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abdominal mass, upper abdomen pulsations, bruit over aneurysm site, ab or lower back pain, possible ab tenderness on deep palpations & lumbar pain that radiates to flank or groin are s/s of? Abdominal Aortic Aneurysm
Severe persistent ab & back pain, weakness, tachycardia, hypotension are s/s of? ruptured aaa
what is the treatment for aaa? RE-SECTION, BED REST, ANALGESICS, ANTIHYPERTENSIVE & BETABLOCKERS
ASSESS CARDIOVASCULAR STATUS, VS, MONITOR I&O'S, LAB VALUES, S/S FOR HYPOVOLEMIC SHOCK, GENTLY PALPATE ABDOMEN FOR DISTENSION, CHECH PERIPHERAL CIRCULATION, CK PULSES, ASSESS PAIN LEVEL & ADMIN MEDS AS PRESCRIBED IS INTERVENTIONS FOR AAA
WHAT IS THE NORMAL RANGE FOR SODIUM (Na) 135-145MEQ
LESS THAN 135MEG IS HYPONATREMIA
GREATER THAN 145MEG IS HYPERNATREMIA
WHAT IS THE NORMAL RANGE FOR POTASSIUM (K+) 3.5 - 5.0meq
LESS THAN 3.5 MEQ IS HYPOKALEMIA
GREATER THAN 5.0 MEQ HYPERKALEMIA
WHAT IS THE NORMAL RANGE FOR CALCIUM (Ca) 9.0 - 11.0 MEG
LESS THAN 9.0 IS HYPOCALCEMIA
GREATER THAN 11.0 IS HYPERCALCEMIA
WHAT IS THE NORMAL RANGE FOR MAGNESIUM (Mg) 1.3 - 2.1 meq
LESS THAN 1.3 IS HYPOMAGNESEMIA
GREATER THAN 2.1 HYPERMAGNESEMIA
USED THE RELIEVE PAIN OF ACUTE ANGINAL ATTACKS, PREVENT ANGINA ATTACKS, TREAT CHRONIC STABLE ANGINA PECTORIS & CONTROL PERIOPERATIVE HYPERTENSIVE ASSOCIATED W/ SURGICAL PROCEDURES IS WHAT DRUG? NITRATES
________________ARE A ANTIANGINAL DRUG NITRATES
WHAT CAN BE ADMINISTERED SUBLINGUAL (UNDER TONGUE), BUCCAL (IN THE CHEEK), ORAL, IV OR TRANSDERMAL ROUTE NITRATES
THIS CAN BE GIVEN SUBLINGUAL, BUCCAL, TOPICAL, TRANSDERMAL, ORAL OR IV ROUTE IS NITROGLYCERIN
SUBLINGUAL NITOGLYCERIN MAYBE REATED EVERY_____MINUTES UNTIL PAIN IS RELIEVED OR UNTIL PT HAS RECEIVED ____DOSES IN A _____MINUTE PERIOD. 5 MIN, 3 DOSES & 15 MINUTES
NITROGLYCERIN TRANSDERMAL PAD IS APPLIED TO THE SKIN ______ A DAY FOR 10 TO 12 HRS ONCE
WHAT DRUG IS USED FOR INFECTIONS DUE TO SUSCEPTIBLE MICRO-ORGANISMS, SYPHILLIS, GONORRHEA OR PROPHYLAXIS OF RHEUMATIC FEVER PENICILLIN G
WHAT IS USED TO PREVENT THE FORMATION & EXTENSION OF A THROMBUS ANTICOAGULANTS
WARFARIN (COUMADIN) & HEPARIN ARE EXAMPLES OF ANTICOAGULANTS
WHAT INTEREFRES WITH THE MANUFACTURING OF VITAMIN K WARFARIN (coumadin)
WHAT IS USED TO TREAT & PREVENT DVT'S PREVENT & TREAT ARTRIAL FIBRILLATION W/EMBOLIZATIONS, PREVENT & TREAT OF PE, PREVENTION OF THROMBUS FORMATION AFTER VALVE REPLACEMENT SX is anticoagulants
WHAT IS THE ADVERSE REACTION WITH ANTICOAGULANTS? BLEEDING
WHAT IS THE TREATMENT OF WARAFIN (COUMADIN) OVERDOSE VITAMIN K
WHAT DECREASE THE PLATELETS ABILITY TO STICK TOGETHER IN THE BLOOD THUS FORMING A CLOT, USED TO TREAT PTS AT RISK FOR ACUTE COROONARY SYNDROME, MI OR STROKE IS ANTIPLATELETS
WHAT IS USED TO TREAT CARDIAC ARRHYTHMIAS (IRREG HEART BEAT) A-FIB & A-FLUTTER? ANTIDYSRHYTHMICS
WHAT IS THE MOST COMMON SIGN OF A LIVER DISORDER? JAUNDICE
WHAT IS THE NORMAL BILIRUBIN LEVEL? 0.2 - 1.3 MG/DL
IF BILIRUBIN IS GREATER THAN 2.5 WHAT WOULD BE NOTED? YELLOW DISCOLORATION
WHAT ARE THE CLINICAL MANIFESTATIONS OF JAUNDICE? YELLOW SKIN, SCLERA, DARK COLORED URINE & CHALKY OR CLAY COLORED STOOLS
what is damage to the liver causing enlargement, fibrosis scarring & loss of effective hepatic functioning CIRRHOSIS
WHAT ARE THE CAUSES OF CIRRHOSIS? LAENNEC'S CIRRHOSIS (CHRONIC ALCOHOLISM) VIRAL HEPATITIS, EXPOSURE TO HEPATOTOOXINS, INFECTIONS, CONGENITAL ABNORMALITIES, RIGHT SIDED CHF & IDIOPATHIC
WEAKNESS, MALAISE, ANOREXIS, WEIGHT LOSS, PALPABLE LIVER (EARLY) ABDOMINAL GIRTH INCREASES AS LIVER ENLARGES, JAUNDICE, FRUITY OR MUSTY BREATH, ASTERIXIS (HAND FLAPPING), BRUSING & DRY SKIN ARE SIGNS & SYMPTOMS OF CIRRHOSIS
WHAT IS WHEN A ATIENT'S WRIST S & FINGERS ARE OBSERVED T FLAP BECAUSE OF A BRIEF, RAPID RELAXATION OF WRIST DORSIFLEXION? ASTERIXIS
ASTERIXIS IS OBSERVED IN A PT WHO HAS ? CIRROSIS
WHAT ARE SOME COLICATIONS FROM CIRRHOSIS? ESOPHAGEAL VARICIES & ASCITES
WHAT ARE ENLARGED VEINS IN THE LOWER PART OF THE ESOPHAGUS? ESOOPHAGEAL VARICES
WHAT IS THE CARDINAL SIGN OF ESOPHAGEAL VARICIES? BLEEDING
WHAT IS THE TREATMENT FOR ESOPHAGEAL VARICIES? SOFT DIET, NO ALCOHOL, ANTITUSSIVES & STOOL SOFTNERS, INJECTION SCEROTHERAPY, VARICEAL BANDING, VITAMIN K, BLOOD TRANSFUSIONS,
WHAT IS A COLLECTION OF FLUID IN THE PERITONEAL CAVITY? ASCITES
WHAT IS THE MAJOR CONTRIBUTOR TO ASCITES? PORTAL HYPERTENSION
WHAT IS THE TREATMENT FOR ASCITES? ABDOMINAL PARACENTESIS, IV ALBUMIN, DIURETIC THERAPY, SODIUM-RESTRICTED DIET, POTASSIUM SPARING DIURETIC (ALDACTONE) VITAMIN K, INTERNAL CATH & DRUG THERPY
ELIMINATE ALCHOL, ADMINISTER VIT A, B COMPLEX, C & K, AVOID BLEEDING IS NURSING INTERVENTIONS FOR CIRRHOSIS
WHAT WAYS CAN A PT WITH CIRRHOSIS AVOID BLEEDING? AVOID INJECTIONS, USE SMALL BORE NEEDLES, MAINTAIN PRESSURE SITES FOR AT LEAST 5 MIN, USE ELECTRIC RAZOR, USE SOFT BRISTLE TOOTH BRUSH, CHECK STOOLS FOR BLOOD & PREVENT STRAINING AT STOOL
WHAT TYPE OF DIET SHOULD ONE WITH CIRRHOSIS BE ON? LOW SODIUM LOW FAT & HIGH CARB
CONTAMINATED FOOD OR WATER IS A SOURCE FOR WHAT TYPE OF HEPATITIS? A
Created by: jmbosworth1972