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19 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Dimenhydrinate What is the action? What are the main adverse effects? |
Antiemetic (type = anticholinergic, antihistamine) SE = drowsiness (excitation in children) confusion in the elderly, phlebitis (IV route)
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Common brand name is "Gravol"
Used to manage a common postoperative complication |
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What are the effects of the 'surgical stress response'? |
Increased levels of ADH (causes retention of water) Increased levels of aldosterone (retention of salt and water) Increased levels of cortisol (causes elevated blood glucose) Increased levels of epinephrine (causes elevated blood glucose, elevated HR and BP) |
What hormones are released? (from the adrenal cortex and medulla; and from the posterior pituitary)
What happens to fluid balance, blood sugars, and vital signs? |
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What does it mean when there is bubbling in the water seal chamber of a chest drainage system? |
There is an air leak (can be inside the patient [pneumothorax], in the tubing, or the drainage system itself) |
Bubbling in this chamber means that air is passing through the water. Where is the air coming from? |
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What are the signs and symptoms of a pulmonary embolism? |
Anxiety, dyspnea, tachypnea, tachycardia, cough, chest pain, decreased oxygen saturation, change in level of consciousness |
A pulmonary embolism blocks blood flow to the lungs. What happens if blood doesn't get oxygenated? |
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What are the three main components of a 3:1 TPN? |
fat emulsion, dextrose, and protein |
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What three things should you monitor in a patient on TPN? |
signs of fluid overload, blood sugar changes (increases) and signs of infection at central line site |
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What needle is used to access a port-cath? |
Huber needle |
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When prepping a female patient for catheterization, what direction do you clean with iodine swabs to sterilize? |
outside to inside |
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If you have a patient with a yellow central line in IH, what kind do they have? |
Pulmonary Artery Catheter |
Hint: Swan-Ganz is another name |
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What are the five cardinal signs of infection? |
1. redness 2. swelling 3. heat 4. pain 5. exudate |
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What are the two absolute contraindications to NG insertion? |
1. severe mid face trauma 2. recent nasal or sinus surgery |
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what is the gold standard for checking NG placement? |
x ray |
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What is the normal levels for potassium in blood? |
3.5-5 |
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If aspiration is a concern for your patient, what trach are they most likely to have? |
cuffed |
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Your patient has a trach. What piece of equipment is manditory to have at the bedside? |
Obturator for reinsertion |
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If you have white drainage coming from a chest tube, what kind of drainage is it? |
lymphatic drainage |
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How is the amount of suction regulated on a chest drain? |
the depth of water in the suction bottle
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What is "empyema" (aka pyothorax"? |
accumulation of pus in the pleural space |
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When are the only times that a nurse should clamp a chest tube? |
- locate an air leak - simulated chest tube removal (to check patient's tolerance) - replacement of drain - connect/ disconnect an in-line auto transfusion bag |
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