Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
DC NCLEX-S/S
Dz and Conditions and their S/S to study for NCLEX
| Question | Answer |
|---|---|
| Mc Burrney Point | RLQ pain - appendicitis (w/rebound tenderness), watch for peritonitis LLQ pain - diverticulitus |
| Koplick Spots | Red spots w/blue center (usually in mouth -MEASLES |
| Turners Sign | Flank grayish blue - Pancreatitis |
| Cullens Sign | Echmosis in umbilical area - Pancreatitis |
| Kernings Sign | Pt. supine, w/hip flexed 90 degrees, can't fully extend - Mennigitis |
| Brudzinski's Sign | Passive Flexion of neck causes flexion of both thighs -Menningitis |
| Caput succinidanium (cephalhemotoma) | Resolves on its own in a few days. Due to edema crosses the suture lines. |
| SNS | Flight or Fight- Increases BP, HR, RR and Decreases GI, UO also dilated pupils (blurry vision), dry mouth, constricted blood vessels . Due to increased Ach. Activated by Anticholenergic drugs. |
| Chest tube w/ HVac | Continuous bubbling in H20 chamber - AIR LEAK H20 seal chamber should bubble w/ inspiration- Normal Continuious Bubbling in suction chamber- Normal up and down in H20 chamber -Normal |
| PNS | Rest and Digest - decreased HR, constricted pupils, relaxed, increased sex drive, warm dry skin. Due to decreased Ach, inhibited by Anticholenergic drugs. |
| ANP (Think A~N~P, like A hearts P, get rid of N) | Excretes Na and H20 in vascular space when heart is streched. Works on kidneys. Opposite of Aldosterone. |
| Aldosterone (holds on to lots of letters) | Retains Na and H20 in vascular space. Opposite of ANP. Increased = Cushings (FVO) Decreased = Addison's (FVD-shock) |
| ADH (think AD is holding on to H, or AD H) | Retains H20 in vascular space. Cause- any head/pituitary problem that can lead to increased ICP. Increased= SIADH (too many letters too much water) Decreased = DI (poss Shock) |
| TIA | Mini stoke from small blood clots causing sx of stock but only lasts 24 hours. NO DEAD BRAIN TISSUE. Asa is ok Sx: sudden decrease in LOC, blurred vision, HA, slurred speech |
| CVA | Stoke. DEAD BRAIN TISSUE. Most imp to take meds regularly, HTN can increase risk. Before 1st meal check gag reflex. (If in R hem increased risk accident, disorientated, poor judgement, impulsive) |
| Stoke | Sudden LOC due to rupture or occlusion of blood vessel leads to decreased O2 to brain |
| CUSHINGS TRIAD | -INCREASED BP -DECREASED P & R r/t ICP (shock is opposite) |
| Hypoxia | Sx: **Restless and Confused**, cynosis, Increased P and R Labs: Inc H&H and RBC Tx: manually vent w/ 100% O2 Fetal Hypoxia - cord prolapse, shows w/ late decels. Give mom O2 |
| Nephrotic Syndrome | Sx: ** Massive Protein Uria**, edema and hypotension Cause: glomerial damage Tx: corticosteroids, turn and reposition (rsk skin integrity) |
| Glomerulonephritis | **Infection to strep 1st** Sx: decreased appitite and Increased fatigue Tx: takke vs q 4 hrs (BP), daily weight, diet restrictions-Na,K, protein and fluid Dx: Increased ASO titer |
| Rheumatic Fever | **Group A Strep 1st-Fever** Sx: Chorea (grimacing, sudden body movements), joint pain Rsk: can lead to HF and Mitral Stenosis Dx: Increased ASO titer Tx: Penicillin |
| MS | Chronic progressive dz, demylenating lesions in CNS. Sx: hyperactive DTR, limb weakness, fatigue, spacity, numbness, tingling, tinnitus, visual changes, paralysis |
| CF | Autosomal Recessive (both parents)- causes sticky mucus to build up in lungs, digestive tract Sx: **meconium illius at birth**, inconsolable, doesn't eat, not passing meconium, salty skin. Tx: fat soluble (ADEK), decrease fat, increase Na & mucomyst |
| Kawasaki Syndrome | Inflammation of blood vessels, can lead to heart problems) Sx: STRAWBERRY TONGUE |
| Gillian Barre Syndrome | Bodys immune system attacks nervous system leading to nerve inflammation. Sx: ASCENDING PARALYSIS, watch R sx |
| Fetal Alcohol Syndrome | Upturned nose, flat nasal bridge, thin upper lip, SGA Irritability, poor sucking, hypotonicity |
| Narcotic Withdrawal Syndrome | Hyperactivity, Irritability, Poor Sucking, High Pitched Cry |
| Asthma | WHEEZING ON EXPIRATION, or coughing w/o sx |
| Nephrotic Syndrome | -Proteinuria -Decreased protein in blood -Increased Cho -Increased Tri Edema and Decreased BP |
| TEF | 4 C's (coughing, choking, cynosis, continus drooling) |
| Basilar Fracture | BATTLE SIGN (bruising behind ear) and OTTORHEA (discharge from ear) -Skull fx at base |
| Hepatic Encephlophy | FLAPPING TREMORS (tremor in hand when wrist is extended) -Brain disorder caused by chronic liver failure |
| UC | RECURRENT BLOODY DIARRHEA -IBD affects lining of lg intestine and rectum |
| Orbital Fracture | RACOON EYES |
| Pernicious Anemia | BEEFY RED TONGUE, pallor, tachycardia, Increased R Dx: Shillings test and Decreased RBC, plts, Hgb Tx: B12 taken for life, risk of injury |
| Parkinson's | PILL ROLLING TREMORS |
| NMS (think S &M) | HOT (hyperpyrexia) STIFF (increase muscle tone) SWEATY BP, R, P all Increase DROOLING |
| SIADH | Too many letters, TOO MUCH WATER Caused by Increased ADH SX: Changes in LOC, Increased HR and SG, Decreased Na and DTR, N/V and HA Tx: Diuretics |
| Cor Pulmonae | R side HF do do L ventricular failure. **PICK EDEMA or JVD** Sx: FVO, occurs in COPD (bronchitis or emphysema) |
| Hypoglycemia | TREMBLING & HA |
| SHINGLES | ADULT W/ RASH/BLISTERS ON 1 SIDE ONLY |
| MENINGITIS | HA & STIFF NECK |
| TB | NIGHT SWEATS AFTERNOON FEVER COUGH WEIGHT LOSS FATIGUE |
| CHRONS | D & ABD PAIN |
| GASTRIC ULCER | 30-60 MIN AFTER EATING |
| DUODENAL ULCER | 1.5-3 HRS AFTER EATING AWAKENS AT NIGHT FOOD HELPS |
| PEPTIC ULCER | COFFEE GROUND EMESIS |
| PLACENTA PREVIA | NO PAIN & + BLEEDING (think PP no P but Pink) |
| PLACENTA ABRUPTION | PAIN & NO BLEEDING (think PA=pain) |
| HYPOVOLEMIA=DOWN | Increased T, R, P (weak), SG Decreased BP ANXIETY |
| HYPERVOLEMIA=UP | BOUNDING P , HTN DECREASED SG CRACKLES/RALES & PERIPHERAL EDEMA Tx: Semi- Fowlers |
| PNA | RUSTY SPUTUM, FEVER, CONFUSION, crackles, hypoxia (worse) Tx: sick side UP |
| MEASLES | KOPLICK SPOTS (red with white/blue spots in mouth) |
| PERNICIOUS ANEMIA | RED BEEFY TONGUE |
| MENINGITIS | -BRUDZINSKI SIGN (neck flex=lower leg flex) -KERNIG'S SIGN (leg flex then pain on extension) -TRIAD (HA, light sensitivity, stiff neck) Droplet = bacterial (CSF cloudy) Standard = Viral (CSF clear) |
| DVT | HOMAN SIGN (pushing on ankle and pain felt in calf) |
| TETANY | HYPOCALCEMIA Sharp flexion of wrists and joints TROUSSEAUS SIGN (tremor in hand w. BP cuff) CHEVOSTEK SIGN (facial spams, touch cheek) |
| CHARCOTS TRIAD | JAUNDICE FEVER URQ PAIN Dx: MS |
| ANGINA | CRUSHING PAIN -Relieved by NTG -NO dead tissue |
| MI | CRUSHING, STABBING PAIN that RADIATES ARMS, SHOULDER, NECK, BACK -NOT relieved by NTG -DEAD TISSUE |
| EPIGLOTTIS | 3 D'S -DROOLING -DYSPHONIA (voice disorder) -DYSPHAGIA (difficulty swallowing) |
| RETINAL DETACHMENT | -VISUAL FLOATERS -FLASHES OF LIGHT -LOSS PORTION OF VISUAL FIELD |
| BLADDER CANCER | PAINLESS HEMATURIA |
| INCREASED ICP | CUSHINGS TRIAD -INCREASED BP -DECREASED P and R agitation and dilated pupils |
| SHOCK | -DECREASED BP (loss of fluid) -INCREASED P &R |
| WHAT ARE THE 2 SIGNS IN HYPOCALCEMIA | CHEVOSTK & TROSSEAU |
| MENIERS DZ | -VERTIGO -TINNITIUS -N/V (inner ear disorder affecting balance) Tx: diuretics, Decrease Na, lay on affected ear |
| PE | -***1ST sx SUDDEN CHEST PAIN*** -DYSPNEA AND TACHYPNEA |
| CF | SALTY SKIN (lots of mucus -autosomal recessive) |
| CHF in INFANT | -***TACHYCARDIA 1ST *** - COUGH |
| MENNIGIEAL IRRITATION | -HA -PHOTOPHOBIA (sensitivity to bright light) -NUCHAL RIGIDITY (stiff neck) Dx: MENINGITIS and subarachnoid hemorrhage |
| FAT EMBOLI | -PETECHAIE Tx: Heparin |
| PANCREATITIS | -CULLEN'S SIGN (bruising at umbilicus) -GREY TURNER SPOTS (flank bruising) -ACUTE ABD PAIN & N/V Tx: Demoral (DONT give Morphine-spasms) |
| DIVERTICULITUS | -PAIN IN LLQ (McBurneys point test) (inflammation of the diverticulium) |
| GLAUCOMA | -LOSS OF PERIPHERAL VISUAL FIELD (gun barrel vision) -PAINFUL (Increased IOP0 Tx: Miotics, BB (timdol, diamox but not if allergic to sulfa drugs) -DONT GIVE; Cogentin, Atropine, Visine |
| ADDISON'S CRISIS | N/V, CONFUSION, ABD PAIN, EXTREME WEAKNESS, HYPOGLYCEMIA, DEHYDRATION, HYPOTENSION |
| HYPERGLYCEMIA (HIGH BG) | THIRSTY, FREQ URINATION, DRY SKIN, HUNGER, BLURRED VISON, DROWSY, NAUSEA |
| HYPOGLYCEMIA (LOW BG) | SHAKING, FAST HEARTBEAT, SWEATING, ANXIOUS, DIZZINESS, HUNGER, IMPAIRED VISON, FATIGUE, WEAKNESS, HA, IRRITABLE |
| SICKLE CELL CRISIS | -SEVERE PAIN, INFECTION, ANEMIA -TROUBLE BREATHING Tx: IV fluids to help with cells getting stuck DO NOT give DEMEROL |
| HYPOPARATHYROID | CATS (same as low Ca) -CONVULSIONS -ARYTHMIA -TETANCY -SPASM & STRIDOR Diet: Increase Ca and Decreased Pho |
| HYPERPARATHYROID | will cause Ca to increase, PTU pulls Ca from bones into blood -GROANS, MOANS, STONES, PHONE, BONE |
| DI | decrease ADH (retains H20 in vascular space) -POLYDIPSIA -POLYPHAGIA -POLYURIA -weakness, FVD, Increases Na Worry about SHOCK |
| MYXEDEMA/HYPOTHYROIDISM | -SLOW PHYSICAL/MENTAL FX -SENSITIVITY TO COLD -DRY SKIN/HAIR Tx: SYNTHROID (take in AM on empty stomach) |
| GRAVES DZ/HYPERTHYROIDISM | -BULGING EYES -ACCELERATED PHYSICAL AND MENTAL FX -SENSETIVITY TO HEAT -FINE/SOFT HAIR Post Thyroidectomy; Semi fowlers, prevent neck flexion, trach at bedside |
| TYROID STORM | -INCREASED T, P, BP Tx: PTU/ Trapazole (prevents thyroid storm) |
| CHOLINERGIC CRISIS | Caused by excessive medication --> STOP MED Give TENSILION will make it WORSE (unlike MG) |
| MG CRISIS | Sudden inability to speak or swallow --> LIFE THREATENING TENSILON will make it better for a couple min, + rxn |
| MG | -WORSENS with EXERCISE -IMPROVES with REST TENSILION test --> makes muscles tense, + rxn-imporves sx (unlike Cholenergic Crisis) |
| CUSHINGS | Too much Aldosterone (retains Na and H20) Can be caused by prednisone toxicity -ALL UP (Na, BP, BG, BV) -K goes DOWN MOON FACE, PURPLE STRIATE, BUFFALO HUMP, INFECTION PRONE |
| ADDISONS | Not enough Aldosterone (excretes Na and H20) -All DOWN (Na, BP, BV, BG) -K goes UP BRONZING, RESTLESSNESS, WEAK, DECREASED WGT, ALLOPECIA |
Created by:
drcady
Popular Nursing sets