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
Perioperative Nsg
Nsg
| Question | Answer |
|---|---|
| Diagnostic | Anxiety/Knowledge Deficit |
| Curative surgery | upbeat optimistic |
| Pallative Surgery | Slow Recovery |
| Restorative | Body Images |
| Emergent | Immediately. (appendectomy) |
| Urgent | Within 24-30hrs |
| Required | Few Weeks to Months |
| Pre-Op Assessment | Pre-op Allergy Assessment Medications/Chemicals/Foods/Latex/Anes-thesia Confounding Risk factors Smoking Obesity Age Skeletal deformities Alcohol/Drug Nutritional and Fluid Status |
| Steroids | Don’t D/C suddenly/Suppress immune system |
| Diuretics | Cause respiratory depression |
| Antipsychotics | Hypotension |
| Insulin | May effect meds |
| Anticoagulants | May increase bleeding |
| AntiSeizure | Decrease threshold |
| Aspirin/NSAIDS | Increased bleeding potential |
| Cardiac | Indicated for good control |
| Treatment of Respiratory Alkalosis | (hyperventilation) Anxiety-Paper bag. High Altitude-02, Pregnancy- Monitor breathing, Fever-temp. |
| Depolarization | electrical activation of a cell caused by influx of Na into cell while K+ leaves cell. |
| Anxiety and Panic Disorders PAIN | Pain around heart. Whole Chest. |
| Managment of Cardiogenic Shock | Correct underlying problem. Administer diuretics. Circulatory assist devices. |
| Patient Teaching CHF | Meds, Diet, Signs of excess fluid, hypotension, daily wt., exercise, stress, infection |
| Hemiplegia | Weakness/paralysis of one side of the body |
| Treatment of respiratory acidosis | (Hypoventilation) D/O: Administer antidote(narcan) Chest Trauma: Splint Chest/assist ventilation Pulmonary edema: Remove secretions. Sit up. o2 Airway Obstruction: Remove obstruction. COPD: increase breathing efforts Neuromuscular Disease: Vent. |
| Apraxia | Inability to perform previously learned motor tasks on voluntary basis. |
| Medical Management of Heart Failure | eliminate or reduce contributory factors Reduce workload of heart Prevent exacerbation |
| Activity Intolerance Related to CHF | Bedrest for acute pain. Encourage regular activity. 30-45min reg. Exercise training Pacing activities Wait 2hrs after eating before doing activity |
| CVP | Central Venous Pressure(Ride Side) Normal CVP 2-10cm water. Amount of blood returning to heart and ability of heart to pump blood into arterial system. |
| High CVP Indicates | (CVP of 14)Right sided heart failure. Hypervolemic |
| Low CVP Indicates | (1) Hypovolemic. Hemorrhaging. |
| Pulmonary disorder PAIN | pain below heart. sides radiating over |
| Receptive Aphasia | inability to understand what someone else is saying. Damage to temporal lobe(wernike's area) |
| Objective Liver Exam | Dilated abdominal veins. Spider anginomas Hepatomegaly Protruding belly button Janudice Fector Hepaticus Edema MSC |
| Liver Function Test | More than 70% of parenchyma may be damaged before positive test. |
| ALT | Liver Function test |
| AST | High metabolic tissue test(non-specific livertest) |
| Jaundice | High bilirubin(over 2.5)Hepatocellular-damaged cells, hepatitis, meds. Obstructive |
| Renal Insufficency | Kidney Function~14-40% Metabolic waste begins to accumulate. |
| Acute Renal Failure Risk factors | Age Preexisting renal disease Diabetes Dehydration nephrotoxic |
| Preload | Degree of stretch of cardiac muscle fibers @ end of diastole. Greater the volume of blood entering during diastole, greater the ejected |
| Compensation | PH normal Abnormal PaCo2. Use 7.40pH |
| Metabolic Acidosis | pH low. PCO2 low. DKA. Diarrhea. Renal Failure. Shock. Salicylate Overdose. |
| Esophageal Varices | Enlarged tortuous vein or artery. Related to impaired drainage of the esophageal veins into portal veins. Added pressure causes vessel wall to weaken and rupture. |
| Asses Esophageal Varices | ETOH, liver disease, pain, occult blood, hematemesis, hemopysis, jaundice, cirroses |
| Surgery Varices | Sclerotherapy, ligation, balloon, shunting |
| Constipation Assesment Surgery Interventions | History: Stool patterns, Onset, Duration, Severity. Ever had it before? Diet habits. disease, Abdominal sounds/distention. Surgery: Resection, fiber supp. laxatives |
| Constipation NSG interventions | Diet, High Fiber, High Fluids, Activity, Ambulation. |
| Ulcer Complications | Dumping: Rapid gastric emptying. Abdominal Pain, NVD. Explosive diarrhea, malnutrition, small freq. meals. High protein, no carbs. |
| Appendicitis | inflammation of the appendix. Lumen of the appendix is obstructed by e-coli, resulting in infection. |
| Assess Appendicitis | Fever, Pain, High WBC, Anorexia, N/V, lower RQ pain. Rebound tenderness. |
| Intervention for Appendicitis | Emergent Surgery, Monitior S/S of infection, pulmonary status, Drains, Dressings. |
| Diverticula | sac like protrusions of the intestinal wall |
| Gastritis | inflammation of the stomach mucosa when stomach has been exposed to irritants. ex. H.Pylori |
| Assessing of Gastritis | Epigastric pain, burning, nausea, Pain w food, occult blood. |
| Medicine and NSG interventions for gastritis | Upper GI, Antacids, Proton Pump, Monitor pain, admin meds, Monitor response, teach meds. and lifestyle. |
| Emetic Med | Ipecac. Irritates Gastric mucosa. Induces Vomiting. Side Effects: Aspiration, seizure. |
| Subjective Liver Exam | Peripheral Edema, Fatigue, dry skin, abd. pain, change in mental status, anorexia, early morning N/V |
| Hydroureter | Dilation of ureter |
| Ileus NSG Assess. | Abdominal pain, Nausea, Constipation, bloating, distention, low Na and K+, high BUN, Vomiting, Bowel Resection |
| Ileus Intervention | encourage ambulation, encourage turn and deep breathe q2h, Monitor I&O, IV manage, NG tube |
| Cushing's Syndrome | too much cortisol wide range of effects, moon face, obese trunk |
| Addison's Disease | hyposecretion of adrenal cortex hormones, corticosteroid (hydrocortisone) and mineralocorticoids (aldosterone). The condition is fatal if untreated. |
| Assessment Addison's Disease | Lethargy, fatigue, and muscle weakness Gastrointestinal (GI) disturbances Weight loss Menstrual changes in women; impotence in men Hypoglycemia Hyperkalemia Postural hypotension Dehydration Emotional disturbances/MS Δ’s (60-80 %) |
| Chronic fatigue Muscle weakness Anorexia and weight loss Symptoms of Addison's Cause | Decreased cortisol, improper metabolism. |
| Symptoms of Addison's:Hyponatremia (demonstrated by salt craving) | Caused by: Nausea Vomiting. |
| Symptoms of Addison's: Orthostatic hypotension Hyponatremia (decreased sodium in blood) Hyperkalemia (elevated potassium in blood) | Alsdosterone deficiency and hypovolemia limit BP control and effective excretion of proper waste products. |
| Addison's:Hyperpigmentation of skin | Increased corticotropin levels due to decreased feedback. |
| Addison's Disease Implementation | Monitor V/S particularly BP, weight, and I&O Monitor blood glucose and K levels Administer glucocorticoid or mineralocorticoid medications a/o Observe for Addisonian Crisis secondary to stress, infection, trauma, or surgery. |
| PT. Teaching Addison's | Avoid individuals with infections Avoid stress Need for lifelong glucocorticoid therapy Wear a Medic-Alert bracelet |
| Addisonian Crisis | A life-threatening disorder caused by acute adrenal insufficiency Precipitated by stress, infection, trauma, of surgery Can cause hyponatremia, hyperkalemia, hypoglycemia, and shock |
| Addisonian Crisis Assessment | Severe headache Severe abdominal, leg, and lower back pain Generalized weakness Irritability and confusion Severe hypotension Shock |
| Hyperthyroidism Crisis | Can also occur from: severe infection, stress, diabetic acidosis, surgery, abrupt withdrawal of antithyroid medications, or other vigorous palpitation of the thyroid. |
| Asses Hyperthyroidism Crisis | Hyperplasia: >101.3F Tachycardia: >130bpm Exaggerated symptoms of hyperthyroidism Altered MS: confusion to coma |
| Thyroid Crisis Implementation | Implications: Maintain airway Ice packs/cooling blanket Tylenol O2 Monitor O2 Sat Iodine to decrease preformed thyroid hormone secretion. |
| Type I diabetes | Destruction of pancreatic beta cells Genetic susceptibility is a key factor Autoimmune may also be involved. Resulting in:Decreased insulin production Fat breakdown resulting in ketone bodies as byproducts Fasting hyperglycemia |
| Type II Diabetes | Insulin resistance ( glucose metabolism at the cellular level) Impaired insulin secretion Results in: Increased need for insulin production ( ability to secrete exists) No marked fat breakdown (no ketones) May go undetected for years 75% of cases a |
| Clinical Manifestation of Diabetes | Polyuria(increased urine), Polydipsia(Increased Thirst), Polyphagia(increased appetite)Fatigue, weakness, tingling in limbs, slow healing wounds |
Created by:
dancehallradio
Popular Biology sets