Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
108 Cards in this Set
- Front
- Back
Anorexia Nervosa |
Views self as fat regardless of weight, intense fear of becoming fat, anxious about losing control, weight less than 85% of normal, feels powerless, obsessive compulsive disorder |
|
Bulimia |
recurrent binge eating, followed by vomiting, misuse of laxatives and enemas, depressed mood, anxiety, compulsivity |
|
PICA (persistent eating of non-nutritive food and non-food substances) |
Food-cornstarch, baking powder, coffee grounds Non-food-clay, soils, laundry starch paint chips Common in pregnant women, children, autism, or cognitive impairment, pts with chronic renal failure, cultural background, iron zinc deficient |
|
Peritonitis |
Fver, N/V, anorexia, board like abdomen, abd distention and rigidity, increased WBC |
|
Peritonitis risks |
Increased pulse, shock, dehydration, pain, decreased bowel sounds, tenderness over involved area. |
|
Peritonitis comes from |
abd surgery, ectopic pregnancy, perforation from trauma, ulcer, appendix rupture, diverticulum |
|
Peritonitis tx |
Identify cause give abx, iv fluids, decrease abd distention |
|
peritonitis RN care |
IVs and electrolyte balance, decrease GI distention, decrease infection process, prevent complications to immobility, pulmonary, fluid balance |
|
Anorexia Nervosa may cause |
less than 15% body weight, amenorrhea x3 months |
|
Peritonitis diagnostics |
CT, labs, xrays, US |
|
Crohns Disease |
a chronic inflammatory disease of the intestines, especially the colon and ileum, associated with ulcers and fistulae.
|
|
Crohns disease occurs in |
teens to mid 30s second peak after age 60 may be caused by auto immune factors. causes N/V |
|
Crohns disease signs and symptoms |
Sever diarrhea, low grade fever, infrequent rectal bleeding, weight loss, sever malabsorption, abd pain and distention, tenderness in RLQ |
|
Crohns Disease late signs and symptoms |
dehydration, electrolyte imbalance, anemia |
|
Crohns disease complications |
perineal abscesses, intestinal fistulas, peritonitis |
|
Bulimia signs |
Increased mood when eating, decreased mood when stopped, generally sleeps after eating, may vomit after binge eating. |
|
Bowel obstruction |
mechanical or peralytic blockage in the ileus |
|
HIgher the obstruction the quicker the symptoms |
Bowel obstruction |
|
Fecal smell during vomiting |
bowel obstruction |
|
Signs of bowel obstruction |
abd distention, constipation with failure to pass gas |
|
bowel obstruction bowel sounds |
high pitched above area at first then go silent |
|
SIR Hernia |
strangulated incarcerated reducible |
|
strangulated hernia |
blood supply cut off, emergency surgery needed |
|
Incarcerated Hernia |
Hernia trapped outside peritoneal cavity |
|
Reducible Hernia |
Hernia moves back into peritoneal cavity |
|
Metabolic syndrome X |
factors that lead to diabetes |
|
Metabolic syndrome X factors |
Abd obesity, BMI greater than 25, waist for men over40", women over 35" Hyperglycemia-fasting BS greater than 110, IBW greater than 20% Hypertension on meds high lipids on meds |
|
POOPER |
Position upright Output-adequate hydration Offer fluids Privacy exercise report results |
|
SCOOP |
Size amount Consistency Occult blood Odor Peristalsis |
|
Appendicitis common in |
10-12 year olds |
|
Appendicitis symptoms |
begins as dull steady pain in periumbilical area, progresses over 4-6 hours and localizes to RLQ, low grade fever, nausea, anorexia |
|
Sudden pain relief may indicate |
rupture of appendix, rebound pain or tenderness RLQ at McBurneys point |
|
Diagnose appendicitis |
Increased WBC, abd sonogram, exploratory lap |
|
Dumping syndrome occurs |
15-30 mins after eating |
|
Dumping syndrome symptoms |
weakness, dizziness, vertigo, diaphoresis, tachycardia, abd cramping, self-limiting, epigastric fullness |
|
Dumping syndrome RN interventions |
no fluids with meals, no high carbs such as bread, potatoes, pastas |
|
Gastric ulcers |
wt loss, acid-normal or hyposecretion, pain half an hour to hour after meals, vomiting, eating increases pain |
|
Stress ulcers |
physiological stress, shock, cushing ulcer, brain injury, curlings ulcer extensive burns |
|
Common risk factors for ulcers |
Stress, H pylori, alcohol, smoking, gastritis |
|
Duodenal Ulcer most common |
well nourished, pain 2-3 hours after meals, food decreases pain |
|
Anaphylatic |
Type I antigenic response has occurred |
|
Cytotoxic |
Type II antibody surrounds foreign body |
|
Immune Complexed |
Type III foreign body attacked |
|
Cell Medicated |
Type IV body remembers foreign antigen |
|
Epi pen |
In the thigh |
|
Allergic reaction treatment |
epinephrine, steroids, PO prednizone |
|
Inflammation characteristics |
Heat Induration Pain Edema Redness |
|
Prevention of infection |
safe injection, Hand hygiene, PPE, clean up spills |
|
HIV screening |
EIA at 3 weeks, 6wks, 3 months after eposure |
|
RAPID HIV |
testing for antigens not antibodies |
|
Seroconversion |
Window period-development of HIV specific antibodies |
|
Allergic reaction |
not always a reaction maybe a small raection |
|
AIDS |
CDCELL count less than 200, opportunistic infections, cancer-karposis sarcoma, wasting syndrome, AIDS dementia complex |
|
Years to development of AIDS |
11 years, symptoms fatigue, HA, lymphadenopathy, low grade fever, Normal CD4 t cell count, increased infections |
|
Treatment of HIV |
ART antiretroviral begins with HIV dx |
|
HIV Goals |
Decrease viral load, maintain or increase CD4 t cell count, delay onset of HIV related symptoms, prevent or delay opportunistic infections |
|
Anaphylactic reaction signs |
Rapid onset, Dyspnea, tight throat, bronchospasm, laryngeal edema, feelings of apprehension, tingling and swelling in mouth, face, throat and tongue, itching, decreased BP, tachycardia, LOC |
|
Systemic Lupus Erythematosis SLE |
Photosensitivity, butterfly rash, tachypnea, cough, pleural inflammation effusion, wt loss, chronic fatigue, fever, polyarthritis, emotional lability, hematologic disorders, increased coagulation, CNS disorders |
|
Rheumatoid arthritis RA |
chronic inflammation of synovial joints |
|
synvovitis stage |
thickened synovial membranes/inflammation |
|
Pannus stage |
cartilage destruction |
|
Fibrous ankylosis |
fibrous tissue which evolves into scar tissue |
|
RA risk factors |
Increased incidence in women, any stage but peaks at ages 30-50 |
|
Clinical RA manifestations |
Bilateral joint involvement, joint stiffness, pain, limitation of movement, morning stiffness lasting an hour, pain increases with movement, commonly affect hand and finger joints, |
|
How to DX RA |
+serum rheumatoid factor, increased ESR, increased c-reactive protein, positive antinuclear antibody |
|
RA treatment |
NSAIDs, cox 2 inhibitors, DMARDs, heat/cold applications, deformoity preventing devices, PT |
|
RA complications |
hand deformities, pericarditis, myocarditis, valve involvement, pulmonary, cataracts, loss of vision, rheumatoid nodules |
|
anti-inflammatory cortocosteroids |
prednisone, cortisone, dexamethasone |
|
Diverticulosis |
first, pouches have formed |
|
Diverticulitis |
pouches in the lining of the GI have occurred and become inflamed |
|
Why are there liquid bm iliostomy |
food has not passed through large intestine |
|
NPO why |
to calm the GI system |
|
perforated bowel assessment findings |
pain, distended, tender, rigid |
|
gastrectomy |
position high to semi fowlers |
|
go lightly |
frequent watery stools |
|
Vagotomy |
incision of vagus nerves |
|
NG tubes |
low suctioning to prevent metabolic alkalosis |
|
auto immune disorder |
body attakcs itself |
|
initial HIV Drugs |
AZT-retrovir |
|
rosette after ostomy |
should be pink |
|
assessment finding on pt who does not want to eat |
difficulty swallowing or chewing, denture, can cause anorexia |
|
Medication for mouth ulcers |
nystatin |
|
anaphylactic reation meds |
histamine blockers |
|
pneumocystitis for right sided pneumnia |
HIV give proteus inhibitors |
|
acyclovir |
fungal infections |
|
HIV goes through serum conversion |
AIDS |
|
LAb tests to determine T cell |
CD4 t cell count |
|
lisinopril |
angiodema is an allergic reaction stop meds |
|
Vascular problem comprmised |
when having diarrhea and emesis/hypovolemia |
|
steroids |
reduce inflammation/watch the glucose |
|
client complains chest hurts |
everything negative for MI, dr gives a GI cocktail, donnatal, viscus lidocaine, maalox/reduces stomach acid in reflux |
|
Iron supplements cause |
black tarry stools |
|
fever after surgery |
bad |
|
pt had GI surgery make cough |
with pillow splinting |
|
Allergic reaction which is more importantreaction or what they are allergic to? |
reaction |
|
Viral load |
measurement of amount of viral in bloodstream |
|
lupus effects kidney monitor |
BUN/creatinine |
|
bulimic signs |
teeth marks on back of hands |
|
prevent gatritis |
avoid soda, coffee |
|
psychosocial |
feel or look different |
|
humoral response |
joking manner |
|
emesis blood gas |
metabolic acidosis |
|
endoscopy |
to determine GI bleed |
|
most common cause peptic ulcers |
h pylori |
|
Most important in health hx |
allergies |
|
pertonitis caused by |
rupture of peritoneum |
|
Plasma pheresis |
run plasma through machine to remove proteins preventing immune system from attacking itself |
|
antibiotic resistant |
had too much antibodies-MRSA, VRE |