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30-60
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MUSCULOSKELETAL AND RESPIRATORY ADE'S OF MAGNESIUM SULFATE
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HYPOREFLEXIA
RESPIRATORY TRACT PARALYSIS |
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WHEN ASSISTING A PT. WITH AMBULATING, WHERE SHOULD THE HCP BE POSITIONED?
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SLIGHTLY BEHIND PT. ON STRONG SIDE
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EXPLAIN WHY A CHILD WITH SPINA BIFIDA WILL BE CONFINED TO A WHEEL CHAIR REGARDLESS OF WHETHER OR NOT THEY RECEIVE CORRECTIVE SURGERY
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THE SPINAL NERVES DAMAGED AS A RESULT OF THE MYELOMENINGOCELE CANNOT BE REPAIRED
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T/F A COLOSTOMY CAN BE LONG OR SHORT-TERM
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T
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ANTICHOLINERGIC REACTION BY SYSTEMS
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HR: INCREASED
BRONCHUS: DECREASED SECRETIONS & SALIVATION PUPILS: DILATE, INCREASED IOP GI: DECREASED MOTILITY & SECRETIONS SWEAT: DECREASED UA: RETENTION CNS: STIMULATION, DEPRESSION IN LARGE DOSES |
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ANTICHOLINERGIC GENERAL DESCRIPTION
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DRY
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ANTICHOLINERGIC ACRONYM
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ANTI-SLUD
ANTI - SALIVARY, LACRIMAL, URINARY, DEFECATION |
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ASSESSMENT FOR A DETACHED RETINA
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HEMORRHAGE
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ASSESSMENT FOR SENGSTAKEN-BLAKEMORE TUBE
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HEMORRHAGE IN UPPER GI
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DEFINE LAMINECTOMY
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SURGERY TO REMOVE THE LAMINA, BACK PART OF THE VERTEBRAE THAT COVERS THE SPINAL CORD
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TORADOL: CLASS
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NSAID
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CODEINE PHOSPHATE: CLASS
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OPIOID, ANTITUSSIVE
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OXYCODONE: CLASS
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OPIOID, ASA COMBO
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HYDROMORPHONE HYDROCHLORIDE: CLASS
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OPIOID/ NARCOTIC
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HEMOPHILIA
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DISEASE IN WHICH BLOOD DOESN'T CLOT NORMALLY, HAVING LITTLE TO NO CLOTTING FACTOR
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HEMOPHILIA AND INHERITANCE
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OCCURS MOSTLY IN MALES, PASSED FROM MOTHER TO SON
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ADDITIONAL CALORIES PER DAY DURING PREGNANCY
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300 HEALTHY CALORIES
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PREGNANCY AND WEIGHT GAIN
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AVG WEIGHT: +25-35#
UNDERWEIGHT: +28-40# OVERWEIGHT: +15-20# |
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WEIGHT GAIN PATTERN DURING PREGNANCY
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FIRST 3 MONTHS: +2-4#
EVERY WEEK AFTER: +1# |
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IV PYELOGRAM PREPARATION DAY/NIGHT BEFORE THE PROCEDURE
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DETERMINE ALLERGY TO IODINE WHICH CAN RESULT IN ANAPHYLAXIS
NPO PAST MIDNIGHT |
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#1 COMPLICATION OF BUCK'S TRACTION
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IMMOBILITY
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DURING INFANCY, A HIGH PITCHED CRY IS SIGNIFICANT OF WHAT POTENTIAL COMPLICATION?
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INCREASED ICP
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DESCRIBE PUPILLARY REACTION TO INCREASED ICP
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PUPILS DILATE
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ADDISON'S DISEASE + SXS'S
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NEED ADDITIONAL HORMONES
UP, DOWN, DOWN, DOWN, DOWN K, NA, BP, BV, BS |
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CUSHING'S DISEASE + SXS'S
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CUSHION OF HORMONES, EXCESS
DOWN, UP, UP, UP, UP K, NA, BP, BV, BS |
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WHAT DIETARY SUPPLEMENT IS IMPORTANT FOR ADDISON'S DISEASE?
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SODIUM
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T/F LIMIT THE NUMBER OF HCP'S FOR IMMUNOCOMPROMISED PATIENTS
|
T
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MASLOW: MOST TO LEAST IMPORTANT
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PHYSIOLOGICAL
SAFETY/ SECURITY SOCIAL (BELONGING) EGO (ESTEEM) SELF-ACTUALIZATION |
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MASLOW'S PHYSIOLOGICAL SURVIVAL NEEDS
|
WATER
FOOD SLEEP WARMTH EXERCISE |
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NPH INSULIN: TYPE, ONSET, PEAK, DURATION
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TYPE: INTERMEDIATE ACTING INSULIN
ONSET: 1-2H PEAKS: 6-12H DURATION: 18-26H |
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REGULAR INSULIN: TYPE, ONSET, PEAK, DURATION
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TYPE: SHORT ACTING
ONSET: 0.5-1H PEAKS: 2-4H DURATION: 6-8 |
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WHAT DRUG IS CONTRAINDICATED WITH THE USE OF ATORVASTATIN (LIPITOR) BECAUSE IT DECREASES ITS EFFECTIVENESS?
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PROPANOLOL (INDERAL)
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DEFINE PARACENTESIS
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PROCEDURE TO REMOVE FLUID ACCUMULATION IN THE ABDOMINAL CAVITY
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WHY SHOULD A PATIENT VOID PRIOR TO A PARACENTESIS
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TO AVOID PUNCTURING THE BLADDER WHICH WILL NOT BE DISTENDED IF IT IS EMPTY
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PARATHYROID AND CALCIUM
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REGULATES SERUM CALCIUM LEVELS VIA INCREASED RELEASE FROM THE BONES, INCREASED ABSORPTION IN THE SMALL INTESTINE, INCREASED REABSORPTION IN THE KIDNEYS
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HYPERPARATHYROIDISM AND CALCIUM
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INCREASED SERUM CALCIUM LEVELS
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PRE-OP DIET R/T PARATHYROIDECTOMY
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LO IN CALCIUM
HI IN PHOSPHOROUS |
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POSITIVE MANTOUX TEST SHOULD BE FOLLOWED BY
|
CHEST X-RAY FOR CONFIRMATION
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SXS'S OF OBSTRUCTED ILEOSTOMY
|
TIGHT OR SWOLLEN STOMA
DECREASED STOOL (4-6H) CRAMPING NAUSEA |
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WHAT TRIGGERS THE NATURAL SURGE OF OXYTOCIN IN FEMALES
|
BREASTFEEDING
|
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EXPECTED DRAINAGE POST-OP CHOLECYSTECTOMY
|
500-1,000ML/DAY, INITIALLY
WILL GRADUALLY DECREASE |
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LAB VALUES: HGB
|
M: 13-18
F: 12-16 |
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LAB VALUES: HCT
|
M: 42-42%
F: 35-47% |
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SXS'S ACUTE ASTHMA ATTACK
|
INCREASED RR
DIAPHORESIS WHEEZING COUGHING CHEST PAIN RETRACTIONS DIFFICULTY TALKING |
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PURPOSE OF WET-TO-DRY ABDOMINAL DRESSING
|
TO DEBRIDE WOUND, WETTING DRESSING BEFORE REMOVAL DEFEATS THE PURPOSE, DEBRIS WILL ONLY BE PULLED AWAY WITH DRY DRESSING
|
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COMPLICATIONS OF BACTERIAL MENINGITIS
|
BRAIN DAMAGE
HEARING LOSS LEARNING DISABILITIES |
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PROGNOSIS OF BACTERIAL MENINGITIS
|
GOOD IF TREATED EARLY
CAN BE SEVERE |
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DIETS TO PROMOTE WOUND HEALING
|
HI CALORIES
PROTEIN, FATS, CARBS VITAMINS A, C ZINC |
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GENERAL DESCRIPTION OF TRANSITION PHASE OF LABOR
|
THIS IS THE HARDEST BUT ALSO SHORTEST PHASE
ANGRY WOMAN |
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EXPECTED DURATION OF TRANSITION PHASE OF LABOR
|
30M-2H
|
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DESCRIBE THE CONTRACTIONS A/W THE TRANSITION PHASE OF LABOR
|
60-90S Q 30S-2M
LONG, STRONG, INTENSE CAN OVERLAP |
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WHAT IS MOST IMPORTANT FOR THE SUPPORT PERSON DURING THE TRANSITION PHASE OF LABOR
|
PRAISE & ENCOURAGEMENT FOR CONTRACTIONS AND REST PERIODS
BREATHING DISMISS ANGER |
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LAB VALUES: RBC
|
M: 4.6-6.2
F: 4.2-5.4 |
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LAB VALUES: PLATELES
|
150K-450K
|
|
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DEFINE THROMBOPHLEBITIS AND PRIORITY IMPLEMENTATION
|
BLOOD CLOT CAUSES SWELLING IN VEIN
DECREASE INFLAMMATORY RESPONSE, PREVENT EMBOLUS |
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IMPORTANT DIETARY CONCERN FOR ELDERLY
|
ADEQUATE PROTEIN
|
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NORMAL VALUES: L/S RATIO
|
FETAL LUNG MATURITY >= 2
|
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RITODRINE HYDROCHLORIDE (YUTOPAR)
TERBUTALINE MAGNESIUM SULFATE INDOMETHACIN NIFEDEPINE |
TOCOLYTIC DRUGS USED TO STOP PTL
|
|
|
PREFERRED DELIVERY FOR PTL
|
C/S
|
|
|
GESTATIONAL AGE CONSIDERED PRETERM LABOR
|
< 37 WEEKS
|
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|
FLUID REQUIREMENTS
|
WT. IN KG
100 ML/KG FIRST 10 KG 50 ML/KG SECOND 10 KG 20 ML/KG REMAINDER OF WT. DETERMINE ML/H, DIVIDE BY 24 H |
|
|
RISK FACTORS: PULMONARY EMBOLISM
|
PROLONGED IMMOBILITY
AGE FAMILY HISTORY SURGERY MEDICAL CONDITIONS LIFESTYLE |
|
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MEDICAL CONDITIONS THAT POSE RISK FOR PULMONARY EMBOLISM
|
HEART DISEASE
PREGNANCY CANCER PREVIOUS CLOTS |
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LIFESTYLE EXAMPLES THAT POSE RISK FOR PULMONARY EMBOLISM
|
SMOKING
OVERWEIGHT SUPPLEMENTAL ESTROGEN IE/ BCP |
|
|
SXS'S OF HEPATIC DYSFUNCTION
|
N/V/D/A
FATIGUE DARK URINE JAUNDICE PAIN IN URQ SWOLLEN ABDOMEN MENTAL CONFUSION |
|
|
INTERVENTION FOR HYPERSTIMULATION WITH PITOCIN
|
TURN OFF THE PIT (GET RID OF CAUSE)
INCREASE IV FLUID (INCREASE PERFUSION TO FETUS) O2 (AIDE WITH PERFUSION) NOTIFY PHYSICIAN |
|
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APHASIA
|
DISORDER CAUSED BY DAMAGE TO PARTS OF THE BRAIN THAT CONTROL LANGUAGE
|
|
|
T/F NURSES CAN MAKE "LATE ENTRIES" WHEN CHARTING
|
T
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|
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MOST LIFE-THREATENING COMPLICATIONS POST-C/S
|
HEMORRHAGE
SHOCK |
|
|
STREPTOKINASE: CLASS AND PURPOSE
|
THROMBOLYTIC
USED TO LYSE BLOOD CLOTS |
|
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PERTUSSIS PRECAUTION
|
DROPLET
|
|
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BASIC INTERVENTION FOR DRY MOUTH
|
FREQUENT WATER RINSES AT ROOM TEMP
|
|
|
HEP B VACCINE
|
3 INJECTIONS - REPEATED AT 1 AND 6 MONTHS
|
|
|
SXS'S SEPSIS
|
FEVER > 101.3 OR < 95
HR > 90 BPM RR > 20 BPM PROBABLY OR CONFIRMED INFECTION |
|
|
SXS' OF SEVERE SEPSIS
|
SXS'S PF SEPSIS AND +1:
DECREASE IN URINE OUTPUT ABRUPT CHANGE IN MENTAL STATUS DECREASE IN PLT COUNT DIFFICULTY BREATHING ABNORMAL HEART PUMPING FUNCTION ABDOMINAL PAIN |
|
|
SXS'S OF SEPTIC SHOCK
|
SXS'S OF SEVERE SEPSIS + LOW BP
|
|
|
LIFE THREATENING CONDITION OF THERMAL INJURY
|
BURN WOUND SEPSIS
|
|
|
ADEQUATE FLUID INTAKE
|
1,500 ML PER DAY
|
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WHAT THREE PARTS ARE CONTINUALLY ASSESSED WHEN USING THE GLASCOW COMA SCALE
|
EYES
VERBAL RESPONSE MOTOR RESPONSE |
|
|
GENERAL DESCRIPTIONO OF GLASCOW COMA SCORES
|
THE LOWER THE SCORE, THE MORE SEVERE THE UNCONSCIOUS STATE
|
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|
IF A THREE-CHAMBER WATER-SEALED CHEST DRAINAGE SYSTEM IS WORKING CORRECTLY, WHAT HAPPENS WITH THE FLUID IN THE WATER-SEALED CHAMBER
|
IT SHOULD FLUCTUATE WITH PT. RESPIRATIONS INDICATING NORMAL PRESSURE CHANGES ARE TAKING PLACE WITHIN THE PLEURAL CAVITY
|
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WHEN THE LUNGS HAVE RE-EXPANDED WHAT CHANGE WILL BE SEEN IN THE WATER-SEALED CHAMBER OF A THREE-CHAMBER WATER-SEALED CHEST DRAINAGE SYSTEM
|
THE FLUCTUATIONS WILL STOP
|
|
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WHAT IS THE PURPOSE OF A THREE-CHAMBER WATER-SEALED CHEST DRAINAGE SYSTEM
|
TO GET RID OF EXCESS AIR OR FLUID IN THE CHEST
|
|
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PRIORITY WHEN IRRIGATING A WOUND
|
PREVENT INFECTION
|
|
|
S3 & S4: WHAT ARE THEY AND WHAT COMPLICATIONS DO THEY REPRESENT?
|
ALTERATIONS IN VENTRICULAR FILLING
A/W HF |
|
|
DESCRIBE HOW TO FLUSH AN IV LOCK
|
2-3 ML OR NS OR HEPARIN FLUSH SOLUTION
|
|
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PURPOSE FOR THOMAS SPLINT WITH PEARSON ATTACHMENTS AND BUCK'S TRACTION
|
APPLICATION OF TRACTION TO FRACTURED BONES
|
|
|
COMPLICATION OF RHEUMATIC FEVER
|
CARDITIS AND MITRAL VALVE STENOSIS
|
|
|
BLANCHED SKIN THAT DOES NOT DISAPPEAR IN A SHORT WHILE CAN BE INDICATIVE OF WHAT COMMON HOSPITAL ACQUIRED COMPLICATION
|
PRESSURE ULCER
|
|
|
INTERVENTIONS FOR CLIENT NEWLY ADMITTED WITH SALMONELLA
|
CONTACT PRECAUTIONS
IV FLUIDS CLEAR LIQUID DIET |
|
|
PRIORITY INTERVENTION FOR PT'S WITH INFECTIOUS DISEASES
|
MAINTAIN NECESSARY ISOLATION PRECAUTIONS
|
|
|
WHAT HORMONE IS IN EXCESS IN AN INDIVIDUAL WITH CUSHING'S DISEASE
|
CORTISOL
|
|
|
WHAT HORMONES ARE INADEQUATE IN AN INDIVIDUAL WITH ADDISON'S DISEASE
|
CORTISOL, ALDOSTERONE
|
|
|
SXS'S OF ASA OD
|
NOSEBLEEDS
HYPERVENTILATION TINNITUS GASTRIC DISTRESS |
|
|
EYE DISORDERS: LOSS OF PERIPHERAL VISION OCCURS WITH...
|
GLAUCOMA
|
|
|
EYE DISORDERS: LOSS OF ACUITY OCCURS WITH...
|
CATARACTS
|
|
|
EYE DISORDERS: PHOTOPHOBIA AND LOSS OF PORTION OF VISUAL FIELD OCCURS WITH
|
DETACHED RETINA
|
|
|
DISSEMINATED INTRAVASCULAR COAGULATION (DIC)
|
A LIFE-THREATENING CONDITIONING THAT PREVENTS AN INDIVIDUALS BLOOD FROM CLOTTING NORMALLY INCLUDING EXCESSIVE CLOTTING IN SOME AREAS AND BLEEDING IN OTHERS LEADING TO SHOCK, ORGAN FAILURE, AND DEATH
|
|
|
WHY SHOULD THE NURSE WASH HER HANDS PRIOR TO REMOVING HER MASK WHEN LEAVING A ROOM WITH DROPLET PRECAUTIONS
|
TO AVOID SPREADING ORGANISM FROM HANDS TO FACE
|
|
|
SUCTION TECHNIQUE, INCLUDING PRESSURE AND CATHETER SIZE USED
|
HYPER-OXYGENATE CLIENT
MAINTAIN ASEPTIC TECHNIQUE 90-120 MMHG #12 OR #14 CATHETER USE TWIRLING MOTION WHEN APPLYING SUCTION |
|
|
GOAL IN TREATING PNEUMOTHORAX
|
ALLOW AIR TO ESCAPE WITHOUT INTRODUCING AIR
|
|
|
MENIERE'S DISEASE
|
INNER EAR DISORDER THAT AFFECTS BALANCE AND HEARING
|
|
|
SWANZ-GANZ CATHETER INDIRECTLY MEASURES...
|
PRESSURE IN THE LEFT VENTRICLE
|
|
|
CVP READINGS MEASURE...
|
PRESSURE IN RIGHT ATRIUM
|
|
|
MOST COMMON COMPLICATION FOLLOWING AN MI R/T HEART FUNCTION
|
DYSRHYTHMIA
|
|
|
THERAPEUTIC LEVEL: DIGOXIN
|
0.5-2.0 NG/ML
|
|
|
HOW IS CF INHERETED
|
BOTH PARENTS ARE CARRIERS OF ABNORMAL GENE
IT IS A RECESSIVE TRAIT |
|
|
BEST WAY TO ASSESS FOR FVD
|
DAILY WEIGHTS
|
|
|
WHY IS BEDREST AND ELEVATION OF THE AFFECTED EXTERMITY AN APPROPRIATE IMPLENTATION FOR A CLIENT EXPERIENCING A DVT
|
PROMOTES VENOUS RETURN
DECREASES VENOUS PRESSURE RELIEVES PAIN AND EDEMA |
|
|
WHAT KIND OF DIET SHOULD AN INDIVIDUAL WITH A FLACCID BLADDER FOLLOW
|
DIET THAT PROMOTES ACIDIC URINE TO PREVENT UTI'S
|
|
|
BENEFICENCE
|
DOING GOOD
|
|
|
VERACITY
|
TRUTHFULNESS
|
|
|
FIDELITY
|
FAITHFUL AND LOYAL
|
|
|
AUTONOMY
|
INDEPENDENCE
|
|
|
NONMALEFICENCE
|
PREVENTING HARM TO OTHERS
|
|
|
PATERNALISM
|
INTERFERING WITH AN INDIVIDUAL'S LIBERTY
|
|
|
FIRST SIGN OF TENSION PNEUMOTHORAX
|
LEFT-SIDED TRACHEAL SHIFT FROM MIDLINE
|
|
|
DTaP VACCINE REGIME
|
2, 4, 6 MONTHS
|
|
|
IVP VACCINE REGIME
|
2, 4 MONTHS
|
|
|
MMR VACCINE REGIME
|
15 MONTHS
|
|
|
MULTIPLE MYELOMA
|
CANCER AFFECTING PLASMA CELLS WITH RESULTANT DESTRUCTION OF BONE AND BM PRODUCTS; SINCE PLASMA CELLS ARE RESPONSIBLE FOR PRODUCING ANTIBODIES, THE IMMUNE SYSTEM IS AFFECTED WITH ABNORMAL PRODUCTION OF THESE PROTEINS
|
|
|
WHY MIGHT PROPANOLOL (INDERAL) BE CAUTIONED FOR USE WITH A TYPE 1 DIABETIC?
|
TACHYCARDIA AS A RESULT OF HYPOGLYCEMIA MAY BE MASKED
|
|
|
HOW TO REMEMBER 3 COMMON ADE'S OF BETA-BLOCKERS, WHAT ARE THEY?
|
BETA (BRADYCARDIA)
BLOCKER (BRONCHOSPASM) DEPRESSES (DEPRESSION) |
|
|
NSAIDS, WITH OR WITHOUT MEALS
|
WITH MEALS, CAN CAUSE GI DISTRESS
|
|
|
NSAIDS, ADES
|
GI DISTRESS
BLEEDING TINNITUS |
|
|
APPROPRIATE POSITION FOR PATIENT FOLLOWING A LIVER BIOPSY, WHY?
|
RIGHT SIDE, TO APPLY PRESSURE AND PREVENT BOTH BLEEDING AND BILE LEAKAGE
|
|
|
LIFE-THREATENING COMPLICATION OF BULEMIA
|
HYPOKALEMIA
|
|
|
SXS'S HYPOKALEMIA
|
HEART COMPLICATIONS
CONSTIPATION FATIGUE MUSCLE DAMAGE (RHABDO) MUSCLE WEAKNESS, SPASMS PARALYSIS (INCLUDING LUNGS) |
|
|
DECREASED ABILITY TO PROBLEM SOLVE, PSYCHOMOTOR RETARDATION AND SOCIAL ISOLATION ARE SYMPTOMATIC OF WHAT MENTAL DISORDER
|
DEPRESSION
|
|
|
DEFINE LUPUS
|
CHRONIC INFLAMMATORY AUTOIMMUNE DISEASE; IMMUNE SYSTEM ATTACKS OWN TISSUE AND CAN AFFECT SEVERAL BODY SYSTEMS
|
|
|
3 MAJOR PROBLEMS A/W LUPUS
|
SUN EXPOSURE
INFECTION JOINT STRESS |
|
|
RECOMMENDATION FOR INCREASING FIBER INTAKE
|
DIETARY SOURCES: 2-4 SERVINGS OF FRUITS AS WELL AS 3-5 SERVINGS OF VEGGIES PER DAY
|
|
|
NURSING CARE FOR DVT
|
BED REST
ELEVATE EXTREMITY MONITOR PERIPHERAL PULSES ADMINISTER ANTI-COAGULANTS APPLY WARM, MOIST PACKS |
|
|
RISK FACTORS A/W CVA
|
RACE - AA
GENDER - M SUBSTANCE ABUSE SMOKING HIGH BP CVD SEDENTARY LIFESTYLE OVERWEIGHT/ OBESE BC PILLS FAMLY HISTORY |
|
|
UNILATERAL HEARING CONTROLLED BY...
|
TEMPORAL LOBE
|
|
|
PERSONALITY CONTROLLED BYE...
|
FRONTAL LOBE
|
|
|
VISUAL IMPAIRMENTS CONTROLLED BY...
|
OCCIPITAL LOB
|
|
|
BOWEL AND BLADDER INCONTINENCE CONTROLLED BY...
|
BRAINSTEM
|
|
|
FOODS HI IN K+
|
APRICOTS
BANANAS BEANS BROCOLI CANTELOUPE ORANGES POTATOES RAISINS SKIM MILK SPINACH |
|
|
DESCRIBE THE REACTION TO A MANTOUX TEST THAT MIGHT OCCUR WITH AN IMMUNOCOMPRIMISED PATIENT
|
FALSE-NEGATIVE BC IMMUNE SYSTEM MAY NOT BE ABLE TO INITIATE RESPONSE
|
|
|
DEFINE MENIERES DISEASE
|
INNER EAR D/O THAT CAUSES FREQUENT EPISODES OF VERTIGO, ALONG WIHT FLUCTUATING HEARING LOSS, TINNITUS, AND PRESSURE
|
|
|
DIETARY CHANGES WITH MENIERES DISEASE
|
EAT FREQUENT SMALL MEALS
AVOID SALT AVOID MSG |
|
|
DEFINE HYPERCAPNIA
|
AN ELEVATED LEVEL OF CO2 DISSOLVED IN THE BLOODSTREAM
|
|
|
WHAT PATIENT'S SUFFER FROM HYPERCAPNIA, AND WHY IS THIS SIGNIFICANT?
|
COPD
CHRONICALLY HIGH LEVELS OF CO2 ULTIMATELY CAUSES O2 AS STIMULUS TO BREATHE SEVERELY HIGH LEVELS OF CO2 CAN LEAD TO RESPIRATORY ARREST |
|
|
WHY DO WE NEED TO BE CAREFUL IN ADMINISTERING O2 TO COPD PATIENTS?
|
CAN CAUSE SEVERELY ELEVATED LEVELS OF DISSOLVED CO2 IN THE BLOODSTREAM
|
|
|
HINDUISM AND PATIENT DEATH AT BEDSIDE
|
WATER AND WASHCLOTH
HINDU PRIEST |
|
|
BUDDHISM AND PATIENT DEATH AT BEDSIDE
|
CHANTING
BUDDHIST PRIEST |
|
|
DISSOCIATIVE IDENTITY D/O WAS PREVIOUSLY TERMED...
|
MULTIPLE PERSONALITY D/O
|
|
|
WHAT D/O OS OFTEN SEEN WITH DISSOCIATIVE IDENTITY D/O?
|
SOMATIC
|
|
|
4 G'S
|
GARLIC
GINGER GINKO GINSENG |
|
|
GINKO
|
ANTI-PLATELET AGENT
CNS STIMULANT |
|
|
DEFINE ALS
|
PROGRESSIVE NEURODEGENERATIVE DISEASE THAT AFFECTS NERVE CELLS IN THE BRAIN AND SPINAL CORD THAT CONTROL VOLUNTARY MOVEMENT
|
|
|
EARLY SXS'S PF ALS
|
WEAKNESS
SPEECH SWALLOWING BREATHING |
|
|
WHY ARE WARM SOAKS AN APPROPRIATE ACTION FOR PHLEBITIS
|
DILATE THE VEIN AND PROMOTE CIRCULATION
|
|
|
CORTICOSTEROIDS AFFECT ON BS
|
HYPERGLYCEMIA
|
|
|
MALIGNANT HYPERTHERMIA
|
LIFE-THREATENING COMPLICATION OF ANESTHESIA
|
|
|
WHO IS AT RISK FOR MALIGNANT HYPERTHERMIA
|
GENETIC PREDISPOSITION D/O TRANSMITTED AS AUTOSOMAL DOMINANT TRAIT
|
|
|
INDICATIONS OF MALIGNANT HYPERTHERMIA
|
MUSCLE RIGIDITY
BREAKDOWN OF M. FIBERS (RHABDO) TACHYCARDIA HIGH FEVERS, HYPERTHERMIA ACIDOSIS |
|
|
DEFINE ECTOPIC PREGNANCY
|
FERTILIZED EGG IMPLANTS ITSELF OUTSIDE OF THE UTERUS
|
|
|
FIRST WARNING SIGNS OF ECTOPIC PREGNANCY
|
ABDOMINAL OR PELVIC PAIN (DULL, UNI-LATERAL)
LIGHT VAGINAL BLEEDING |
|
|
DM I, RISK FACTORS
|
GENETICS
FAMILY HISTORY EXPOSURE TO A VIRAL ILLNESS GEOGRAPHY RACE, CAUCASIAN DIET |
|
|
DM II, RISK FACTORS
|
WEIGHT, OBESITY
INACTIVITY, SEDENTARY LIFESTYLE FAMILY HISTORY RACE - BLACKS, HISPANICS, AMERICAN INDIANS, ASIANS AGE - INCREASING GESTATIONAL DIABETES HIGH BP ABNORMAL CHOLESTEROL HIGH TRIGLYERIDES |
|
|
WHAT RACES ARE AT HIGHER RISK FOR EACH TYPE OF DM
|
I - CAUCASIAN
II - AA, HISPANIC, AMERICAN INDIAN, ASIAN |
|
|
DIABETES INSIPISDOUS
|
D/O OF WATER METABOLISM CAUSED BY DEFICIENCY OF ADH BY PITUITARY GLAND
|
|
|
SXS OF DI
|
POLYURIA
POLYDIPSIA |
|
|
DI, SG
|
DILUTE, < 1.005
|
|
|
DI, URINARY OUTPUT
|
4-30 L PER DAY
|
|
|
TX FOR HERPES SIMPLEX ABSCESS
|
WASH WITH DILUTED BETADINE SOLUTION
LEAVE OPEN TO AIR |
|
|
CELIAC DISEASE AND DIET
|
IMMUNE RESPONSE TO GLUTEN - RESTRICT RYE, BARLEY, WHEAT, OATS
|
|
|
SXS'S OF PULMONARY EMBOLISM
|
SUDDEN SOB
CHEST PAIN COUGH WHEEZING LEG-SWELLING CLAMMY, BLUISH SKIN EXCESSIVE SWEATING TACHYCARDIA, IRREGULAR HEART BEAT WEAK PULSE LIGHT-HEADEDNESS, FAINTING |
|
|
BEST POSITION FOR SUSPECTED AIR EMBOLISM
|
TRENDELENBERG, LOWER HOB
LEFT-LATERAL |
|
|
DESCRIBE PURPOSE FOR PT. POSITIONING R/T AN AIR EMBOLI
|
KEEPS THE AIR BUBBLE ON RIGHT SIDE OF HEART, PREVENTING IT FROM OCCLUDING CORONARY ARTERIES
|
|
|
ESOPHAGEAL VARICES
|
ENLARGED VEINS IN LOWER ESOPHAGUS OFTEN RESULTING FROM PORTAL VEIN OBSTRUCTION
|
|
|
COMPLICATION OF ESOPHAGEAL VARICES
|
VEINS NOT DESIGNED TO HOLD HIGH PRESSURES CAN RUPTURE CAUSING LIFE-THREATENING BLEEDING
|
|
|
SENGSTAKEN-BLAKEMORE TUBE
|
MEDICAL DEVICE DESIGNED TO CONTROL BLEEDING OF VARICES AND AS DIAGNOSTIC MEASURE TO DETERMINE SOURCE AND/OR EXTENT OF HEMORRHAGE
|
|
|
WHAT MIGHT CAUSE RESPIRATORY DISTRESS OR UPPER AIRWAY OCCLUSION IN PT. WITH SENGSTAKEN -BLAKEMORE TUBE
|
UPWARD DISPLACEMENT OF ESOPHAGEAL BALLOON
|
|
|
TO PREVENT DEFORMATIES, WHAT POSITIONS SHOULD BE AVOIDED R/T CVA AND PARALYSIS
|
JOINT FLEXION
SHOULDER ADDUCTION EXTERNAL ROTATION AT HIP PLANTAR FLEXION |
|
|
UMBILICAL CORD CARE
|
CLEAN AND DRY
|
|
|
WHAT ARE KETONES
|
BY-PRODUCT OF FAT BREAKDOWN THAT ARE TOXIC ACIDS
|
|
|
SXS'S OF DKA
|
EXCESSIVE THIRST
FREQUENT URINATION N/V ABDOMINAL PAIN WEAKNESS/ FATIGUE SOB FRUITY-SCENTED BREATH CONFUSION ELEVATED BS KETONES IN URINE |
|
|
CROSS ALLERGY OF RADIOPAQUE DYE
|
IODINE
|
|
|
DAILY REQUIREMENT OF SODIUM PER DAY
|
< 2,300
|
|
|
LO-SODIUM ALTERNATIVES THAT YOU MIGHT FIND SURPRISING
|
EGGS
FISH MILK YOGURT MUFFINS READY-TO-EAT CEREALS RICE, PASTA FROZEN FRENCH FRIES VINEGAR VEGGIE OIL MAYONAISE |
|
|
LAB VALUES: NORMAL AST, ALT
|
8-40
|
|
|
LAB VALUES: NORMAL BILIRUBIN
|
0.3-1.0
|
|
|
POSITION FOR CLIENT WHO FEELS FAINT
|
HEAD BETWEEN KNEES
|
|
|
LAB VALUES: PaO2
|
80-100 mmhg
|
|
|
LAB VALUES: ABG'S
|
PH = ACIDIC ---- 7.35-7.45 ---- BASIC
------------------- PCO2 = BASIC ---- 35-45 ---- ACIDIC (LUNGS) ------------------- HCO3 = ACIDIC ---- 22-26 ---- BASIC (KIDNEY) |
|
|
HYPERVENTILATION: PH, CO2, AND IMPLEMENTATION
|
PH < 7.35, CO2 < 35
BREATHE IN PAPER BAG TO INCREASE CO2 LEVELS |
|
|
NEWBORN HEAD CIRCUMFERENCE
|
32-36 CM
|
|
|
HOW OFTEN SHOULD OSTOMY BAGS BE CHANGED
|
ONCE A WEEK
|
|
|
BMI: UNDERWEIGHT, NORMAL, OVERWEIGHT, OBESE
|
<= 18.5
18.5-24.9 24.5-29.9 >=30 |
|
|
BMI FORMULA
|
WEIGHT (KG) / [HEIGHT (M)]^2
WEIGHT (LBS) / [HEIGHT (IN)]^2 X 703 |
|
|
5 RIGHTS
|
RIGHT TIME
RIGHT ROUTE RIGHT DOSE RIGHT MEDICATION RIGHT PATIENT |
|
|
WHY SHOULD WE BE CAREFUL WITH STANDING WATER IN PT. ROOMS
|
CAN ACT AS A CULTURE MEDIUM
|
|
|
WHY MIGHT A PATIENT WITH HEPATITIS BE ITCHY
|
ACCUMULATION OF BILE SALTS UNDER THE SKIN
|
|
|
MEDICATION GIVEN TO HELP WITH FETAL LUNG MATURITY
|
CORTICOSTEROIDS
|
|
|
IMPORTANT ASSESSMENT WHEN ADMINISTERING MAGNESIUM SULFATE, WHY
|
DTR, CNS DEPRESSANT
|
|
|
ANTIDOTE: MAGNESIUM SULFATE
|
CALCIUM GLUCONATE
|
|
|
MOST COMMON COMPLICATION OF LUMBAR PUNCTURE
|
POST-LUMBAR PUNCTURE HEADACHE
|
|
|
SPECIAL CONSIDERATION FOR CLIENTS PLACED ON MAOI'S, WHY?
|
AVOID FOODS CONTAINING TYRAMINE
CAN CAUSE HTN CRISIS |
|
|
TYRAMINE CONTAINING FOODS
|
AGED CHEESE
CURED MEATS SMOKED FISH WINE, SOME BEER |
|
|
BP A/W HTN CRISIS
|
SYSTOLIC: >= 180 OR,
DIASTOLIC: >=110 |
|
|
COMPLICATIONS A/W HTN CRISIS
|
DAMAGE TO BLOOD VESSELS
ORGAN DAMAGE INEFFECTIVE BLOOD PUMPING/ DISTRIBUTION |
|
|
SXS'S A/W HTN CRISIS
|
SEVERE CHEST PAIN
SEVERE HEADACHE CONFUSION BLURRED VISION N/V SEVERE ANXIETY SOB SEIZURES UNRESPONSIVENESS |
|
|
CAUSES OF ACUTE RENAL FAILURE
|
DROP IN BLOOD FLOW TO KIDNEYS (HYPOVOLEMIA)
OBSTRUCTION/ BLOCKAGE TO KIDNEYS (ISCHEMIA) SOME MEDICINE, POISONS, INFECTIONS |
|
|
DESCRIBE THE BLOOD SERUM OF A BURN PATIENT
|
HEMOCONCENTRATED
|
|
|
CAUSE OF CURLING'S ULCER
|
BURNS --> HYPOVOLEMIA --> DECREASED BLOOD SUPPLY TO GI TRACT --> ISCHEMIA --> NECROSIS
|
|
|
MEDICAL NEGLIGENCE
|
UNINTENTIONAL FAILURE OF AN INDIVIDUAL TO PERFORM AN ACT THAT A REASONABLE PERSON WOULD OR WOULD NOT PERFORM IN SIMILAR CIRCUMSTANCES; OMISSION OR COMISSION
|
|
|
DRUG CLASS: ALBUTEROL
|
BRONCHODILATOR
|
|
|
POTASSIUM SPARING DIURETIC
|
ALDACTONE
|
|
|
ALTHOUGH MORPHINE IS VERY AFFECTIVE IN PAIN MANAGEMENT, WHEN MIGHT BE A GOOD TIME TO EXPLORE ALTERNATIVE PAIN MANAGEMENT TECHNIQUES
|
WHEN SIDE EFFECTS BECOME APPARENT
|
|
|
ADE'S: MORPHINE
|
RESPIRATORY DEPRESSION
HYPOTENSION BRADYCARDIA DECREASED BOWEL SOUNDS DEPENDENCY CONSTIPATION URINARY RETENTION N/V PRURITUS OTHERS... |
|
|
MORPHINE AND FENTANYL ARE BOTH VERY EFFECTIVE ANALGESICS, WHAT ADVANTAGE DOES MORPHINE HAVE OVER FENTANYL?
|
REDUCES CARDIAC WORKLOAD
|
|
|
MOA: CALCIUM CHANNEL BLOCKERS
|
INHIBITS CALCIUM ION INFLUX INTO VASCULAR SMOOTH MUSCLE AND MYOCARDIUM
|
|
|
MOA: NITROGLYCERINE
|
RELAXES SMOOTH MUSCLES
DILATES CORONARY ARTERIES |
|
|
SPECIAL CONSIDERATION: NITROGLYCERINE
|
REBOUND HYPOTENSION
|
|
|
MALPRACTICE
|
DUTY, BREACH OF DUTY, CAUSATION AND INJURY
|
|
|
GENERAL IDEA BEHIND MEDICATIONS GIVEN TO CLIENTS WITH HYPOTHYROIDISM
|
RESTORES ADEQUATE THYROID HORMONE LEVELS
INCREASES METABOLIC PROCESSES THAT HAVE SLOWED DOWN REVERSES SXS'S OF D/O |
|
|
LEVOTHYROXINE - WHAT IS IT? WHY DO WE PRESCRIBE IT?
|
SYNTHETIC THYROID HORMONE
TX FOR HYPOTHYROIDISM |
|
|
EXPLAIN WHAT IS HAPPENING DURING MULTIPLE SCLEROSIS THAT LEADS TO MOST OF THE SXS'S EXPERIENCED WITH THE D/O
|
DAMAGE TO THE MYELIN IN THE CNS, AND THE NERVE FIBERS THEMSELVES, INTERFERES WITH TRANSMISSION OF NERVE SIGNALS BETWEEN THE BRAIN, SPINAL CORD, AND OTHER PARTS OF THE BODY
|
|
|
SPECIAL CONSIDERATIONS WHEN HANGING PITOCIN
|
SECONDARY LINE
CONTROLLED BY INFUSION PUMP |
|
|
PKU DIET
|
LOW PHENYLALENINE, OFTEN FOUND IN PROTEINS
|
|
|
LOFENALAC FORMULA
|
PKU FORMULA
|
|
|
RISK FACTORS: PNEUMONIA
|
ADVANCED AGE
UNDERLYING LUNG DISEASE BEDRIDDEN POST-OP |
|
|
SPECIAL CONSIDERATIONS: GARLIC
|
MAY POTENTIATE EFFECT OF DIABETIC DRUGS RESULTING IN HYPOGLYCEMIA
|
|
|
SXS'S OF NEUROLEPTIC MALIGNANT SYNDROME
|
HIGH FEVER
SWEATING UNSTABLE BP STUPOR MUSCULAR RIGIDITY AUTONOMIC DYSFUNCTION |
|
|
DEFINE NEUROLEPTIC MALIGNANT SYNDROME
|
LIFE-THREATENING NEUROLOGICAL D/O MOST OFTEN CAUSED BY AN ADVERSE REACTION TO ANTIPSYCHOTIC DRUGS (OR DOPAMINERGIC DRUGS IF STOPPED ABRUPTLY)
|
|
|
EARLY SXS'S OF SHOCK
|
SLIGHTLY INCREASED RR
SLIGHT TACHYCARDIA CHANGE IN LOC |
|
|
SEGMENTED NEUTROPHILS VERSUS BAND NEUTROPHILS
|
MATURE WBC'S VERSUS IMMATURE WBC'S
|
|
|
STAGES OF SHOCK: RR
|
> 20 BPM
RAPID, SHALLOW INTUBATED |
|
|
STAGES OF SHOCK: HR
|
> 100 BPM
> 150 BPM ERRATIC |
|
|
STAGES OF SHOCK: BP
|
WNL
SYSTOLIC <80 REQUIRES SUPPORT |
|
|
STAGES OF SHOCK: URINE OUTPUT
|
DECREASING
< 30 CC/HR OLIGURIA |
|
|
STAGES OF SHOCK: SKIN
|
COOL, CLAMMY
GRAY, MOTTLED JAUNDICED |
|
|
STAGES OF SHOCK: MENTAL STATUS
|
RESTLESS
LETHARGIC UNCONSCIOUS |
|
|
STAGES OF SHOCK: ACID/BASE
|
RESP. ALKALOSIS D/T HYPERVENTILATION
RESP. & METABOLIC ACIDOSIS PROFOUND ACIDOSIS |
|
|
STAGES OF SHOCK: PERIPHERAL PULSE
|
BOUNDING
WEAK ABSENT |
|
|
RISK: DIGOXIN
|
HYPOKALEMIA
|
|
|
DESCRIBE CARDIOVERSION
|
ELECTIVE PROCEDURE TO TREAT DYSRHYTHMIAS VIA SYNCHORNIZED COUNTERSHOCK
|
|
|
WHEN YOU THINK SPINAL ANESTHESIA OR LUMBAR PUNCTURE YOU SHOULD ALSO THINK...
|
BP! AND HYPOTENSION!
|
|
|
DESCRIBE FLAIL CHEST
|
SEGMENT OF THORACIC CAGE IS DETACHED FROM THE REST OF THE CHEST WALL AS A RESULT OF BLUNT TRAUMA, CAN BE ACCOMPANIED BY MORE SIGNIFICANT UNDERLYING TRAUMA
|
|
|
SURGERY AND CORTICOSTEROIDS
|
INCREASES DEMAND
|
|
|
SXS'S OF ACUTE PANCREATITIS
|
MID-ABDOMINAL PAIN
ACUTE VOMITING |
|
|
SXS'S OF IRRITABLE BOWEL SYNDROME
|
CRAMPING
ABDOMINAL PAIN GAS DIARRHEA CONSTIPATION |
|
|
LITHIOTRIPSY
|
MEDICAL PROCEDURES THAT USES SHOCK WAVES TO BREAK UP STONES IN THE KIDNEY, BLADDER OR URETER
|
|
|
DIET: BURN PATIENTS
|
HI CAL
HI PRO |
|
|
RAYNAUD'S SYNDROME
|
BLOOD VESSEL SPASMS BLOCKS BLOOD FLOW TO FINGERS, EARS, NOSE, AND TOES
|
|
|
SPECIAL CONSIDERATIONS: AUTOLOGOUS BLOOD DONATION
|
START DONATIONS UP TO 5 WEEKS PRIOR
NO BLOOD DRAWS WITHIN 3 DAYS PRIOR ORAL IRON SUPPLEMENTS ADMINISTERED CAN GIVE 2-4 UNITS OF BLOOD AFEBRILE, NORMAL HGB/ HCT |
|
|
SXS'S OF HEAT STROKE
|
ANHYDROSIS
HOT, DRY SKIN ELEVATED TEMP > 104 HYPOTENSION TACHYCARDIA TACHYPNEA BIZARRE BEHAVIOR MUSCLE CRAMPS HEADACHE |
|
|
SXS'S HEP A
|
ANOREXIA
MALAISE FATIGUE N/V ABDOMINAL PAIN/ DISCOMFORT LOW-GRADE FEVER JAUNDICE DARK URINE MUSCLE PAIN |
|
|
BREATHING RHYTHM: CHEYENNE-STOKES
|
PERIODS OF HYPER-APNEA, FOLLOWED BY PERIODS OF APNEA
|
|
|
BREATHING RHYTHM: PNEUMOTHORAX
|
TACHYPNEA
|
|
|
BREATHING RHYTHM SEEN WITH METABOLIC ACIDOSIS/ DKA
|
KUSSMAUL BREATHING
|
|
|
BREATHING RHYTHM: KUSSMAUL BREATHING
|
DEEP, RAPID RESPIRATIONS
|
|
|
CAUSES OF K.U.S.S.M.A.L BREATHING
|
KETONES
UREMIA SALASYLIC ACID SEPSIS METHANOL LACTIC ACIDOSIS |
|
|
WHEEZES INDICATE...
|
AIRWAY NARROWING, OBSTRUCTION
|
|
|
RALES INDICATE...
|
EXCESS FLUID
ATELECTASIS |
|
|
STRIDOR INDICATES...
|
UPPER AIRWAY NARROWING, OBSTRUCTION
|
|
|
WHY MIGHT EAR D/O'S BE CONSIDERED A PRIORITY?
|
PATIENT IS UNSAFE D/T VERTIGO AND DECREASED BALANCE
|
|
|
LAB VALUES: aPTT
|
LOWER: 20-25S
UPPER: 32-39S THERAPEUTIC: 1.5-2.5 X NORMAL |
|
|
MOST COMMON CAUSE OF HYPOMAGNESIA
|
CHRONIC ALCOHOL USE
|
|
|
SXS'S PF HYPOMAGNESIA
|
NEUROMUSCULAR IRRITABILITY
TREMORS TETANY SEIZURES |
|
|
OVULATION AND BASAL BODY TEMP
|
SLIGHT DROP AND THEN SLIGTH INCREASE
|
|
|
T/F ILLNESS POTENTIATES RISK FOR AIRWAY INFLAMMATION AND CONSTRICTION IN ASTHMATIC CLIENTS
|
TRUE
|
|
|
DESCRIBE WHEN NORMAL ACTIVITIES CAN BE RESUMED AFTER SURGERY FOR A DETACHED RETINA
|
GENERAL - 6 WEEKS
AVOID RAPID EYE MOVEMENTS - 1ST WEEK STRENUOUS ACTIVITY - 3 MONTHS |
|
|
ADL'S TO AVOID AFTER SURGERY FOR A DETACHED RETINA
|
SNEEZING
COUGHING STRAINING DURING STOOL BENDING OVER |
|
|
BELL'S PALSY
|
DAMAGE TO CNVII RESULTING IN PARALYSIS OF FACIAL MUSCLES
|
|
|
GLAUCOMA
|
IOP DAMAGES OPTIC NERVE
|
|
|
DIET: INFLAMMATORY BOWEL DISEASE
|
LO RESIDUE
HI PROTEIN HI CAL |
|
|
APPROPRIATE ANALGESIC FOR CLIENT WITH SEIZURES
|
DILANTIN
|
|
|
'PRILS
|
ACE INHIBITORS
|
|
|
ACE INHIBITORS TREAT...
|
HTN
|
|
|
CN IX & CNX ASSESSMENT
|
TONGUE DEPRESSOR AND FLASHLIGHT TO DETERMINE THE CLIENT'S ABILITY TO SWALLOW AND THE GAG REFLEX
|
|
|
INSTRUCTIONS TO AVOID NAUSEA DURING FIRST TRIMESTER
|
DRY CARBS/ HYDRATE 30MIN-1HR BEFORE GETTING UP
WAIT FOR NAUSEA TO PASS SMALL FREQUENT MEALS AVOID FRIED, SPICY, GAS-FORMING FOODS |
|
|
APT M
|
RIGHT STERNUM 2 ICS
LEFT STERNUM 2 ICS LEFT STERNUM 5 ICS LEFT MCL 5 ICS |
|
|
HERB'S POINT
|
LEFT STERNUM 3 ICS
|
|
|
AUTONOMIC REFLEXIA
|
OVER-ACTIVE AUTONOMIC NERVOUS SYSTEM WHICH CAUSES AN ABRUPT ONSET OF AN EXESSIVELY HIGH BP
|
|
|
COMPLICATIONS: AUTONOMIC DYSREFLEXIA
|
MEDICAL EMERGENCY
SEIZURES, STROKE, DEATH |
|
|
SXS'S: AUTONOMIC DYSREFLEXIA
|
BP > 200/100
POUNDING HA GOOSE PIMPLES EXCESSIVE SWEATING ABOVE LEVEL OF INJURY COLD, CLAMMY SKIN ABOVE LEVEL OF INJURY BLOTCHING OF THE SKIN FLUSHED FACE SLOW PULSE RESTLESSNESS NASAL CONGESTION |
|
|
DESCRIBE HEMOPHILIA DISEASE
|
CLIENT HAS LITTLE OR NO CLOTTING FACTOR
|
|
|
CAUSE: HEMOPHILIA DISEASE
|
FAULTY X CHROMOSOME
WOMEN: XX BOTH NEED TO BE FAULTY TO HAVE D/O IF ONE, THEN A CARRIER MEN: XY IF THE X IS FAULTY THEY HAVE THE D/O |
|
|
FHR, NON-STRESS TEST
|
Mother lies still for 2-minutes
At least two 15X15 accelerations over a 20-minute interval |
|
|
DIET: LITHIUM
|
REGULAR DIET WITH NORMAL SODIUM AND ADEQUATE FLUIDS; IF LITHIUM REPLACES SODIUM IN CELLS IT WILL RESULT IN LITHIUM TOXICITY
|
|
|
RECOMMENDED FLUID INTAKE PER DAY
|
1,500-2000 ML
|
|
|
DIGOXIN: DIRECT IV ADMINISTRATION
|
INFUSE OVER 5 MINUTES
USE DILUTED SOLUTION IMMEDIATELY OBSERVE IV SITE |
|
|
SXS'S MS
|
URINARY RETENTION
NUMBNESS, TINGLING IN EXTREMITIES HYPER-REFLEXIA DECREASED SENSITIVITY TO PAIN, FACIAL PAIN, AND TEMP. PERCEPTION COGNITIVE CHANGES SEEN LATER |
|
|
SYMPTOM ONSET IN GUILLAIN BARRE
|
ABRUPT AND PROGRESS QUICKLY, USUALLY IN AN ASCENDING DIRECTION
|
|
|
MOST IMMEDIATE CONCERN OF GUILLAIN BARRE
|
POTENTIAL RESPIRATORY COMRPOMISE FROM RESPIRATORY MUSCLE WEAKNESS
|
|
|
RISK FACTORS: DUPUYTREN CONTRACTURE
|
MALE
> 50 Y/O SCANDINAVIAN, CELTIC DESCENT A/W DIABETES, GOUT, ARTHRITIS, ALCOHOLISM |
|
|
DESCRIBE THE REFLEX THAT OCCURS WHEN HEAT IS APPLIED TO ABDOMEN
|
VASODILATION OF THE EXTREMITIES
|
|
|
T/F STERILE GLOVES ARE REQUIRED FOR CATHETER REMOVAL
|
F
|
|
|
ADVANCED DIRECTIVE
|
CLIENT DESIGNATES PROXY FOR DECISIONS ON BEHALF OF THE CLIENT IF THE CLIENT CANNOT STATE HIS OWN WISHES
|
|
|
RISK FACTORS: COLORECTAL CANCER
|
> 50
FAMILY HISTORY OF COLORECTAL CANCER OR POLYPS DIET HI IN FAT, LO IN FIBER CHRONIC INFLAMMATORY BOWEL DISEASE |
|
|
BP READINGS AND CUFF SIZE
|
TOO SMALL, ELEVATED
TOO BIG, DECREASED |
|
|
PH OF AMNIOTIC FLUID
|
ALKALINE
|
|
|
POSITIONING: AUTONOMIC DYSREFLEXIA
|
SITTING TO PROMOTE DECREASED BP AND PREVENT INCREASED ICP
|
|
|
PHALEN'S MANEUVER
|
BACK OF PALMS TOGETHER, TESTS FOR ARTHRITIS
|
|
|
SXS'S IMPENDING LABOR
|
LIGHTENING
STRONGER BRAXTON HICKS MUCOUS PLUG BLOODY SHOW CERVICAL RIPENING BURST OF ENERGY SPONTANEOUS ROM GI UPSET |
|
|
IOP MMHG
|
10-21
|
|
|
INSTRUCTIONS FOR SEIZURE ACTIVITY
|
SUPPORT ABC'S
PROTECT CLIENT FROM INJURY PROVIDE O2 ESTABLISH IV ACCESS ADMINISTER IV MEDS TO STOP ACTIVITY |
|
|
MEDICAL CONDITION WHERE NEWBORN IS LIKELY TO BE BOTTLE FED
|
HEART DEFECTS
|
|
|
EXPLAIN TO CLIENT HOW TO USED PURSED LIP BREATHING
|
INHALE SLOWLY THROUGH NOSE
EXHALE 2X LONGER THROUGH PURSED LIPS RELAXING SHOULDERS, TIGHTENING ABDOMINAL MUSCLES IS HELPFUL |
|
|
ELECTROLYTE IMBALANCE THAT CAN CAUSE DECREASED DTR'S
|
HYPERCALCEMIA
|
|
|
FUNDUS POST-DELIVERY: 1-6HRS, 6-12HRS, PER DAY
|
HALFWAY BETWEEN UMBILICUS AND PUBIS
UMBILICUS 1 FINGER BREATH BELOW UMBILICUS |
|
|
"SLAPPED CHEEKS"
|
FIFTH DISEASE
|
|
|
WHEN IS A CHILD WITH FIFTH DISEASE MOST CONTAGIOUS
|
BEFORE RASH APPEARS
|
|
|
SXS'S MUMPS
|
FEVER
HA TIREDNESS ANOREXIA SWOLLEN SALIVARY GLANDS, CHEEKS, JAW |
|
|
CLASSIC SXS'S OF TB
|
DRY COUGH
NIGHT SWEATS |
|
|
DURATION OF RESTRAINT ORDER
|
4 HRS
|
|
|
WRIST RESTRAINT VS. VEST RESTRAINT, WHICH IS LESS RESTRICTIVE
|
VEST
|
|
|
BREASTFEEDING DURING ILLNESS
|
CAN CONTINUE BREASTFEEDING
WASH HANDS, WEAR MASK, UNCOVER BREASTS INCREASE FLUIDS |
|
|
DIET: DIVERTICULITUS
|
AVOID SEEDS, NUTS, CORN/ POPCORN
INCREASE BULK, FIBER |
|
|
CAUSE: WERNICKE-KORSAKOFF SYNDROME
|
THIAMINE DEFICIENCY, OFTEN R/T ALCOHOLISM
|
|
|
SXS'S WERNICKE'S
|
CONFUSION
ATAXIA VISUAL CHANGES |
|
|
SXS'S KORSAKOFF'S
|
INABILITY TO CREATE NEW MEMORIES
LOSS OF MEMORY CONFABULATION HALLUCINATIONS |
|
|
DEATH, DYING R/T ISLAMIC CULTURE
|
FACE CLIENT EAST, TOWARDS MECCA
|
|
|
PURPOSE OF RENIN-ANGIOTENSION SYSTEM
|
ELEVATE BP
|
|
|
RENIN IS RELEASED BY THE...
|
KIDNEYS
|
|
|
ANGIOTENSION I IS RELEASED BY THE...
|
LIVER
|
|
|
PURPOSE OF ACE INHIBITORS...
|
DECREASE BP BY BLOCKING CONVERSION OF ANGIOTENSION
|
|
|
MOA: ANGIOTENSION II...
|
CONSTRICTS BLOOD VESSELS
RELEASES ALDOSTERONE |
|
|
MOA: ALDOSTERONE
|
NA AND H2O RETENTION
|
|
|
INFANT WITH MYELOMENINGOCELE IS AT RISK FOR....
|
MENINGITIS
|
|
|
EARLY SXS'S: LITHIUM TOXICITY
|
N/V/D
THIRST POLYURIA MUSCLE WEAKNESS |
|
|
LATE SXS'S: LITHIUM TOXICITY
|
COARSE HAND TREMOR
ATAXIA INCOORDINATION SLURRED SPEECH CONFUSION GI UPSET |
|
|
ORAL HYPOGLYCEMICS SHOULD BE TAKEN WITH/ WITHOUT MEALS
|
WITH MEALS
|
|
|
DRUG INTERACTIONS WITH HERBAL MEDICINE: BLACK COHOSH
|
BIRTH CONTROL
HOROMONE THERAPY ANTI-HYPERTENSIVES SEDATIVES |
|
|
FINGERNAIL CLUBBING: ANGLE
|
INCREASES FROM 165 TO 180
|
|
|
FINGERNAIL CLUBBING: CAUSES
|
MOST COMMONLY, HEART AND LUNG DISORDERS
ALSO, LIVER, GI, GRAVES |
|
|
WHEN IS DUMPING SYNDROME A HIGH RISK
|
AFTER AN ABDOMINAL SURGERY
|
|
|
POSITION:CLIENT DIAGNOSED WITH DUMPING SYNDROME HAS JUST EATEN
|
LYING DOWN
|
|
|
WHAT IS RHINOPLASTY
|
"NOSE JOB"
|
|
|
POSITION: LUMBAR HEADACHE
|
NOT UPRIGHT
|
|
|
CAUSE: POST-LUMBAR HA
|
LOSS OF CSF IN BRAIN
|
|
|
GOALS: END-OF-LIFE CARE
|
CONTROLLING SYMPTOMS
PROMOTING MEANINGFUL INTERACTIONS BETWEEN CLIENT & FAMILY ENCOURAGE EXPRESSIONS OF GRIEF |
|
|
DEFINE VITREOUS HEMMORHAGE
|
LEAKAGE OF BLOOD BETWEEN THE LENS AND RETINA OF THE EYE
|
|
|
SXS'S OF VITREOUS HEMMORHAGE
|
RED HAZE
|
|
|
PRECAUTION: BACTERIAL MENINGITIS
|
DROPLET
|
|
|
SXS'S: BACTERIAL MENINGITIS
|
N/V
PHOTOPHOBIA ALTERED MENTAL STATUS |
|
|
WHY DO WE TEACH TO RINSE THE MOUTH OUT AFTER INHALING FLOVENT
|
FLOVENT IS GLUCOCORTICOID, LOWERS RISK OF CANDIDA INFECTION
|
|
|
EXTRAPYRAMIDAL SYMPTOMS
|
PARKINSONISM
DYSTONIA AKATHISIA TARDIVE DYSKINESIA |
|
|
TARDIVE DYSKINESIA
|
INVOLUNTARY REPETITIVE BODY MOVEMENTS THAT FREQUENTLY APPEARS AFTER LONG-TERM OR HIGH-DOSE USE OF ANTIPSYCHOTICS
|
|
|
T/F DAILY WEIGHTS HELP DETERMINE DEHYDRATION
|
F
|
|
|
PATIENT TEACHING: GI MEDS AND PO MEDS
|
GI MEDS CAN AFFECT ABSORPTION OF PO MEDS, DO NOT TAKE AT SAME TIME
|
|
|
TWO NOTABLE SX'S OF DM TPYE 1
|
EXCESSIVE THIRST
WEIGHT LOSS |
|
|
EARLY SXS'S OF HEPATIC ENCEPHALOPATHY (OVERT)
|
MENTAL CONFUSION
FORGETFULNESS PERSONALITY/ MOOD CHANGES POOR CONCENTRATION POOR JUDGMENT STALE OR SWEET ODORED BREATH CHANGE IN SLEEP PATTERNS WORSENING OF HAND WRITING, SMALL HAND MOVEMENTS |
|
|
LATE SX'S OF HEPATIC ENCEPHALOPATHY (SEVERE)
|
"FLAPPING"
EXTREME ANXIETY SEIZURES SEVERE CONFUSION SLEEPINESS OR FATIGUE JUMBLED, SLURRED SPEECH SLOW MOVEMENT |
|
|
CAUSE: MYASTHENA GRAVIS
|
BREAKDOWN IN NORMAL COMMUNICATION BETWEEN MUSCLES AND THE NERVES THAT CONTROL THEM
|
|
|
IMPORTANCE OF PO MEDICATION ADMINISTRATION AND MYASTHENA GRAVIS
|
TIME IS IMPORTANT BECAUSE OTHERWISE PATIENT MAY HAVE TROUBLE SWALLOWING
|
|
|
PURPOSE: SWEAT TEST
|
CYSTIC FIBROSIS
|
|
|
DEFINE CYSTIC FIBROSIS
|
CHRONIC DISEASE THAT AFFECTS THE LUNGS AND GI SYSTEM IN WHICH THICK, STICKY MUCOUS IS PRODUCED
|
|
|
T/F A PATIENT THAT HAS BEEN PRE-MEDICATED OR HAS BEEN DRINKING ALCOHOL CANNOT SIGN CONSENT
|
T
|
|
|
POSITION: PROLAPSED CORD
|
TRENDELENBURG'S
|
|
|
HOT FLASHES DURING PREGNANCY, NORMAL OR NOT?
|
SEVERAL WOMEN EXPERIENCE HOT FLASHES BUT MAKE SURE TO R/O FEVER
|
|
|
MED THAT ABSORBS BETTER WITH OJ
|
IRON SUPPLEMENTS
|
|
|
SUCTIONING SECRETIONS INCREASES/ DECREASES ICP
|
INCREASES
|
|
|
SIGNIFICANCE OF CONTINUOUS BUBBLING IN THE WATER-SEALED CHAMBER IN REGARDS TO PROPER FUNCTIONING OF A CHEST TUBE
|
INDICATES AIR LEAK
|
|
|
MAIN PURPOSE OF WATER-SEALED CHAMBER IN A CHEST TUBE
|
FOR AIR/ FLUID TO FLOW OUT DURING EXPIRATION, AND NOT FLOW IN DURING INHALATION
|
|
|
DURING INHALATION THE WATER LEVEL IN THE WATER-SELAED CHAMBER.....
|
RISES
|
|
|
DURING EXHALATION, THE WATER LEVEL IN THE WATER-SEALED CHAMBER......
|
DECREASES
|
|
|
THREE CHAMBERS IN CHEST TUBE DRAINAGE SYSTEM
|
COLLECTION
WATER-SEALED SUCTION CONTROL |
|
|
VIRAL GASTROENTERITIS AKA...
|
"STOMACH FLU"
|
|
|
PURPOSE: BULGE TEST
|
FLUID IN KNEE
|
|
|
SUCTION R/T CLEFT LIP AND PALLATE
|
CONTRAINDICATED
|
|
|
INR IS TO.... AS PTT IS TO....
|
COUMADIN, HEPARIN
|
|
|
PTT THERAPEUTIC RANGE
|
1.5-2 X NORMAL
|
|
|
STATUS ASTHMATICUS
|
SEVERE ASTHMA ATTACK THAT DOES NOT RESPOND TO ROUTINE TREATMENT
|
|
|
TX: STATUS ASTHMATICUS
|
EPI
CORTICOSTEROIDS TERBUTALINE INJECTIONS MAGNESIUM SULFATE LEUKOTRIENE INHIBITORS MECHANICAL VENTILATION |
|
|
HALLMARK OF ASPESIS
|
HAND WASHING
|
|
|
SXS'S OF ALCOHOL W/D (6-12HRS)
|
SHAKY HANDS
SWEATING MILD ANXIETY N/V HA INSOMNIA |
|
|
SXS'S OF ALCOHOL W/D (12-24)
|
HALLUCINATIONS, THAT CAN BE DISTINGUISHED FROM REALITY
|
|
|
SXS'S OF ALCOHOL W/D (24-48H)
|
SEIZURES
|
|
|
DT'S, TIME FRAME
|
48-72 HRS
SPIKES WITHIN 5 DAYS CAN OCCUR AS EARLY AS 2H AFTER ALCOHOL W/D |
|
|
SXS'S OF DT'S
|
DISORIENTATION, CONFUSION, SEVERE ANXIETY
HALLUCINATIONS PROFUSE SWEATING SEIZURES HIGH BP RACING AND IRREGULAR HEART BEAT SEVERE TREMORS LOW-GRADE FEVER |
|
|
BULK-FORMING FOODS
|
CEREALS
FRUITS VEGGIES |
|
|
POSITION: AIR EMBOLI, WHY
|
LEFT SIDE, HEAD DOWN BC GAS RISES; THIS POSITION WILL KEEP THE AIR TRAPPED IN THE RIGHT SIDE OF THE HEART, PREVENTING IT FROM REACHING THE BRAIN AND CAUSING A BRAIN ATTACK OR CLOGGING THE CORONARY ARTERIES AND CAUSING A HEART ATTACK
|
|
|
BLOOD SUPPLY FROM HEART TO BRAIN
|
AORTA -- R/L SUBCLAVIAN -- VERTEBRAL & COMMON CAROTID -- BRAIN
|
|
|
ELECTROLYTE IMBALANCE: TETANY
|
HYPOCALCEMIA
|
|
|
MALAISE, SEVERE THORAT, FEVER, HA, EPISTAXIS...
|
MONO
|
|
|
DESCRIBE WHAT OCCURS WITH CONVERSION DISORDER
|
INSTINCTIVE DRIVES AND ASSOCIATED ANXIETY ARE REPRESSED AND CONVERTED INTO A PHYSICAL SYMPTOM
|
|
|
ONE SYMBOLICALLY TAKES THE CHARACTERISTIC OF ANOTHER
|
INTROJECTION
|
|
|
REDIRECTING EMOTION OR FEELINGS TO A SUBJECT THAT IS MORE ACCEPTABLE OR LESS THREATENING
|
DISPLACEMENT
|
|
|
PLEUR-AVAC DRAINAGE SYSTEM: CONSTANT BUBBLING IN SUCTION CONTROLLED CHAMBER
|
INDICATES SUCTION IS WORKING
|
|
|
PLEUR-EVAC DRAINAGE SYSTEM: BUBBLING IN IN WATER-SEALED CHAMBER DURING INHALATION/ EXHALATION
|
CONSTANT BUBBLING INDICATES AIR LEAK
EXHALATION INDICATES SYSTEM IS REMOVING AIR FROM PLEURAL SPACE |
|
|
PLEUR-EVAC DRAINAGE SYSTEM: FLUCTUATIONS IN WATER-SEALED CHAMBER
|
LEVEL SHOUD RISE UPON INHALATION
LEVEL SHOULD FALL UPON EXHALATION IF LEVEL DOESN'T FLUCTUATE INDICATES (A) LUNG HAS EXPANDED OR (B) OBSTRUCTION |
|
|
Z-TRACK METHOD FOR INJECTIONS
|
IM INJECTIONS
PREVENTS MED FROM LEAKING INTO SUB-Q TISSUE |
|
|
PURPOSE: HARRINGTON ROD
|
SCOLISOSIS TX, TO FUSE SPINE
|
|
|
COMPLICATION: HERBAL LICORICE
|
INCREASES POTASSIUM LOSS AND RISK FOR HYPOKALEMIA
|
|
|
DIET: FOLATE
|
GREEN LEAFY VEGETABLES
LEGUMES TOMATOES VARIOUS FRUITS |
|
|
RISK FACTORS: DEGENERATIVE JOINT DISEASE
|
AGE
WORK/ ACTIVITIES THAT INCREASE STRESS ON JOINTS OBESITY METABOLIC/ BLOOD D/O'S |
|
|
APPROPRIATE ORDER DURING ASSESSMENT, EXCEPTIONS
|
INSPECT, PALPATE, PERCUSS, AUSCULTATE
ABDOMEN - INSPECT, AUSCULTATE, PALPATE, PERCUSS |
|
|
PATIENT TEACHING: CRUTCHES
|
WEIGHT BEARING ON HANDS & ARMS
ELBOWS FLEXED 35 DEGREES CRUTCHES 8-10" IN FRONT WITH EACH STEP |
|
|
ATTRIBUTING TO OTHERS ONE'S FEELINGS, IMPULSES, THOUGHTS, OR WISHES (BLAMING, SCAPEGOATING)
|
PROJECTION
|
|
|
PRECAUTIONS: AIRBORNE ASSOCIATED ILLNESSES
|
MTV:
MEASLES TB VARICELLA - CHICKEN PX, HERPES ZOSTER/ SHINGLES |
|
|
PRECAUTIONS: DROPLET ASSOCIATED ILLNESSES
|
SSSPPPIDERMMMAn
SEPSIS SCARLET FEVER STREPTOCOCCAL PHARYNGITIS PERTUSSIS PARVOVIRUS PNEUMONIA INFLUENZA DIPTHERIA, PHARYNGEAL EPIGLOTTITIS RUBELLA MUMPS MENINGITIS MYCOPLASMA ADENOVIRUS |
|
|
PRECAUTIONS: CONTACT ASSOCIATE ILLNESSES
|
MRS. WEE
MRSA RESPIRATORY INFECTIONS SKIN INFECTIONS* WOUND INFECTIONS ENTERIC INFECTIONS - C. DIFF EYE INFECTIONS - CONJUNCTIVITIS |
|
|
SKIN INFECTIONS: ASSOCIATED ILLNESSES
|
VCHIPS
VARICELLA ZOSTER CUTANEOUS DIPTHERIA HERPEZ SIMPLEX IMPETEGO PEDICULOSIS SCABIES |
|
|
STREPTOCOCCAL PHARYNGITIS AKA...
|
"STREP THROAT"
|
|
|
PARVOVIRUS B19 AKA...
|
FIFTH DISEASE
"SLAPPED CHEEKS" |
|
|
DEFINE: DIPTHERIA, PHARYNGITIS
|
BACTERIAL INFECTION AFFECTING MUCOUS MEMBRANES OF NOSE AND THROAT
|
|
|
DEFINE: DIPTHERIA, CUTANEOUS
|
BACTERIAL SKIN INFECTION CAUSES PAIN, REDNESS, SWELLING, AND ULCERATION
|
|
|
DEFINE: EPIGLOTTITIS
|
POTENTIALLY LIFE-THREATENING CONDITION THAT OCCURS WHEN THE EPIGLOTTIS SWELLS, BLOCKING AIRFLOW INTO THE LUNGS
|
|
|
SITUATION: CHILD PRESENTS WITH STRIDOR AND IS DROOLING; WHAT ILLNESS DO YOU SUSPECT AND WHAT SPECIAL CONSIDERATION MUST YOU REMEMBER?
|
EPLIGLOTTITIS
DO NOT INSPECT THE THROAT!!! |
|
|
ONLY LIVE VACCINATION RECOMMENDED FOR HIV-POSITIVE
|
MMR, ONLY IF CD4 COUNT > 200
|
|
|
VACCINES TO AVOID IF IMMUNOCOMPROMISED
|
INFLUENZA INJECTION VERSUS NASAL SPRAY
MMR MMRV VARICELLA SHINGLES/ HERPES ZOSTER ROTAVIRUS, IN BABIES RABIES YELLOW FEVER |
|
|
VACCINES TO AVOID DURING PREGNANCY
|
INFLUENZA INJECTION VERSUS NASAL SPRAY
MMR MMRV VARICELLA SHINGLES/ HERPES ZOSTER ADENOVIRUS HEP A, CONSIDERED HPV YELLOW FEVER JE |
|
|
MYCOPLASMA AKA...
|
WALKING PNEUMONIA
|
|
|
LOCATION: ADENOVIRUS SXS'S
|
CAN AFFECT DIFFERENT PARTS OF THE BODY:
EYES URT LRT GI GU |
|
|
PEDICULOSIS AKA...
|
LICE
|
|
|
POSITION: AIR/PULMONARY EMBOLISM
|
LEFT SIDE
HEAD DOWN |
|
|
POSITION: TUBE FEEDING FOR CLIENT WITH DECREASE LOC
|
RIGHT SIDE - PROMOTES GASTRIC EMPTYING
HOB ELEVATED - PREVENTS ASPIRATION |
|
|
POSITION: AFTER LP
|
SUPINE - PREVENTS HA AND CSF LEAKING
|
|
|
POSITION: BUCK'S TRACTION
|
ELEVATE FOOT OF BED FOR COUNTERTRACTION
|
|
|
POSITION: TOTAL HIP REPLACEMENT
|
AVOID AFFECTED SIDE
HIP ABDUCTION - PILLOWS BETWEEN LEGS HIP FLEXION <= 45-60 DEGREES HOB <= 45 DEGREES |
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POSITION: PROLAPSED CORD
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KNEE TO CHEST
TRENDELENBURG |
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POSITION: DUMPING SYNDROME
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RECLINED WHEN EATING
SUPINE 20-30 MIN AFTER EATING |
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POSITION: DETACHED RETINA
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BUBBLE ON TROUBLE
GAS RISES TO AREA OF DETACHMENT |
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POSITION: AUTONOMIC DYSREFLEXIA
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SITTING UPRIGHT
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FIRST IMPLEMENTATION: AUTONOMIC DYSREFLEXIA
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ELEVATE HOB BEFORE DOING ANYTHING ELSE
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POSITION: SHOCK
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HEAD SLIGHTLY ELEVATED
ELEVATE EXTREMITIES 20 DEGREES |
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POSITION: AFTER LP
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SUPINE 4-12H
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POSITION: PERITONEAL DIALYSIS
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SHIFT BODY SIDE TO SIDE BEFORE CHECKING FOR KINKS IN TUBING
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GRAVE'S DISEASE... HYPER OR HYPO
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HYPERTHYROID
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SXS'S: THYROID STORM
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ELEVATED TEMP
INCREASED PULSE HTN |
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SXS'S: HYPOPARATHYROID
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"CATS"
CONVULSIONS ARRHYTHMIAS TETANY/ SPASMS STRIDOR |
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DIET: HYPOPARATHYROID
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HI CALCIUM
LO PHOPHOROUS |
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SXS'S HYPERPARATHYROID
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FATIGUE
MUSCLE WEAKNESS JOINT PAIN RENAL CALCULI |
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DIET: HYPERPARATHYROID
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LO CALCIUM
HI PHOSPHOROUS |
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SXS'S: DIABETES INSIPIDOUS
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EXCESSIVE THIRST
EXCESSIVE URINE OUTPUT DEHYDRATION WEAKNESS |
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PITRESSIN TREATS....
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DIABETES INSIPIDOUS
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SXS'S SIADH
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CHANGE IN LOC
HA WEIGHT GAIN DECREASED URINARY OUTPUT |
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DECLOMYCIN AND DIURETICS ARE USED TO TREAT...
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SIADH
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SXS'S: HYPOKALEMIA
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"FACE"
FATIGUE ACTIVITY, CHANGES IN NM CONSTIPATION ECG CHANGES |
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SXS'S: HYPERKALEMIA
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"A PENIS"
ACIDOSIS PARESTHESIAS, MUSCLE CRAMPS ECG CHANGES NAUSEA IRREGULAR HR SLOW, ABSENT HR |
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SXS'S HYPONATREMIA
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"PA WINS MATH"
PERSONALITY CHANGES ABDOMINAL CRAMPS WEAKNESS IRRITABLE NAUSEA SEIZURES MENTAL STATUS CHANGES ANOREXIA TWITCHES HA |
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SXS'S: HYPERNATREMIA
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"THIS DIRT"
TWITCHES HYPOTENSION IRRITABLE DELUSIONS, DISORIENTATION INCREASED TEMP RESTLESSNESS TACHYCARDIA |
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SXS'S: HYPOCALCEMIA
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"CATS"
CONVUSIONS ARRHYTHMIAS TETANY SPASMS, STRIDOR |
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SXS'S: HYPERCALCEMIA
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"CLAWS"
CONSTIPATION LETHARGY ABSENT DTR'S WEAKNESS SEDATIVE EFFECT ON CNS |
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SXS'S: HYPOMAG
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TREMORS
TETANY DEPRESSION DYSPHAGIA DYSRHYTHMIAS CONFUSION SEIZURES |
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SXS'S: HYPERMAG
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DEPRESSES CSN
EMERGENCY |
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ADDISON'S, SOME KEY FEATURES
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ALOPECIA
DARK PIGMENTATION DECREASED RESISTANCE TO STRESS FRACTURES GI DISTRESS WEIGHT LOSS |
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CUSHING'S, SOME KEY FEATURES
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MUSCLE WASTING
WEAKNESS PRONE TO INFECTION EDEMA MOON FACE BUFFALO HUMP HIRTULISM |
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A PATIENT PRESENTS WITH: N/V, CONFUSION, ABDOMINAL PAIN, EXTREME WEAKNESS, HYPOGLYCEMIA, DEHYDRATION AND DECREASED BP
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ADDISONIAN CRISIS
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DEFINE: PHEOCHROMOCTYTOMA
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HYPERSECRETION OF EPI/ NOREPI
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RATE OF IV ADMINISTRATION OF K+
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<= 20 MEQ'S PER HOUR
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COMPLICATIONS OF DEHYDRATION
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ELECTROLYTE IMBALANCES
SHOCK |
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COMMON CAUSES OF SIADH
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LUNG CANCER
CANCER: PULMONARY, CNS CERTAIN DRUGS |
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DIET: ULCERATIVE COLITIS
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HI CAL
HI PRO LO RESIDUAL |
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ASSESSMENT: SCOLIOSIS
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SHOULDERS
SCAPULA RIB CAGE CURVATURE OF SPINE |
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ACYCLOVIR REGIMEN
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5 X PER DAY
WITH FOOD |
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DESCRIBE LITHOTOMY POSITION AND WHAT IT IS USED FOR
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FLAT ON BACK
KNEES FLEXED HIP ABDUCTION INCREASES VAGINAL OPENING FOR EXAMINATION |
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DESCRIBE SIM'S POSITION AND WHIT IT IS USED FOR
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SIDE LYING
LEGS BENT DECREASES ABDOMINAL TENSION ALLOWS DRAINAGE OF ORAL SECRETIONS |
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3 BASIC GUIDELINES WHEN CARING FOR A PATIENT WITH A RADIOACTIVE IMPLANT
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TIME
DISTANCE SHIELDING |
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MOST RELIABLE SXS'S OF INFECTION IN ELDERLY CLIENTS
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TACHYCARDIA
TACHYPNEA CONFUSION |
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LEUKOCYTOSIS
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ELEVATED WBC COUNT
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WHAT COMPLICATION OF BULEMIA NERVOSA PRESENTS AS LARYNGITIS
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DANGER SIGN FOR TRACHEOESOPHAGEAL FISTULA
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MOST COMMON COMPLICATION OF CAPD
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PERITONITIS
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IM INJECTION: BEST SITE IN CHILDREN
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VASTUS LATERALIS
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IM INJECTION: BEST SITE IN ADULTS
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VENTROGLUTEAL
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EXPLAIN THE SIGNIFICANCE OF AN ABSENT RED REFLEX WHEN PERFORMING A NEWBORN ASSESSMENT
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EARLY SUPPRESSION OF OPTIC NERVE FUNCTION CAN RESULT IN BLINDNESS
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EXPLAIN THE SIGNIFICANCE OF TWO UVULAS BEING PRESENT UPON A NEWBORN ASSESSMENT
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COULD INDICATE A CLEF IN THE PALLATE
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DESCRIBE THE FINDINGS THAT MAY BE PRESENT UPON A NEWBORN ASSESSMENT COHERENT WITH DOWN SYNDROME
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LOW SET EARS
LARGE TONGUE HIGH PALATE SMALL CHIN FLAT OCCIPUT BROAD NASAL BRIDGES EYES WITH EPICANTHAL FOLDS THAT SLANT UPWARDS |
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T/F BUCK'S TRACTION WEIGHTS CAN BE REMOVED WITHOUT AN ORDER
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F
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ABSENT OR RESTRICTED MOVEMENT OF THE CHEST DESCRIBES....
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PNEUMOTHORAX
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THE AFFECTED SIDE OF THE CHEST MOVES INWARD UPON INSPIRATION AND OUTWARD UPON EXPIRATION DESCRIBES...
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FLAIL CHEST
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DEFINE FLAIL CHEST
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MULTIPLE FRACTURES TO ADJACENT RIBS
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HYPOVOLEMIC SHOCK
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LOSS IN CIRCULATING VOLUME R/T BLEEDING, DEHYDRATION
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GENERAL: CREATININE CLEARANCE TEST
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NO STRENUOUS EXERCISE
DECREASE INTAKE OF DIETARY PROTEIN ADEQUATE FLUID INTAKE BLOOD COLLECTION FROM LAB 24-H URINE COLLECTION AT HOME |
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PURPOSE: CREATININE CLEARANCE TEST
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KIDNEY FUNCTION
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CONSIDERATIONS: 24-H URINE COLLECTION
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EMPTY BLADDER AND DISCARD URINE
RECORD TIME, START COLLECTION COLLECT URINE FOR NEXT 24-H STORE COLLECTION IN REFRIGERATOR AVOID FOREIGN MATTER IN COLLECTION SAMPLE |
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DIET: HEART DISEASE, HEART FAILURE
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LO FAT
LO SODIUM |
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ASPIRATE/ DO NOT ASPIRATE WHEN ADMINISTERING IM INJECTIONS, WHY OR WHY NOT
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ASPIRATE TO ENSURE YOU ARE NOT IN A BLOOD VESSEL
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MASSAGE/ DO NOT MASSAGE TISSUE AFTER ADMINISTERING AN IM INJECTION
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DO NOT MASSAGE THE INJECTION SITE
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PATIENT TEACHING: INCENTIVE SPIROMETER
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DEEP INHALATION
HOLD BREATH 3-5 SEC EXHALE |
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PATIENT TEACHING: DIAPHRAGM USE
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SPERMICIDE PRIOR TO INSERTION
ADDITIONAL SPERMICIDE IF > 4HRS ELAPSES BETWEEN INSERTION AND INTERCOURSE KEEP IN PLACE 6HRS AFTER INTERCOURSE RECHECK FOR SIZE ANNUALLY |
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PATIENT TEACHING: ELIMINATE GAS AND ODOR R/T COLOSTOMY
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DO NOT SKIP MEALS/ CHEW GUM
AVOID ALCOHOL/ SMOKING PLACE BREATH MINTS OR DEODERIZER IN POUCH DIET: CRANBERRY JUICE, BUTTERMILK, CRACKERS, TOAST, YOGURT, PARSELY |
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DEFINE: SOMOGYI EFFECT
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REBOUNDING HYPERGLYCEMIA IN RESPONSE TO HYPOGLYCEMIA
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ASSESSMENT: SOMOGYI EFFECT
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HYPOGLYCEMIA OVERNIGHT (CHECK BS 2AM-3AM)
AM HYPERGLYCEMIA |
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DEFINE: DAWN PHENOMENON
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REBOUNDING HYPERGLYCEMIA IN RESPONSE TO HYPOGLYCEMIA
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ASSESSMENT: DAWN PHENOMENON
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NORMAL BS OVERNIGHT (CHECK BS 2AM-3AM)
AM HYPERGLYCEMIA |
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PATIENT TEACHING: O2
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IT IS COMBUSTIBLE
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POSITIONING: CLEFT LIP DURING FEEDINGS
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UPRIGHT
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POSITIONING: CLEFT LIP, GENERAL
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SUPINE, ON SIDE, IN INFANT SEAT TO PROTECT SUTURE LINE
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PRESUMPTIVE SIGNS OF PREGNANCY
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FELT BY THE WOMAN
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PROBABLE SIGNS OF PREGANCY
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OBSERVED BY EXAMINER
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POSITIVE SIGNS OF PREGNANCY
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FHR, SONOGRAM
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POSITIONING: GERD
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SIM'S
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THERAPEUTIC NORMS: LITHIUM
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1.0-1.5 MEQ/L
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THERAPEUTIC NORMS: INR
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2-3 SECONDS
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DESCRIBE ESCHAR
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CHARRED, WAXY, WHITE APPEARANCE SIGNIFICANT OF A FULL-THICKNESS BURN REQUIRING SKIN GRAFTING
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THROMBOLYTIC THERAPY AND TRAUMA
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CONTRAINDICATED IF TRAUMA WITHIN PAST 2 MONTHS OF STARTING THERAPY
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LEGIONELLA
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BACTERIA THAT GROWS IN WARM WATER
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RISKS: LEGIONELLA
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AGE
IMMUNOSUPRESSION KIDNEY DISEASE DIABETES SMOKERS |
