Treatment for esophageal varices
constricts blood vessels
decreases portal blood flow
What is Octreotide?
Blood in stool
what is melena
severe abdominal pain, rigid abdomen
fever, tachycardia, loss of appetite
What is peritonitis?
treatment for SIADH, replace sodium
3% saline infusion
calcium channel blocker to treat high blood pressure
what is nifedipine
Binds to Ammonia (crosses blood brain barrier)
Excreted in the stool
treats hepatic encephalopathy with liver failure
What is lactulose?
vomiting blood
what is hematemesis
fluid in peritoneal cavity, swelling,
distended abdomen
what is ascites
confusion, possible seizures, check neuro assessment
lab value, lethargy, headaches
what is decreased sodium
medication for low bp in neurogenic shock
what is dopamine
Given to treat sepsis or infection
Started after blood cultures are collected
What are broad spectrum antibiotics
yellow eyes, skin
elevated bilirubin
What is jaundice
large amounts of blood, liver cirrhosis
dilated veins in lower esophagus
what are esophageal varices
treat as septic
map above 65, abnormal white count
what is a neutropenic patient with a temp over 100.4
flushed face, high blood pressure, sweaty, h/a
what is autonomic dysreflexia
First line treatment for shock (except cardiogenic)
isotonic or crystalloid
What are IV fluids
fatigue, changes in LOC
difficulty sleeping, increased risk for seizures (late sign)
toxins accumulate in the brain
what is hepatic encephalopathy
massive bleeding, low bp (map), high heart rate
decreased tissue perfusion
what is hypovolemic shock
check for glucose
check for halo
what is cerebral spinal fluid
projectile vomiting, strange behavior, h/a
high blood pressure, seizures
what is increased ICP
Given after fluids with massive amounts of bleeding
low blood pressure , esophageal varices
What are packed red blood cells
fatigue, weakness
SOB, dizzy
tachycardia, hypotension
fatigue, weakness, nausea, wt loss
RUQ pain, ascites, jaundice
What is cirrhosis
treatment for DI, watch s/s of water toxicity
what is desmopressin
neurogenic shock, treat with fluids, dopamine and this medication for low heart rate
what is atropine