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5. narcotics
4. 6Ps of pain
compartment pallor
syndrome paresthesia
paralysis
pulselessness
pressure fear of being in certain situations or
physical spaces
requires fasciotomy - these pts are concerned about having
5. 24 hr urine dark jug is utilized with special powder trouble escaping
collection
record time and empty bladder then typical situations:
begin collection - outside the home alone
- in crowd or standing in line
store jug in fridge or ice chest for - traveling in bus, train, car, plane- on
preservation bridge or tunnel
- open spaces (parking lots, marketplaces)
6. AAA risk factors: CAD, PAD, HTN, fam Hx,
- enclosed spaces (stores, theaters)
Ciggies,
parameters:
- stable maternal vitals - shake MDI and attach spacer
- fetus HR 110-160
- well-established labor contractions - exhale completely
- cervix dilated AT LEAST 4-5 cm
--- cannot admin after 10cm dilation - place lips on inhaler
(they have reached second stage labor)
- deliver pump
usual opioid agonist-antagonist used:
- butorphanol - take slow, deep breath, hold for 10 sec
- nalbuphine
- rinse mouth
these Rx possess ceiling effect - where
21. assessment think of how a septic pt will be in septic
after a certain dose, there will be no
findings for septic shock!!!
more pain relief
pt
- cannot use in opioid dependent pts
absent bowel sounds - from hypoxia as
17. any pt that does sfd blood is shunted from GI track
not specifically
say they wont glucose over 140 - gluconeogenesis
commit suicide occurs in response to stress
should be treated
as a suicidal pt prolonged cap refill
22. AST/ALT level 10-40
23. asthma presents with: 28. bronchoscopy
- accessory muscle use
- chest tightness (r/t air trapping)
- diminished breath sounds (r/t
hyperinflation)
- high-pitched, sibilant wheezing on
expiration
- tachypnea
-
24. atrial pacing
rhythm strip
note the spikes before each p wave pt is under mild sedation (midazolam) to
- this is the pace maker initiating the p- provide relaxation and comfort
wave - topical anesthetic is administered to nares
25. best source of fortified grains and throat
folic acid - cereals --- this eliminates gag reflex - we should
- bread expect this to be absent for a few hours
- pastas after procedure
- green, leafy veges
blood tinged sputum is expected but bright
26. biggest concern obv over oxygenation
red blood indicates hemorrhage
when treating pt - if skin turns pink, we are concerned
with COPD they have too much oxygen 29. cane walking cane length should be equal distance from
- client's greater trochanter to the floor
- cane at waist would be too long
27. bronchiolitis
we expect pt to cough up blood tinged sputum white epithelial cysts on gums that
but having frank hemoptysis is an actual disappear within a few weeks of birth
concern
45. factors that can - physical exertion
40. dopamine sympothimetic ionotrope used as Tx for contribute to CP - intense emotion
hypotension NOT associated with hypovolemia - temp extremes - hot or cold
- ciggies
Results: inc HR, BP, CO, and urine output stimulants
- coronary artery narrowing
monitor - watch HR as dangerous tachycardia (atherosclerosis, CAD)
and tachyarrhythmias can occur
46. family members fam members should be allowed to stay
41. dopamine vasopressor - treats hypotension presence in during emergency situations
42. enoxaparin blood thinner emergency - they need to be assigned a HCP to
situations stay with them and edu about what is
comes in prefilled syringes - do not eject going on
airbubble left in syringe as this is purposely left 47. features of UTIs cystitis
by manufacturer - cytisis - burning on urination
43. epiglottitis - pyelonephritis - frequency
- urgency
- suprapubic discomfort
- hematuria
tox is >1.5
79. main cardiac troponin
enzyme
examined for MI infection that is spread from the baby's
mouth to the mother's breast (usually
80. main causes of UTI or priodontal disease
staph aureus)
preterm labor - rly any infection that
- inflamma leads to prostaglandin
it is best for the mother to feed every
release which can lead to preterm labor
2-3 hrs - increased feeding prevents
(<37 wks)
milk duct blockages (which lead to pain)
81. major depressive
disorder (aka the mother should be encouraged to
unipolar continue to breast feed her child - the
depression) baby is already colonized with the
bacteria found in the infected breast
86. meniere's low Na diet
management maintain dark, quiet enviro - no TV or
flickering lights
87. metoclopramide Tx of GERD
need 5 or more of following for at least - similar to antipsych tho and CAN
2 weeks PRESENT WITH EPS
sxs:
- shakiness, tremor
- stiffness (occurs when they bend the
abrupt is placental dislodgement
body part) - feels rigid
- previa is over the vagina
- slowed movements - takes longer to
complete a movement
ABRUPT change = painful
- problems with balance - occurs later
in the disease 110. placing a DO NOT shave area - need to put on
transdermal hairless area free from cuts
shakiness, stiffness, and slowed patch
movements is parkinsonism place on arm or chest
111. positioning for
other sxs: depression, memory loss, thoracentesis
trouble concentrating
Cause: idiopathic
Risk factors:
- pesticides
- older age (60+)
- head trauma
- gender (male)
- breathing in heavy metals
same for sitting lumbar puncture
- diaphragm is dependent in this
Tx:
positions and allows for access through
- rx
intercostal spaces
- surgery (inactivate areas that cause
movement issues) 112. position that ROP
leads to back
1. TREMOR - involuntary shaking pain with
- RESTING TREMOR - tremor will stop contractions
if they use the muscle 113. post op CABG can resume sexual activity as soon as pt
2. RIGIDITY - really still muscles can ambulate w/o losing breath
- jerky movements COGWHEEL
RIGIDITY pt encouraged to shower daily - NO
105. pathological vs pathological - occurs within 24 hrs birth BATHS as they can inc risk for infec
physiological - this is concerning - indicates issue with
jaundice in liver do not lift obj >5lb
newborns
physiological - occurs after 24 hrs - not
concerning
114. post op care for yellow exudate expected 124. Pulseless
circumcision - should leave for healing Electrical Activity
(PEA)
parents should wipe with warm
water when changing - do not use
soaps or alcohol wipes until
wound heals (4-5 days)
115. postprocedure have pt take laxatives to clear out
instruction for barium barium - residual barium can lead cardiac monitor shows normal electrical
enema to obstruction functioning but the pt has no pulse
116. prasugrel antiplatelet Rx
look at chart but try and remember that
117. precaution item gloves - these are always this comes, typically, from a lack of O2 -
always removed first considered the most contaminated think of what else could generate
item pulselessness
118. priority action for limiting choices and restricting 125. RACE for fires rescue
child with autism that social activities during hospital alarm
are hospitalized stays (limiting visitors) confine
extinguish
best to give pt a schedule and limit
choices as these can be 126. reason for Mg to manage seizure activity
overwhelming administration in - only cure for preeclampsia but Mg can
preeclampsia pts help manage seizures to prolong having
119. priority for choking pt suction airway - HOB is a to birth child
PREVENTATIVE measure
120. priority with DKA pts begin IV fluids - dehydration is norm Mg is 4-7
priority - due to osmotic diuresis 127. reticulocytes
121. psychomotor this can occur in pts with major
retardation depressive disorder
- the pt will have decreased
movement, slumping, delayed
motor activity
- lack of facial expression
- downcast gaze
immature RBC
- speech impairment (reduced
voice vol, slurred speech, delayed 128. risperidone antipsych
verbal responses, short responses - not antidepressant
- reduced social interaction
129. Rx for death atropine sublingual pr scopolamine
122. pts at highest risk for immunocomp pts rattle (loud transdermal
theta thrush - pts on corticosteroids rattling breathing
- pts on high dose ABX Tx associated with - both are anticholinergics
dying)
123. pts that are prone to may need to see these pts first
seizures usually take 130. Rx not to admin do not admin furosemide -
high priority for for pt with contraindicated in pts with crackles from
assessment crackles from pneumonia
- these pts are at risk pneumonia
for injury and also at
131. sepsis pts will early admin is the best way to reduce
risk for a
usually take mortality
compromised airway
priority with med
admin
132. serious ADR of statins muscle aches and weakness - 142. sxs graft pain in back, pelvis, groin
myopathy leaking for
AAA ecchymosis of groin, scrotum, penis
check CK levels to confirm -
will be 10x elevated tachyncardia
133. services that minors are STI testing
weak or absent peripheral pulses
allowed to receive w/o family planning teaching
parental consent drug/alc abuse Tx
decreased Hg/Hct
blood donation
mental health care
inc abdominal growth
134. should we rec that pts yes... must provide list of
look things up on reputable sources decreased urinary output
internet
143. sxs radiation low RBC count
135. sildenafil viagra occurred in a pt oral ulcers
vomiting and diarrhea
cannot use nitros with this - can
lead to severe hypotension BOTH chemo and radiation target rapidly
136. sjogren's syndrome autoimmune disorder dividing cells `
- leads to inflamm of exocrine - utilize this when thinking of
glands manifestations for radiation and chemo
- decreases prod of tears and 144. sxs severe
saliva anorexia
137. sodium polystyrene kayexalate - used in Tx of
sulfonate hyperkalemia
- must ensure adequate bowel
func
138. sound for patent ductus loud and machine like murmur
arteriosus
139. splenectomy spleen in part of immune system
fear of wt gain
- should followup immediately
fluid and electrolyte imbal
if the pt presents with sxs
amenorrhea
bacterial infection
decreased metabolic rate
lanugo - fine terminal hair
- should also monitor for rapid
bradycardia cold intolerance
onset sepsis
dry skin
140. stages of labor and when pts should contact physician
145. target levels LDL: <100
to be seen when they have consistent
for: cholesterol < 200
contractions for at least 1 hr
triglyceride <150
LDL HDL > 40
contractions every 3-4 min
total choesterol
indicate active labor - best to
triglycerides
seek tx before these occur
HDL
141. suctioning newborn suction pharynx then nose
146. therapeutic INR 2-3
- child could gasp during nasal
vals
suction so we clear pharynx to
prevent aspiration 147. thera range for 10-20
vanco
can be nephrotoxic above these levels
148. tiniea corporis ring worm - very contagious - edu pt of
high risk of transmission b/t people
149. tinitis can occur typically with ASA 156. WBCs are typically we would mainly be concerned if
with NSAIDS elevated in mothers they reached levels over 30,000
postpartum
150. trousseau
foul-smelling lochia would
chvostek sign
indicate an actual infection that
would need to be investigated
further
157. wernicke thiamine (B1) deficiency that can
encephalopathy occur in pts with long term
alcohol use
w/ hypocalcemia - must admin IV thiamine before
any other Rx
151. tumor necrosis these inhibit action of TNF
factor (TNF) - utilized in pts with RA to reduce glucose must be administered
inhibitors autoinflammatory response AFTER thiamine
- thiamine will oxidize glucose
this Rx will cause pt to be when injected into body and can
immunosuppressed put pt into wernicke enceph if not
enough thiamine is present
must check pt for TB - even if they have
latent TB, must be treated w/ ABX 158. what can cause a Li tox dehydration
- TNF inhibitors will make pt decreased renal func (esp in
immunosuppressed and will reactivateTB elderly )
low Na diet
152. types of erotomanic - belief that another person drug drug inter
delusions (usually famous) is in love with them
- erotomanic 159. what to admin in pt O2 @ 2L/min NC
- grandiose grandiose - belief that they are god with resp distress but - this is still allowed if appropriate
- jealous also has a DNR Tx
- persecutory jealous - belief that sexual partner is 160. what to do if surgeon must immediately find fam
- somatic unfaithful must perform addt member and have them consent
surgeries not outlined for addt surgery
persecutory - belief they are being by original consent
treated in malicious way
161. what to encourage if encourage a well-supportive bra
mother does not want
somatic - delusion of having physical
to breast feed minimizes discomfort during
defect or disease
encouragement
153. types of feedings bolus feedings
162. what to monitor for any increase in HR
to avoid in pts w/ - btr to have continuous feeding
after liver biopsy - liver is highly vascular and can
aspiration risk
easily hemorrhage from biopsy
154. vit K regulation pts should not completely stop intaking
163. what to monitor if pt is monitor Hg Hct
and warfarin vit K
craving ice, cornstarch, - sign of PICA
- pts should learn to have the same
chalk, clay, dirt, or --- iron deficiency causes it
daily amt og vit K so that their warfarin
paper
can be titrated to this
--- having some vit K in diet is 164. what to monitor in pts electrolytes
encouraged as it is linked to warfarin's recently admitted with - particularly K, Mg, and P
efficacy anorexia nervosa
pancreas produces less insulin so
155. watch me ugh
these levels can be altered