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Burns Endo Meds

QuestionAnswer
Silver Nitrate 0.5 % Does not penetrate; Used for staphylococcus and Pseudomonas and other gram negative bacteria. Aplly with gauze q2h
Nitrate Interventions Keep dressing wet but cover with dry gauze or blanket - decrease vaporization. Stains clothing. Depletes Na and K monitor freq.
Silver Sulfadiazine 1 % Water-soluble cream. No sulfa allergies Minimal eschar penetration. Gram postive and neg killer. gloves 1/16 layer 1-3x
Sulfadiazine interventions Can cause transient leukopenia if it gets on skin, decreases granulocytes (WBC), expected grey-blue skin and pseudoeschar.
Mafenide Acetate Penetrates eschar and goes into tissues which house infection. Not for patients with sulfa allergies. Prevents granulation tissue.
Mafenide Interventions Can cause metabolic acidosis, causes considerable pain initially, 2x/day, dresssings may or may not be used in applications.
SIADH Treatment Underlying cause first, fluid restrictions (500-1000mL), sodium supplements hypertonic solution, tetracyclines
Hypertonic Solutions Must administer slowly to pull water from inside the cells. Doing so too quickly will cause cells to shrivel and malfunction.
Tetracyclines Tells collecting tubules to stop responding ADH to increase urine. N,V, blood urea, No sunlight, limit calcium vitamin D and iron.
Desmopressin Artificial ADH will tell person to retain water. Nasal, don't give it to sinisitus patients
DI interventions Monitor I/O - dehydration risk, Hypotonic solutions, low sodium diet, Indomethasin+aspirin fall risks - nocturia. fluid replacement
Thiazides in DI Work on proximal convoluted tubule to increase water reabsorption reducing overall water release.
Levothyroxine Artificial T4 Best to take on an empty stomach w. full glass of water. 1-2 hours before other meds, first thing in the morning.
Thionamides Methimazole; PTU - supresses T3 T4
Graves Intervention Betablockers - slow rise in SNS response. Radioactive Iodine therapy; Thyroidectomy - calcium gluconate for low
Thyroidectomy care Ps upright, for patent airway; check bandages front and back for blood; montior calcium levels - parathyroids could get nicked.
All thyroid meds Take time for the levels to change and regulate.
Addison's Treaments Corticosteriods; Vasopressors - incrase bp retain fluids- Insulin DW50 for hyperkalemia; Sodium Keoxilate poop out excess K+
Radioactive Iodine Separate laundry; flush 3x (excreted glands) keep children and pregnant women away; bone marrow suppression; Immunosuppression stop meds 3-7 days before.
Hyperthyroid temperature Report 1* rise in temperature would indicate a crisis
Created by: Wasurenboh
 

 



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