DI/SIADH
high
Addison's: Na is ___ and K is ____
Na is decreased and K is increased
Priority action when managing a patient with an inhalant overdose
provide airway support.. then tx arrhythmias and hypotension
If a concussion has frontal lobe involvement..
What type of seizure has a Deja vu feeling?
Focal Seizure
In SIADH, urine sodium is ___
high
3 s/s of Cushing's
hyperglycemia, high BP, weight gain, excess body hair, moon face, buffalo hump, ecchymosis, striae, round trunk, hirsutism
Benzodiazepine antagonist
Flumazenil (Romazicon)
3 nursing interventions for controlling intracranial pressure in patients with a TBI
elevate head of bed, prevent valsalva maneuver, maintain normal body temperature, administer oxygen, maintain fluid balance, avoid noxious stimuli, administer sedation to reduce agitation, ICP monitoring
Describe the postictal state
They are confused, hard to arouse, and may sleep for hours. Patient reports headache, sore muscles, fatigue, and depression.
Tx for central DI
Desmopressin
3 s/s of Addisonian Crisis
SEVERE hypotension, cyanosis, fever, nausea, vomiting, signs of shock... could lead to cardiac arrhythmias and/or death
Management of patient who overdosed on SSRIs
Administer activated charcoal, seizure precautions, may need whole bowel evacuation if sustained-release
A complete lesion of C1-C3 results in
ventilatory dependency
What meds can we give to attempt to halt a seizure?
Diazepam, lorazepam, fosphenytoin
Fluid tx for patient with SIADH?
Restrict fluids to 1/2 to 1 L a day; choose milk, tomato juice, beef/chicken broth
Diet for Addison's
Low potassium foods, increase sodium intake during stress
S/S of Wernicke's Syndrome
confusion, diplopia, nystagmus, ataxia, disorientation, apathy
Common stimuli that cause Autonomic Dysreflexia
Describe seizure precautions
side rails up, pads against rails, pillow behind head, suction set up, O2 available, bed in lowest position
The Fluid Deprivation Test is terminated if the patient develops ____,____, or ____
tachycardia, excessive weight loss (3-5% of their weight), or hypotension
Tx of Addisonian Crisis
5 S's: Salt, sugar (dextrose), steroids, support of physiologic functions, and search for and tx cause
3 S/S of cocaine comedown
intense drug cravings, exhaustion, depression, increased appetite, anxiety and panic attacks, difficulty concentrating, restlessness, agitation and mood swings, suicidal thoughts, intense nightmares
An acute complication of SCI is spinal shock, what would the patient present with?
sudden depression of reflex activity in the spinal cord (areflexia) that occurs below the injury
S/S: hypotension and bradycardia
Complications of Vagal Nerve Stimulators
infection, cardiac arrhythmias, hoarseness, cough, laryngeal spasm