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Acute Disease 2300
| Question | Answer |
|---|---|
| acute pancreatitis symptoms | Severe abdominal pain (often epigastric, may radiate to the back) Nausea and vomiting, Cullens/Gray Turner signs Abdominal tenderness Fever, loss of appetite Tachycardia |
| Labs to diag pancreatitis | Elevated serum amylase and lipase (lipase is more specific) Elevated white blood cell count Elevated liver enzymes (if gallstone-related) Hyperglycemia |
| How to manage pancreatitis | NPO (nothing by mouth) IV fluids (aggressive hydration) Pain control (analgesics) Electrolyte monitoring and correction |
| Anaphylaxis | Food: Peanuts, tree nuts, shellfish, fish, milk, eggs, soy, wheat Insect Stings: Bees, wasps Medications: Antibiotics (e.g., penicillin), NSAIDs Latex Exercise: In some individuals, can be triggered by physical activity |
| symptoms of anaphylaxis | Skin: Hives, flushing, itching, angioedema (swelling of lips, face, throat) Respiratory: Shortness of breath, wheezing, throat tightness, stridor Gastrointestinal: Nausea, vomiting, diarrhea, abdominal pain Cardiovascular |
| Acute Cholecystitis symptoms | Right upper quadrant (RUQ) pain Fever Nausea/Vomiting Murphy's sign (pain on palpation of RUQ during inspiration) Anorexia Jaundice (in some cases) |
| labs for cholecystitis | Elevated white blood cell count (WBC) Elevated liver enzymes (ALT, AST, alkaline phosphatase) |
| Nursing?medical interventions for Cholecystitis | NPO, Pain, antiemtics,elctrolytes, IV fliuds, ERCP, removal of gallbladder |
| Bile is made where | Liver.( It is stimulated by eating.) |
| Main cause of Acute Pancreatitis | Alcohol or binge drinking. |
| Labs for Pancreatitis | LIpase/Amylase |
| Bile is made where | Liver.( It is stimulated by eating.) |
| Main cause of Acute Pancreatitis | Alcohol or binge drinking. |
| Labs for Pancreatitis | LIpase/Amylase |
| ERCP can | Remove stone, place stents, views the gallbladder Endoscopic Retrograde Cholangiopancreatography |
| What is a T Tube and its use. | Tube placed inside the Gallbladder to allow the GB to heal. |
| Hyper Immune Response | Anaphalysis |
| What is a T Tube and its use. | Tube placed inside the Gallbladder to allow the GB to heal. |
| TPN is for | Total Parental Nutrition |
| Oxygenation | refers to the process of providing cells with oxygen through the respiratory system and is accomplished by pulmonary ventilation, respiration, and perfusion |
| Influenza | Influenza is a highly contagious viral respiratory infection Transmitted by inhalation of droplets Clinical Manifestations Fever Aches Cough Tired (Fatigue) Sudden Onset |
| Oseltamivir (Tamiflu) | Inhibits enzyme that spreads the virus Both A & B Do not take within 48 hrs of vaccine Don’t take 2 weeks after Causes NVD (food) Needs to be given within 48 hr of s/sx. |
| Respiratory Syncytial Virus (RSV) | Highly Contagious caused by viral pathogen Air hungry Wheezes Listless |
| COVID-19 | Community-acquired coronavirus Transmitted through respiratory droplets Fever, NP cough, sore throat, loss of smell Chest x-ray and PCR testin |
| REmdesivir | Inhibits viral replication Can cause bradycardia Infuse 30 to 130 minutes Vesicant! Should have improvement of pulmonary function Prevention is better than treatment! |
| Tocilizumab | Decreases inflammatory response Can cause neutropenia and Steven Johnson Syndrome Infused over 60 min alone, never a push or bolus Decreased inflammation, increased pulm function Monitor for abdominal pain |
| Nirmatrelvir and ritonavir (Paxlovid) | Inhibits viral replication Approved for 12 or older; weigh > 40kg Do not crush or chew Reduce dosage for renal patients Do not double the dose |
Created by:
Anmag002