NUR 141 EXAM 2
Help!
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| show | well, ill but stable, injured, convalescent, handicapped
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| LPNs work under... | show 🗑
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| show | start IVs, give IVP or IBPB meds, work with central lines, take verbal orders
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| LPN duties | show 🗑
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| show |
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| PT does | show 🗑
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| show | upper extremities and ADLs
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| show | swallowing, speaking
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| "study learning principles" | show 🗑
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| domains of learning | show 🗑
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| cognitive | show 🗑
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| affective | show 🗑
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| show | acquiring skills-can use glucometer to check blood sugar level
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| pain is the physical sensation, suffering is the emotional response to pain | show 🗑
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| pain lasting > 3 months | show 🗑
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| show | acute, inc in BP and vs
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| nocioceptive pain | show 🗑
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| show | superficial (sharp, burning, prickly), deep (aching, throbbing)
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| nocioceptive visceral | show 🗑
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| nocioceptive pain responds to | show 🗑
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| show | caused by damage to nerves or CNS (numbing, burning, stabbing)
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| show | trauma, inflam, metabolic disease, ETOH, inf. Not well controlled by opioids alone.
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| show | is ambulation, change in posiiton
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| pattern of pain | show 🗑
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| show | for mild/mod pain, nonsalicylate, salicylate, NSAIDS
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| nonsalicylate | show 🗑
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| salicylate | show 🗑
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| show | losts of side effects
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| show | analgesic ceiling, no tolerance/dependence to, OTC, opioid sparing
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| show | bind to CNS receptors for mod/severe pain, no ceiling
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| show | propoxyphene (seizures), meperedine (neurotoxicity)
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| side effects of opioids | show 🗑
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| show | corticosteroids, antidepressants, antizeizure, GABA receptor agonists, alpha adrnergic agonists, local anesthetics, cannabinoids
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| corticosteroids | show 🗑
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| antidepressants | show 🗑
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| show | affect peripheral nerves &CNS, good for neuropathic pain, gabapentin (neurotin), pregabalin (Lyrica)
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| show | muscle spasms
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| marrinol | show 🗑
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| show | equianalgesic dosing
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| show |
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| show | chronic exposure dec effect of drug. rotate
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| show | expected, experience withdrawl s/s when blood level drops. Taper off.
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| show | powerful drive to take substance for reasons other than the therapeutic purpose. Seeking SE instead of therapeutic effects
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| show | acute/chronic, r/t desease/tx,
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| palliative care | show 🗑
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| show | end of life care, focus on comfort/quality of life vs quantity
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| show | hasten death
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| show | women=1920, men=2300, need more vit D, B12, protien, fat, CHO, fluids
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| dehydration in tne elderly | show 🗑
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| lack of nutrition in elderly | show 🗑
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| show | leukoplakia
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| show | erythroplackia
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| precursor to esphageal cancer | show 🗑
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| cancer that is mastatic at time of dx | show 🗑
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| after removal of esophagus | show 🗑
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| sign of fever, severe pain and NG contents change after esophagus removal | show 🗑
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| pts with inc temp after surgery | show 🗑
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| gall stone blocking duct can cause | show 🗑
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| show | LDL
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| show | AST
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| show | ALT
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| show | CSF
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| show | trans w fecal oral
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| show | trans w body fluid, blood
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| hep C | show 🗑
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| show | only have w B
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| drug of choice for liver disease | show 🗑
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| what are some contributing causes for cirrhosis of liver | show 🗑
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| what labs are for cirrhosis of liver | show 🗑
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| show | pain, fatique, brusing, acetises, LOC, what have been exposed to
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| what orders with sirrhosisi of liver | show 🗑
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| show | stores carbs, protein, 1st pass, responsible for clotting factors, detoxes at 1st pass
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| must have PT prior to liver biopsy | show 🗑
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| show | = amonia
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| jaundice | show 🗑
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| show | thyamine and folic acid
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| show | isoniazid, acetaminophen, thiazides, tetracycline, methotrexate, ETOH, poisons, heavy metals
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| pt adm w RUQ pain N/V, sudden onset, ate shell fis. wat tests dr order | show 🗑
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| how is HBV trans | show 🗑
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| how is HCV trans | show 🗑
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| show | hep B vac
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| hep B more than C can cause | show 🗑
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| causes of pancreatitis | show 🗑
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| assessment data for pancreatitis | show 🗑
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| show | amalyse, lipase, BG
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| gall stone blocking duct can cause | show 🗑
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| lab the is relased with injury | show 🗑
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| show | AST
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| show | ALT
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| all fluids of body have billirubin except | show 🗑
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| show | trans w fecal oral
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| show | trans w body fluid, blood
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| hep C | show 🗑
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| show | only have w B
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| drug of choice for liver disease | show 🗑
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| what are some contributing causes for cirrhosis of liver | show 🗑
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| what labs are for cirrhosis of liver | show 🗑
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| assessment data for cirrhosis liver | show 🗑
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| what orders with sirrhosisi of liver | show 🗑
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| show | stores carbs, protein, 1st pass, responsible for clotting factors, detoxes at 1st pass
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| must have PT prior to liver biopsy | show 🗑
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| show | = amonia
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| jaundice | show 🗑
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| show | thyamine and folic acid
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| show | isoniazid, acetaminophen, thiazides, tetracycline, methotrexate, ETOH, poisons, heavy metals
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| pt adm w RUQ pain N/V, sudden onset, ate shell fis. wat tests dr order | show 🗑
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| show | blood, body fluid
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| show | blood (transfission, neeedles)_
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| how protect yourself from transmission | show 🗑
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| show | liver cancer
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| causes of pancreatitis | show 🗑
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| assessment data for pancreatitis | show 🗑
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| lab teszts for pancreatitis | show 🗑
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| show | morphine, dilaudid, NPO, NG tube, previcid, Zofran
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| pancreas | show 🗑
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| show | NPO (cant excrete lipase,amalace until gone), NGT, morphine, fluid, low fat, bland, pancreatic enzymes, cant drink again or will b back in hosp
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| show | DM diet, insulin, fluids, A1c
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| pts on beta blockers are tachy | show 🗑
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| show |
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| show | type 1
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| show | caused by too much insulin, tto much insulin at night
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| show | hypergycemia d/t coungterregulatory hormones, hormone imbalance
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| DM and renal failure go together | show 🗑
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| show | give Regalan 1/2 hr before meals to inc motility
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| show | 4-6 non diabetic
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| show | no candy bars (too much fat, delays absorption)
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| show | 15-20gm x15min, 6 oj, 4 cola, 8 milk, 3 glucose pills, 5 lifesavers, 1 dry toast, 1/2 c ice cream
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| what drug you cant give with a dye study | show 🗑
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| medulla adrenal gland (sympathetic NS) | show 🗑
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| show | mineralcorticoids, glucocorticoids, androgens,
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| too many mineralcorticoids, glucocorticoids, androgens = | show 🗑
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| too little mineralcorticoids, glucocorticoids, androgens = | show 🗑
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| cushings syndrome is caused from | show 🗑
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| side effects of steroid therapy | show 🗑
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| show | Megaloblastic Anemia
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| Megaloblastic anemia causes | show 🗑
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| show | gastric mucosa
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| Need IF to absorb | show 🗑
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| Absence of intrinsic factor | show 🗑
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| parietal cell function test with radioactive cobalamin adm | show 🗑
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| show | inc risk of gastric cancer
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| show | sore tongue (red, beefy/shiny), N/V, abd pain, weakness,
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| drug therapy for pernicious anemia | show 🗑
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| increased production of RBCs and impaired circulation dt inc blood viscosity | show 🗑
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| chronic chromosomal mutation with inc RBCs, WBCs and platelets | show 🗑
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| Hoypozia driven, inc O2 demand | show 🗑
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| ns assessment for polycythemia | show 🗑
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| managemnt of primary polycythemia vera | show 🗑
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| amb would not be ordered due to | show 🗑
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| show | control chronic pulmonary disease, no smoking, high altitudes
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| show | SBP 120-139, DBP 80-89
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| HTN inc risks for | show 🗑
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| show | heart, brain, pere\ipheral vascular disease, kidney, eyes
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| HTN heart disease | show 🗑
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| show | stroke, 4 times more likely to have one
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| show | speeds up atherosclerosis in peripheral blood vessels
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| show | PVD, aortic aneurysm, aortic dissection intermittent claudication
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| death of nephrons from narrowing of the arteries and arterioles | show 🗑
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| labs for nephrosclerosis | show 🗑
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| show | fatigue, reduced activity tolerance, dizziness, palpitations, angina dyspnea
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| ns mangement of HTN | show 🗑
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| show | orthostatic hypotension
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| 3 factors of orthostatic hypotension | show 🗑
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| orthostatic vs | show 🗑
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| 2 main actions of antihypertensives | show 🗑
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| show | potassium
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| pt taking thiazides should avoid what OTC | show 🗑
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| monitor what for loop and K+ sparing diuretics | show 🗑
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| pt taking aldoctone (aldosterone receptor blockers) should not eat | show 🗑
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| avoid what with catapres (adrenergic inhibitors) | show 🗑
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| pt on lopressor (beta blocker) requires monitoring of | show 🗑
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| pt on Apresoline (direct vasodilators)and urine is brown and 1+ edema on ankle what going on | show 🗑
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| show | dry hacking cough, in the lungs causes cough. angioedema
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| swelling of face and tongue | show 🗑
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| pt on Cozzar (angiotension II receptor blocker) still has high BP | show 🗑
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| show | secondary HTN
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| causes of secondary HTN | show 🗑
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| show | hypokalemia, abd buit, variable BPs w tacy, sweating, tremors, fam hx of renal disease
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| show | fatty deposits on aterial wall that cause inflam "hrdening of the arteries"
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| show | diet, lifestyle, exercise, no smoking, no ETOH
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| show | cholesterol>240, SBP>160, >1 pack a day smoker
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| CAD med that causes Rhabdomyolosis | show 🗑
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| show | breakdown of skeletal muscle, products get caught in kidneys and cause renal failure
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| common side effects of niacin | show 🗑
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| fibric acid derivative increase the effects of | show 🗑
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| show | digozin, thiazide diuretics, warfarin, penicillins
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| show | liver impairment
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| show | niacin, garlic, omega-3 fatty, psyllium, soy, phytosterols (nuts, seeds), red yeast rice
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| leading cause of death | show 🗑
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| show | angina pectoris-caused by dec supply of oxygen to heart muscle
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| show | anemia, asthma, COPD
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| show | anxiety
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| cardiac factos that dec O2 to myocardial cells | show 🗑
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| show | aortic stenosis, cardiomyopathy, tachy
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| show | Chronic Stable Angina-secondary to CAD, tx w rest and nitrate
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| type of angina | show 🗑
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| show | pain at rest in neck, jaw, shoulders, arms, between shoulders lasts 5-15min.
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| manifestations of CAD tend to occur during | show 🗑
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| questions for chest pain | show 🗑
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| tx for chronic stable angina | show 🗑
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| show | at rest, worsening pattern,
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| nitro | show 🗑
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| nitro can cause | show 🗑
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| teaching of nitro | show 🗑
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| sustained ischemia causing myocardial death | show 🗑
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| cardiac disorder that impairs the ability of the ventricle to fill with or eject blood | show 🗑
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| why HF instead of CHF | show 🗑
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| show | ventricular dysfunction, reduced exercise tolerance, diminished quality of life, shortened life expectancy
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| show | HF
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| show | systolic failure, distolic failure
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| systolic failure | show 🗑
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| show | ventricls stiffen, dec filling, selling feet, some lung congestion
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| sign of L sided heart failure | show 🗑
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| show | R ventricle fails pump enough blood to meet body needs, ventricle cant accept all the blood returning to the heart.
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| show | backs up into veins/capillaries, edema, dry lungs, generalized edema
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| show | Fatigue, Activities limited, Chest congestion/cough, Edema, SOB
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| show | dec blood flow to extremities less hair, chest pain, dusky cool skin, edema, tachycardia, SOB
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| show | Jugular vien distention, pedal edema, wt gain, fatigue, dependent bilat edema, URQ pain
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| show | crackles, changes in mental status, confusion, restlessness, weak, dyspnea, shallow resp, SOB in recumbant, cry hacking cough, nocturia
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| 1+ edema | show 🗑
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| 2+ edema | show 🗑
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| show | deep pitting, indentation remains for a short time, leg looks swollen
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| 4+ edema | show 🗑
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| show | dec and strengthens heart beat, check apical HR (>60) prior to adm
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| digoxin toxicity | show 🗑
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| show | diuretics (K+ waisting loops) watch electorlytes (K+, Na), morphine for pain causes vasodilation of lungs to inc capacity
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| major cause of PAD | show 🗑
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| show | trental, pletal
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| tx for PAD | show 🗑
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| surg tx for PAD | show 🗑
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| show | Buerger's Disease
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| show | obstruction of small arteries, loss of phlanges, stop smoking
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| episodic vasospastic disorder fo small cutaneous arteries of fingers and toes | show 🗑
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| show | breast cancer, 1st is lung
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| increased exposure to estrogen causes | show 🗑
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| show | hard, circular, dimpling, immovable, non tender, large
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| show | having 1 or more 1st relative w oravrian cancer, too much extrogen
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| beta blockers cause | show 🗑
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| show | painless enlargement, heaviness, dragging sensatoin
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| show | kitchen, bathroom, bedroom
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| show | absorption, distribution, biotransformation, excretion
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| medication errors | show 🗑
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| show | earliest sign.. mental confusion
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| 4 types of extrapyramidal reactions. Early onset.... | show 🗑
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| show | tardive dyskinesia (tongue, face, swallowing dec) not reversiable
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| insulin reaction | show 🗑
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| fluid filled sac that cushions a jt. can become inflamed | show 🗑
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| attaches muscle to bone | show 🗑
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| inflammation of muscle | show 🗑
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| RICE | show 🗑
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| show | aspiration and rice
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| infection in bone | show 🗑
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| most common osteomyelitis | show 🗑
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| direct osteomyelitis | show 🗑
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| bone deterioration | show 🗑
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| ostoporosis | show 🗑
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| rehabilitation begins | show 🗑
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| loss of motor function | show 🗑
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| show | paresis
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| paralysis-legs lower body | show 🗑
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| show | tetraplegic
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| show | upper motor neuron
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| spinal cord to muscle | show 🗑
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| sensory impulse to corn, motor neuron, muscle or gland | show 🗑
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| sacral reflex arcs intact | show 🗑
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| show | ur understanding where ur limbs are
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| cervical injury | show 🗑
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| thoracic/lumbar:paraplegic | show 🗑
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| show | frequent pulmonary inf, assisted cough, breathing exercises, possible phrenic nerve stim
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| impaired O2 transport:immobility | show 🗑
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| Bladder problems above S2 (UMN)Reflexic | show 🗑
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| show | reflex destroyed, hypotonic,>500cc residual(cant empty), overflow voiding, crede or St cath
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| Bowel problems above S2 (UMN) Reflexic | show 🗑
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| Bowel problems S2-4 (LMN) Areflexic | show 🗑
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| sexuality | show 🗑
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| show | Autonomic dysreflexia
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| show | pt w lesion above T6 (often due to full bladder or bowel)can last 6yrs after injury.
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| show | generalized vasoconstriction first then sudden severe HTN. HA, brady, inc BP, dec P
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| autonomic dysreflexia can result in | show 🗑
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| Ns intervention for autonomic dysreflexia | show 🗑
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| show | halo traction
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| musculo-skeletal changes in the elderly primary | show 🗑
|
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| musculo-skeletal changes in the elderly secondary | show 🗑
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| show | Rheumatoid arthritis-autoimmune disease, genetic, rheumatoid factor present
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| show | fever, wt loss, fatiue, feneralized aching, early morning stiffness, tachy, weakness, anemia
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| show | jts stiff, pain, edema, prosimal finger jts enlarged, swan neck deformity, nodules on extensor surfaces
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| show | Pima and Chipawa tribe women
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| show | DMARDS (Methotrexate #1), NSAIDS, asprin (enteric coated 4-6gm), Anit inflams (Prednisone),
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| show | pain, inflam, ROM warm H2O therapy, own ADLs, assistive devices, splints for extension not flexion
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| show | synovectomy
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| show | arthroplasty
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|
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| show | osteotomy
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|
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| show | arthrodesis
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|
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| chronic inflam autoimmune disease (vascular and connective tissue) | show 🗑
|
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| show | procame
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| dx of lupus | show 🗑
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| show | polymyositis-degeneration of muscle fibers. tx high dose steroids
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| show | muscle weakness, difficulty moving/swallowing, symmetrical, includes polyarthritis, arthralgias and Raynauds
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| polymyositis with rash, | show 🗑
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| show | osteoarthritis (DJD) from over use
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| show | pain, stiffness in jts after rest, crepitation, Bouchard(PIP) and Heberden(DIP)nodes
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| show | tylenol (4gm),
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| metabolic disorder, too much uric acid | show 🗑
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| 3 causes of gout | show 🗑
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| show | crystals in tissues cause pain (jts/kidneys), red swollen jts,
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| swollen red great toe | show 🗑
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| meds for gout | show 🗑
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| show | meds, ice, elevate, uric acid levels, foot craddle
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| benign bone tumor | show 🗑
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| malignant bone tumor | show 🗑
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| show | ALK phos and Ca will be inc, CAT scan, PET, MRI, biopsy
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| show | hemorrhage, edema, contractures, inf
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| care for amputations | show 🗑
|
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