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Stack #117613

NCLEX-PN-Diseases & Disorders

Acute pancreatitis common ss low fluid volumn
diabetus insipidus is ADH deficiency
autonomic dysreflexia- (full bladder)
myasthenia gravis caused by lower motor neuron lesion
myasthenia gravis-Genetic? no
myasthenia gravis-ss chronic fatigue and muscle weakness, esp. face & throat
ARDS hypoxemia from low Pa02
addisonian crisis-pt needs a private room bc of low ability to cope w/stress
autonomic dysreflexia-common symptom is HA; brought on by bowel or bladder sidtension. (check foley for kinks)
autonomic dysreflexia occurs after: injury to spinal cord above T6;
addisonian crisis-no___ is produced: corticosteroids-so low stress enviro is needed;
Post Thyroidectomy - pt at risk for: hypocalcemia (low calcium)
sign of hypocalcemia m. twitching & numbness or tingling of lips, & extremities
multiple sclerosis(MS) ss vision changes (diplopia, nystagmus & b.vision), deep tendon reflexes-hyperactive, muscles are spastic; urinary hesitancy (from nerve damage), intention tremor (tremor when doing an activity), Positive babinski sign
Babinski sign ?
multiple myeloma TX relieve pain, prevent bone injury & infection, and maint hydration
multiple sclerosis TX fatigue, (use AC to decrease temp), no extreme cold, use hot baths
pernicious anemia ss pallor, tachycardia, sore tongue, wt. loss, a smooth beefy red tongue, a wide pulse pressure, palpitations, angina, weakness, fatigue and parenthesias of hands and feet
iron deficiency anemia ss dyspnea,tachycardia, pallor, fatigue, listless, irritable & HA
acute pancreatitis: pts have low fluid volumn which may lead to hypovolemic shock
Fluid loss may be from: homorrheage, vomiting or plasma leaking into peritoneal cavity
renal failure-watch for drug toxicity
scleral buckling sclera is flattened against retina. Position pt prone with head toward affected eye.
obstructive jaundice ss clay colored stools
labyrinthitis is inflammation of inner ear
labryinthitis is sudden onset: bad vertigo w/N&V
Hemorrhage: ss weak, irregular pulse, cool moist skin & hypytension. May cause cyanosis, N/V, dilated pupils
osteoarthritis ss joint pain, crepitus, Heberden's nodes, Bochard's nodes & enlarged joints
Adrenal crisis is an under secretion of glucocorticoids resulting in profound hypoglycemia, hypovolemia & HTN
Cushing's syndrome is excessive glucocorticoid secretion resulting in soduim and water retention
Wilms tumor: ss may be HTN from renin
Wilms tumor DO NOT palpate abdomen be it may increase risk of mestastasis;
hypospadias-after surgery elevate the scrotal sac
cystic fibrosis ss excessive fat in stool, perform chest physiotherapy q 4 hours
cystic fibrosis diet hi protein, hi calorie
Chvosteks sign-tap pt's face litely over facial nerve just below temple: Muscle twitch indicates hypo calcemia
Thyroid crisis- may occur within 12 hours of thyroidectomy
Thyroid crisis ss exaggerated sign of hyper thyroidism (hi fever, tachycardia & extreme restlessness)
Stapedectomy hearing may be worse during healing and get better in 6 weeks
hypoglycemia ss anxiety, restless, HA, irritable, confused, diaphoreses, cool skin, tremors, reduced LOC and seizures
Guillian-Barr syndrome respiratory failure from paralysis of thoracic area
Hircchsprung's DZ is a aganglionic megacolon
Hircchsprung's DZ repair is a two surgery operation;1st a colestomy (temporary while healing occurs); 2nd fixes and final;
after Hircchsprungs surgery ausculate lung sounds
Cerebral palsy encourage independence, give extra time to eat, and sit up for a while to prevent gag & aspiration
Created by: jeanl