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Mark Klimek

Yellow Book - Unit 7 - Thyroid, Adrenal Cortex, Toys, Lamectomy

QuestionAnswer
Hyperthyroidism Hyper- metabolism (high metabolic rate)
Signs and symptoms of hyperthyroidism weight loss diarrhea ↑HR heat intolerance HTN exopthalmos (bulging eyes - Don Knotts)
Hyperthyroidism is also known as ___. So remember ___ yourself into the ___ Grave's Disease Run Grave
The problem is hyperthyroidism. Treatment options: radioactive iodine propylthyroid utisil surgical removal
What is the big risk with radioactive iodine? radiation risk in urine - double flush, need a private bathroom
What does PTU do? propylthyroid utinsil knocks out WBC
What is the most common treatment for hyperthyroidism? surgical removal
Total thyroidectomy - need lifelong ___ replacement. At risk for ___ hormone hypocalcemia (difficult to spare parathyroid)
What are you at risk for with a subtotal thyroidectomy? thyroid storm
What are the signs and symptoms of a thyroid storm? extremely high vital signs extremely high fever psychotically delirious This is a medical emergency
What is the treatment for a thyroid storm? oxygen lower body temperature
Total= T___ Subtotal= S___ Tetany Storm
Post operation risks for total and subtotal thyroidectomy in first 12 hours airway/breathing bleeding
Post operation risks for total thyroidectomy in 12-48 hrs tetany (r/t ↓Ca)
Post operation risks for sub-total thyroidectomy in 12-48 hrs thyroid storm
Hypothyroidism= hypo ___ metabolism
Signs and symptoms of hypothyroidism weight gain HTN constipation lethargy cold intolerance "slow"
Hypothyroidism is also known as ___ myxedema
What are the 3 reasons for accuchecks? diabetes TPN steroids
Treatment for hypothyroidism thyroid replacemnt (s/e: hyperthyroidism)
Caution: with hypothyroidism treatment DO NOT ___ sedate (they are already sedated)
Surgical implications for the hypothyroid patient anesthesia is very high risk do not hold thyroid pills when NPO
Adrenal Cortex Diseases start with letters ___ or ___ A C
Adisson's Disease is ___ of the adrenal cortex undersecretion
Signs and symptoms of Addison's Disease hyperpigmented (darker) doesn't respond to stress well (JFK)
Treatment for Addison's Disease steroids (need to wear a med alert bracelet)
Addison's add - a - sone
Cushing's Syndrome is ___ of the adrenal cortex oversecretion (cushy=more)
Signs and symptoms of Cushing's Syndrome (same as steroids) moon face hirsutism (↑body hair) water retention gynecomastia (man boobs) buffalo hump central obesity (small skinny limbs) ↓bone density easy bruising irritability immunosuppression
Treatment for cushing's syndrome adrenalectomy→replacement therapy→steroids
What is CONTACT precautions used for? herpes enteric (rotavirus, shigellosis) staph (MRSA) RSV (transmitted via droplet but contact because kids put mouths on everything)
CONTACT PRECAUTIONS private room (most important) gloves gown handwashing disposable supplies (BP cuff) stethoscope can be taken from room to room as long as sterilized after use
What is droplet precaution used for? influenza (H1N1) meningitis diptheria pertussis mumps
DROPLET PRECAUTIONS private room mask (most important) gloves handwashing pt wears mask when leaving room disposable supplies
What is airborne precautions used for? measles TB (spread via droplet) chicken pox (varicella) SARS
AIRBORNE PRECAUTIONS private room (door closed) mask gloves gown handwashing special filter for mask (TB-don't leave room unless have to) pt wear mask if leaving room disposable supplies negative air flow (most important everyone that enter the room must wear a mask
Unless otherwise specified, assume that PPE includes: gloves gowns goggles masks
The proper place for donning PPE is ___ the room and doffing PPE is ___ the room outside inside
The proper order for donning PPE is gown mask goggles gloves (reverse alphabetical w/mask in 2nd place)
The proper order for removing PPE is gloves goggles (from behind) gown (from behind) mask (from behind - outside room) (alphabetical order)
In airborne and droplet precautions only, the mask is removed ___ the room and the patient removes mask ___ the room outside inside
Handwashing or scrubbing: position hands below elbows handwashing
Handwashing or scrubbing: position elbows below hands scrubbing
Handwashing or scrubbing: length of seconds hand-washing
Handwashing or scrubbing: lenght minutes scrubbing
Handwashing or scrubing
What is CONTACT precautions used for? herpes enteric (rotavirus, shigellosis) staph (MRSA) RSV (transmitted via droplet but contact because kids put mouths on everything)
CONTACT PRECAUTIONS private room (most important) gloves gown handwashing disposable supplies (BP cuff) stethoscope can be taken from room to room as long as sterilized after use
What is droplet precaution used for? influenza (H1N1) meningitis diptheria pertussis mumps
DROPLET PRECAUTIONS private room mask (most important) gloves handwashing pt wears mask when leaving room disposable supplies
What is airborne precautions used for? measles TB (spread via droplet) chicken pox (varicella) SARS
AIRBORNE PRECAUTIONS private room (door closed) mask gloves gown handwashing special filter for mask (TB-don't leave room unless have to) pt wear mask if leaving room disposable supplies negative air flow (most important everyone that enter the room must wear a mask
Unless otherwise specified, assume that PPE includes: gloves gowns goggles masks
The proper place for donning PPE is ___ the room and doffing PPE is ___ the room outside inside
The proper order for donning PPE is gown mask goggles gloves (reverse alphabetical w/mask in 2nd place)
The proper order for removing PPE is gloves goggles (from behind) gown (from behind) mask (from behind - outside room) (alphabetical order)
In airborne and droplet precautions only, the mask is removed ___ the room and the patient removes mask ___ the room outside inside
Handwashing or scrubbing: position hands below elbows handwashing
Handwashing or scrubbing: position elbows below hands scrubbing
Handwashing or scrubbing: length of seconds hand-washing
Handwashing or scrubbing: lenght minutes scrubbing
Handwashing or scrubing
What is CONTACT precautions used for? herpes enteric (rotavirus, shigellosis) staph (MRSA) RSV (transmitted via droplet but contact because kids put mouths on everything)
CONTACT PRECAUTIONS private room (most important) gloves gown handwashing disposable supplies (BP cuff) stethoscope can be taken from room to room as long as sterilized after use
What is droplet precaution used for? influenza (H1N1) meningitis diptheria pertussis mumps
DROPLET PRECAUTIONS private room mask (most important) gloves handwashing pt wears mask when leaving room disposable supplies
What is airborne precautions used for? measles TB (spread via droplet) chicken pox (varicella) SARS
AIRBORNE PRECAUTIONS private room (door closed) mask gloves gown handwashing special filter for mask (TB-don't leave room unless have to) pt wear mask if leaving room disposable supplies negative air flow (most important everyone that enter the room must wear a mask
Unless otherwise specified, assume that PPE includes: gloves gowns goggles masks
The proper place for donning PPE is ___ the room and doffing PPE is ___ the room outside inside
The proper order for donning PPE is gown mask goggles gloves (reverse alphabetical w/mask in 2nd place)
The proper order for removing PPE is gloves goggles (from behind) gown (from behind) mask (from behind - outside room) (alphabetical order)
In airborne and droplet precautions only, the mask is removed ___ the room and the patient removes mask ___ the room outside inside
Handwashing or scrubbing: position hands below elbows handwashing
Handwashing or scrubbing: position elbows below hands scrubbing
Handwashing or scrubbing: length of seconds hand-washing
Handwashing or scrubbing: lenght minutes scrubbing
Handwashing or scrubing
What is CONTACT precautions used for? herpes enteric (rotavirus, shigellosis) staph (MRSA) RSV (transmitted via droplet but contact because kids put mouths on everything)
CONTACT PRECAUTIONS private room (most important) gloves gown handwashing disposable supplies (BP cuff) stethoscope can be taken from room to room as long as sterilized after use
What is droplet precaution used for? influenza (H1N1) meningitis diptheria pertussis mumps
DROPLET PRECAUTIONS private room mask (most important) gloves handwashing pt wears mask when leaving room disposable supplies
What is airborne precautions used for? measles TB (spread via droplet) chicken pox (varicella) SARS
AIRBORNE PRECAUTIONS private room (door closed) mask gloves gown handwashing special filter for mask (TB-don't leave room unless have to) pt wear mask if leaving room disposable supplies negative air flow (most important everyone that enter the room must wear a mask
Unless otherwise specified, assume that PPE includes: gloves gowns goggles masks
The proper place for donning PPE is ___ the room and doffing PPE is ___ the room outside inside
The proper order for donning PPE is gown mask goggles gloves (reverse alphabetical w/mask in 2nd place)
The proper order for removing PPE is gloves goggles (from behind) gown (from behind) mask (from behind - outside room) (alphabetical order)
In airborne and droplet precautions only, the mask is removed ___ the room and the patient removes mask ___ the room outside inside
Handwashing or scrubbing: position hands below elbows handwashing
Handwashing or scrubbing: position elbows below hands scrubbing
Handwashing or scrubbing: length of seconds hand-washing
Handwashing or scrubbing: length minutes scrubbing
Handwashing or scrubing: can touch hands hand washing
Handwashing or scrubbing: not allowed to touch hands scrubbing
Handwashing or scrubbing: use when entering/leaving room, before/after glove use, whenever hands get soiled handwashing
Handwashing or scrubbing: use when patient is immunosuppressed (beginning of stuff) scrubbing
Handwashing or scrubbing: soap and water handwashing
Handwashing or scrubbing: use "chlor--- scrubbing
When can you use an alcohol based solution? only substitute for handwashing enter leave/room before/after gloves NEVER substitute for soiled hands
Can you use an alcohol based solution after using the restroom? No - soiling hands
Dry hands from ___ to ___ Turn water off with ___ paper towel cleanest dirtiest new
Sterile gloving: glove ___ hand first grasp ___ of cuff touch only the ___ of glove surface do not ___ cuff fingers ___ second glove cuff keep thumb ___ only touch ___ surface of glove dominant outside inside role inside abducted outside
SkIN touches ___ of glove INside
OUTside of glove only touches ___ of glove OUTside
Remove ___ to ___; ___ to ___ glove glove skin skin
What patients do NOT need interdisciplinary care? people who have multiple problems in the same division of care ex: COPD, arthritis, cancer of bowel (all medical problems)
What is the major criteria for interdisciplinary care? patients with multidimensional needs (physical, intellectual, emotional, social, spiritual) ex- COPD, homelessness, & schizophrenia (need medical, SW, and psychiatrist) patients who need rehabilitation (PT, SW, OT, speech will be affected)
What is the minor criteria for interdisciplinary care? a patient whose current treatment is ineffective a patient who is preparing for discharge
What are the 3 principles to consider when choosing appropriate toys for kids? is it safe is it age appropriate is it feasible (can you actually do it? - specific to child's situation)
What are some safety considerations when it comes to kids toys? size of toy (no small toys for under 4 yrs) no metal toys if oxygen is in use (sparks) beware of fomites (non-living objects-microorganisms) worse - plush toys/stuffed animals least - plastic toys that can be disinfected
What is the BEST toy for 0-6 month old (sensorimotor)? musical mobile
What is the 2nd BEST toy for 0-6 month old (sensorimotor)? large and soft
What is the BEST toy for a 6-9 month old (object permanence)? cover/uncover toy (jack in the box)
What is the 2nd BEST toy for 6-9 month old (object permanence? firm but large (wood/hard plastic allowed)
What is the BEST toy for 9-12 month old? verbal toy (tickle me doll)
Remember with 9-12 month olds ___ activity with ___ purposeful objects
avoid answers with the following words in them for children 9 months and younger build sort stack make construct
What is the BEST toy for toddlers (1-3 years)? push/pull toy (wagon)
What skill is being worked on when toddlers play? gross motor skill
What type of play do toddlers do? parallel play (play alongside but not with)
What types of toys should be avoided with toddlers? toys that require good finger control/dexterity
Preschoolers need toys that work on: fine motor skills (fingers) balance (dance, ice skating, tumbling)
Preschoolers play is characterized by cooperative play (play with each other)
Preschoolers like to play pretend
School age (7-11 years) aka ___ are characterized by the 3 C's: Concrete 1. created/creative (give blank paper; get them involved) 2. competitive (winners and losers) 3. collective (baseball cards and barbies)
Adolescents (12-18 years) their "play" is ___ ___ ___. Allow adolescents to be in each others' rooms unless one of them is: peer group association (hang out in groups) 1. fresh post-op (less than 12 hours) 2. immunosuppressed 3. contagious
When given a variety of ages to choose from always go ___ because children ___ when sick and you want to give them ___ younger regress as much time to grow
Created by: Blackbeltmom
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