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;
53 Cards in this Set
- Front
- Back
- 3rd side (hint)
|
Which type of diabetic is controlled mostly by diet and exercise? |
Type 'll diabetes mellitus |
|
|
|
Which type of diabetes is controlled mostly by diet and exercise? |
Type ll diabetes mellitus |
|
|
|
Which diabetes is controlled mostly by insulin? |
Type l diabetes mellitus |
|
|
|
What should you teach diabetics about foot care? |
Have MD cut toenails Cut toenails straight across Inspect feet daily for sores Keep skin clean and dry |
|
|
|
If a diabetic vomits after taking PO insulin, what should you do? |
Monitor blood sugar don't repeat dose. The medication may had been absorbed |
|
|
|
How offer should a diabetic get an eye exam? Why |
Yearly. Diabetes can cause retinopathy |
|
|
|
What is insulin lipodystrophy? |
It is the result of not rotating SQ insulin injection site. If the pt. Injects in the same place repeatedly, a fatty mass will appear, decreasing insulin absorption in that area. Teach injection site rotation |
|
|
|
Do you need to aspirate if injecting insulin SQ? |
No |
|
|
|
Exubera is what type of insulin? |
Inhaled |
|
|
|
Exercising does what to blood glucose? |
Lowers |
|
|
|
Alcohol, oral contraceptives, aspirin, and MAOI affect blood glucose How? |
Lower |
|
|
|
Infection, dehydration, stress, and surgery affect blood glucose How? |
Increase |
|
|
|
What do you give when your pt. Is hypoglycemic and unconscious? |
Glucagon (IV or IM) |
|
|
|
Why is digoxin prescribed? |
To treat heart failure and arrhythmias It affect sodium and potassium inside the heart cells help to maintain a normal, steady strong heartbeat |
|
|
|
Digoxin is what type of drug? |
Cardiac glycoside |
Lanoxin is the R name |
|
|
Always hold digoxin if the heart rate is less than? |
60 |
|
|
|
What is the therapeutic blood range of Digoxin? |
1-2 greater than 2 is toxic |
|
|
|
What are the signs of Digoxin toxicity? |
Seeing yellow spots, nausea, vomiting, and abdominal pain |
|
|
|
What are MAOI ? |
They are anti-depressants It elevate levels of norepinephrine, serotonin, and dopamine it works in the brain and affects neurotransmitters |
|
|
|
How is digoxin toxicity treated? |
Dose will be lowered but in severe cases, give activated charcoal or digiband |
|
|
|
What are the 3 ways a diuretic can be given? |
PO, IV, IM |
|
|
|
Why are diuretics prescribed ex. Conditions? |
Chronic heart failure Fluid overload Renal failure |
|
|
|
When should pt take diuretic? What time of day |
In the morning to prevent nocturia If taking in the evening pt will be going to the bathroom all night |
|
|
|
Pt taking diuretic should be monitored for? |
Dehydration Low k+ Hyponatremia Weight loss |
|
|
|
Loop and thiazide diuretic inhibit which electrolytes? |
Potassium, sodium, chloride |
Inhibit means a substance that reduces the activity of another |
|
|
Furosemide (Lasix) is what type of diuretic |
loop |
|
|
|
Thiazide diuretic are contraindicated in pt allergic to? |
Sulfa drugs |
|
|
|
_______ is a osmotic diuretic used to reduce ICP. |
Mannitol (osmitrol) |
|
|
|
Because mannitol decreases intracranial pressure it can also be used to treat? |
Glaucoma |
|
|
|
Mannitol crystallized at room temperature you will need a _____ needle to draw up. |
Filter |
|
|
|
Spironolactone (Aldactone) Is a _____ sparing diuretic. |
Potassium |
|
|
|
Because spironolactone helps the body retain potassium the pt. Is at risk for ? |
Hyperkalemia |
|
|
|
If your pt. K+=3.0 And Lasis and spironolactone are both ordered, how would you proceed? |
Only give the spironolactone. The potassium is low and lasis will only create more k+ loss. |
|
|
|
To accurately measure urine output, a pt. ________ ________ maybe given. |
Indwelling (foley) catheter |
|
|
|
DONNING STERILE GLOVES (know this by heart!!) |
Gather all necessary supplies. Wash and dry hands. Place package on dry waist-high surface. Open package using outer one-inch margin, facing gloves toward you. With 2 fingers on non-dominant hand, pick up cuff of the glove. Place glove on dominant hand. Slide glove Slide gloved fingers into the cuff of the other sterile glove. Place non-dominant hand into the glove, making sure not to touch the outside of the glove. With both hands gloved, touch only sterile area to adjust for comfort. |
|
|
|
What is the epiglottis and what does it do? |
It's a lap of skin at the base of the tongue. It opens and closes during breathing. |
|
|
|
What is the cause of epiglittitis ? |
Haemophilus influenza |
|
|
|
Is this a virus or bacteria (Hemophilia influenza)? |
Bacteria |
|
|
|
What is the usual age of children that get epiglittitis? |
2-5 years old |
|
|
|
What are the signs of epiglottitis? |
3 D's (Drooling, Dysphagia [difficulty swallowing], Dysphonia [no voice]) |
|
|
|
What will the child look like during an episode of epiglottitis? |
Sitting upright Tongue protruding Drooling Shallow rapid breathing |
|
|
|
Can epiglottitis be treated at home? |
No the child must go to the hospital IMMEDIATELY!!😱 |
|
|
|
When assessing the airway can you use a tongue depressor or tongue blade? |
NO NEVER put anything in the mouth to assess! |
|
|
|
If the child can't breath, what might be done? |
Intubation |
|
|
|
What medication will be given to treat epiglottitis? |
Antibiotic therapy |
|
|
|
How can epiglottitis be avoided? |
By getting the H. Influenza vaccine |
|
|
|
How is genital herpes spread? |
Through sexual contact or during child birth |
|
|
|
What are symptoms for genital herpes ? |
Painful Vascular lesions in both males and females |
|
|
|
With genital herpes are there always lesions present on the body? |
No, they come and go |
|
|
|
If lesions are present due to genital herpes in a pregnant woman how should she deliver? |
C-section |
|
|
|
What triggers outbreaks of genital herpes? |
Stress, anxiety, high emotions |
|
|
|
How often should a woman with herpes get a pap smear? |
Every six months |
|
|
|
Can genital herpes be cured?What is the treatment? |
No cure. Acyclovir Acyclovir treats cold sores around the mouth (cause by herpes simplex), shingles ( caused by herpes zoster) also genital herpes |
|
