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42 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What is Neomycin Sulfate? |
It's an Aminoglycoside it reduces the amount of bacteria in the colon |
Neomycin is an antibiotic that fights bacteria in the body. Neomycin is used to reduce the risk of infection during surgery of your intestines. Neomycin is also used to reduce the symptoms of hepatic coma. Neomycin may also be used for purposes not listed in this medication guide. |
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Why is Neomycin Sulfate given? |
It's given for the GI tract before surgery |
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How is Neomycin Sulfate used in pt. With hepatic encephalopathy? |
It is used to treat this disease when ammonia levels are elevated in the liver |
Hepatic encephalopathy? The loss of brain function when a damaged liver doesn't remove toxins from the blood.Hepatic encephalopathy generally occurs in people with chronic liver disease, such as cirrhosis or hepatitis. Triggers include infection and dehydration. |
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Neuroleptic Malignant Syndrome what is It? |
(NMS) is a rare reaction to antipsychotic drugs |
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When does neuroleptic malignant syndrome occurs? |
It could occur anytime a pt. Is on antipsychotic medication, most commonly when treatment begins or doses are increased. |
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What are the signs of neuroleptic malignant syndrome (NMS)? |
Tachycardia Extreme fever Altered LOC Seizures Muscle rigidity Elevated lab values (WBC/LFT) Altered mental status |
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What is the treatment of neuroleptic malignant syndrome? 🤔 |
Discontinue the medication. Initiate safety and seizure precaution Give antipyretics to reduce fever. |
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What position should the pt. be in during NG tube placement? |
High fowler's with head tilted forward |
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The NG tube goes from? The placement |
Nose to stomach |
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What is a Salem sump? |
Double lumen of NG tube used to decompress the stomach |
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What are the measuring points for determining length of insertion? |
Nose to earlobe to xiphoid process |
Xiphpoid is the cartilaginous section at the lower end of the sternum, which is not attached to any ribs, and gradually ossifies during adult life. |
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If the pt starts to gag during placement should you continue the procedure? |
Yes wait until pt stops gagging/coughing then continue to advance ; offer water to help the tube go down |
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What should be done before using the NG tube for the first time? |
X ray, aspirate for gastric content (oh should be <4) |
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If the NG tube is to suction, should you turn off the suction when medication are given PO? |
Yes for at least 30 minutes |
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If a pt vomits during the procedure should you keep going with the NG tube? |
Yes wait for a few minutes then proceed. Let the pt know that they will will feel better once the NG is in place |
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What is the action of nitroglycerin? |
Coronary vasodilation |
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What conditions are treated by nitroglycerin? |
Angina BP CHF |
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If nitroglycerin is given sublingually for angina pain and it is not relieved what should you do? |
Give an additional tablet in five minutes. You can give up to 3 tablets over 15 min activate EMS after first dose. |
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What is #1 complaint when taking nitroglycerin? And other common side effects? |
Headache Other side effects are: Hypotension Tachycardia Dizziness And syncope (loss of consciousness) |
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Don't place a nitroglycerin patch over What? |
Do not place a nitroglycerin Over a pacemaker |
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Be for take a MRI do you remove a nitroglycerin patch? |
You should take off the pt nitro patch before a MRI |
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Should a pt take nitro prophylactically before sex? |
Yes , to prevent chest pain |
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If a male or taking sildenafil (Viagra) what should you tell him? |
Don't take sildenafil with nitroglycerin |
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IV nitroglycerin and all IV dysrhythmics should be placed on a ? |
Infusion pump |
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What is verapamil used for? |
Verapamil is a CCB it is used for blood pressure and angina |
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What type of drugs are NSAIDs? |
Aspirin and aspirin like drugs |
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What do NSAIDs do? |
Reduce pain and temp And rem it has aspirin so helps platelets not stick |
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Pt should take NSAIDs with what type of liquids? |
Full glass of water or milk |
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What would aspirin toxicity cause? |
Tinnitus (ringing in the ears) |
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Teaching pt about NSAIDs? |
Don't drink alcohol it increases stomach irritation It also increases bleeding potential Stop take 1 week before surgery |
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Why shouldn't kids take NSAIDs when they have flu like symptoms for risk of? |
Reyes syndrome |
Reye's (Reye) syndrome is a rare but serious condition that causes swelling in the liver and brain. Reye's syndrome most often affects children and teenagers recovering from a viral infection, most commonly the flu or chickenpox |
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What do you need to know about organ donation? |
Best with living donors Matched by blood and tissue Must be in writing but can be changed before removal Nurse can't approach pt about donation only authorized representative |
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What is orthostatic hypotension? |
Systolic or diastolic BP drops more than 10 mm Hg and heart rate increases by 10-20 when pt changes positions (lying, sitting, and standing) BP down HR up |
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How will the pt feel with orthostatic hypotension ? |
With orthostatic hypotension or will feel Dizzy Light headed Unsteady |
Dehydration, blood loss, and anemia are the most common reasons to develop low blood pressure when standing. Beta blockers, other high blood pressure medications, and medications such as sildenafil (Viagra) may all cause orthostatic hypotension. |
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How do you assess for orthosratic hypotension ? |
Check BP while pt is lying down, sitting up, and standing. Wait 5 minutes between measurements |
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What is the treatment for orthosratic hypotension? |
IV fluids for volume replacement |
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What is osteoarthritis ? |
Degenerative disease of the joints |
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Which joints in the body are most affected with osteoarthritis? |
Weight bearing joints Knees Hips Fingers Back |
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S&S of osteoarthritis? |
Limited joint mobility Joint pain Joint stiffness |
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With osteoarthritis hard nodes will develop on the joints of the fingers creating deformities. What is it called? |
Heberden nodes |
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What is the medication for osteoarthritis? |
For pain NSAIDs For treatment injection of corticosteroids |
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What is the pt teaching with osteoarthritis concerning activity? |
Exercise- stop if pain occurs. Try to lose weight to help take stress off joints. Use hot/cold therapy to help with pain. Assistive devices (canes, braces, etc.) Will help with mobility |
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