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56 Cards in this Set
- Front
- Back
healing time for partial thickness burns
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7-10 days
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burns % of body
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legs, front, back: 18%
arms (each), head: 9% |
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emergent stage of burn
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remove clothes, cool
ABCs |
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escharotomy
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relieve pressure
circumferential burn = increase in pressure |
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debridement
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removal of dead or nonviable tissue form a wound to help clean up the wound and facilitate formation of granulation tissue
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stage 4 pressure ulcer
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undermining may be present
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creamy yellow pus in pressure ulcer indicates
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staph infection
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blood cultures for cellulitis
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rule out bacteremia
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most deadly melanoma
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nodules in superficial spreading melenoma
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jaundice
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yellow orange skin discoloration
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wheal
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round, transient elevation of the skin caused by dermal edema and surrounding capillary dilation, white in center and red in periphery
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lichenification
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thickening and hardening of skin from continued irritation such as intense scratching looks like surface of mass
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assessment of moisture
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provides clue to level of hydration
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KOH for lab cultures
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make fungus more prominent
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wet dressings length of time
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not for longer than 72 hours
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Decadron nursing considerations
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apply pressure for up to 5 minutes to tear duct after medication is applied
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prevent complications of diabetic retinopathy
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careful control of diabetes and blood sugar
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S&S of retinal detachment
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floaters
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mannitol
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hyperosmolar agent to reduce IOP
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cateracts pathophys, S&S
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loss of visual acuity
halos around lights |
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post cataract surgery patient teaching
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avoid activities that might increase intraocular pressure - straining, bending over, stool softener as needed
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S&S of macular degeneration
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central and near vision lost first
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do not remove cerumen if
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perforated eardrum
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otitis media S&S
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most common disease of the middle ear
fever, earache, feeling of fullness in affected ear |
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otitis media medications
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bactrim
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external otitis media
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itching and pain
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MS pathophys
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chronic progressive degenerative disease that affects myelin sheaths
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Medication for MS
nursing implications |
ACTH, avoid UTI
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MG S&S
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progressive extreme muscle weakness
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MG complications
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myasthenic crisis - too little med, difficult swallowing, difficulty speaking, dyspnea, weakness
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symptoms of cholinergic crisis
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S alivation
L acrimation U rination D iarrhea G i cramping E mesis liquid out of every orifice |
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interventions for MG
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anticholinesterase drugs - Prostigmin
makes muscle contract - increases strength |
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ALS S&S
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progressive muscle weakness and decreased coordination
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cranial nerve affected by trigeminal neuralgia
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5th cranial nerve
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bell's palsy - which cranial nerve
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7th cranial nerve
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TIA
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temporary impairment of cerebral circulation
loss of neurological function |
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CVA increased risk
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diabetes and hypertension
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CVA warning signs
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numbness or weakness
sudden confusion trouble seeing in one or both eyes trouble walking, dizziness, loss of balance/coordination sudden severe headache |
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acute S&S of CVA
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visual disturbances
language disturbances weakness/paralysis on one side of the body difficulty swallowing |
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Cincinnati Prehospital Stroke Scale
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smile
arms straight out in front repeat a phrase |
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symptoms of cholinergic crisis
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S alivation
L acrimation U rination D iarrhea G i cramping E mesis liquid out of every orifice |
|
interventions for MG
|
anticholinesterase drugs - Prostigmin
makes muscle contract - increases strength |
|
ALS S&S
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progressive muscle weakness and decreased coordination
|
|
cranial nerve affected by trigeminal neuralgia
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5th cranial nerve
|
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bell's palsy - which cranial nerve
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7th cranial nerve
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TIA
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temporary impairment of cerebral circulation
loss of neurological function |
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CVA increased risk
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diabetes and hypertension
|
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CVA warning signs
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numbness or weakness
sudden confusion trouble seeing in one or both eyes trouble walking, dizziness, loss of balance/coordination sudden severe headache |
|
acute S&S of CVA
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visual disturbances
language disturbances weakness/paralysis on one side of the body difficulty swallowing |
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Cincinnati Prehospital Stroke Scale
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smile
arms straight out in front repeat a phrase |
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antiplatelet
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plavix - prevents formation of clots
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statins nursing implications
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report muscle pain
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anticoagulants
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heparin
warfarin |
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subarachnoid hemorrrhage
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slowest recovery
most neural effects |
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cerebral angiogram
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detect vascular lesions
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CVP
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measure rt atrial pressures
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