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56 Cards in this Set

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