Eyes, ears, male, GU, musculoskeletal not on test.

Information from midterm on will be on final. Review last jeopardy game. Gall bladder/pancreas, gi, cerbrovasc ular disorders, neurologic trauma, neurologic inf.

Pain with pancreatitis: epigastric pain radiating to back. Cholecystitis pain: right upper quadrant, radiating to right scapula and shoulder. EGD: check for return of the gag reflex. ERCP: Im glad I dont have to lie still for this procedure. Monitor lab detecting jaunidice for obstructed bile duct by bile stones: bilirubin Cholecystectomy: t tube drained 750 mL of green-brown drainage. After procedure it is bloody but turns green-brown. Document it as output. Never irriate t tube. Never clamp without dr. orders. If output is a liter, call doctor. Cholecystitis present to unit. Goals of treatment. Remove cause by pharmacologic endo and surgical reduce incidence of acute episodes of pain. Resuce acute episodes by dietary therapy. Spinal cord injusry of c6, most concern? Sever throbbing headache. Decreased sensation below waist, hypotensive, bradycxardic with warm extremities and sudden onset of fever. Type of shock? Neurogenic shock. Spinal cord injury to c 6. Diagnosis and highest priority? Autonomic dysreflexia: check the foley catheter for kinks to ensure patency. Bowel and bladder training. Interventions to prevent elevations in ICP: exhaling during repositioning. Vital signs indicate ICP: Inc. temp, dec pulse, dec RR, and inc. BP.

Spinal cord injury is prone to experience autonomic dysreflexia. What should be avoided to minimize risk of recurrence? Limiting blader catheritization to once every 12 hours. They should be catheterized q4-6 hrs. With basilar fracture bruising behind his ears is called? Battle sign. With basilar fracture periorbital ecchymosis around is eyes: raccoon mask. Three possible complications that can arrive from spinal cord injury: autonomic dysreflexia, orthostatic hypotension, and DVTS. No signs of autonomic dysreflexia: tachycardia, hypotension, dry nasal passages, tachypnea. With autonomic dysreflexia you should have nasal congestion, perfuse sweating, hypertension and piloerection. Surgery to releave ICP is craniotomy. Complications of craniotomy: infection, inc. in ICP, bleeding, hemorrhage, hydrocephalus, respiratory and neurologic problems, SIADH, hematoma, hypovolemic shock, diabetes insipidus. Check temperature with ICP. Inc. temperature can increase ICP. Suction as minimal as possible. Epidural hematoma, what nursing interventions should be implemented. Administer stool softeners daily, ensure pulse ox is reading higher than 93%, administer mild sedatives. Possible meningitis. Three signs could be possibly exhibit, nuchal rigidity, temperature, HA, positive Kernigs and Brudzinsky signs. Gullain Barre syndrome, what items should the nurse bring to the room: ECG monitoring electrodes and intubation tray. Trigeminal neuralgia: nerve 5, Bells Palsy is nerve 7

Lab to be monitored for a seizure on a anticonvulsant drug at risk for immune suppression: CBC. Causes of encephalitis: HSV TREAT WITH ZOVIRAX, FUNGAL TREAT WITH DIFLUCAN, VECTOR TREAT WITH AMPHOTERICIN B.