Obstetrics and Paediatrics
A pregnant woman in her 28th week has gained 22 lbs. What is your impression?
28-9=19
range=3
Do an ax
What is Humulin 70/30?
o Mix of insulin, R and N
o 70 and 30 are %
o 70 NPH
o 30 R
When do you use a three point crutch gait?
When one leg is odd
"even for even, off for odd"
What is the most important thing to pay attention to in any nerve question?
LOCATION
What is the relationship with uterine output and urine specific gravity when there is high urine output?
Low urine specific gravity
If she has gained 10lbs in her 1st trimester and fundus is way up what could be happening?
1. Not in 1st trimester
2. Hypermolar pregnancy
When should TAPS be drawn? What matters?
The route
What are the reasons a chest tube was placed? Give the reason and its name.
Pneumothorax: chest tubes to remove air, APICAL
Hemothorax: chest tube removes blood, BASILAR
Pneumo-hemo thorax: chest tube removes air and blood, BOTH
What is the treatment for a thyrotoxicosis?
Get temp down
Get O2 up
O2 first then temp
ALWAYS STAY WITH THEM
Your patient has tetany, what caused it?
Hypocalcemia YES SK, MUSCLE, NERVE
What is the purpose of the uterine contractions in the 1st stage?
To dilate and efface the cervix
What does Lanoxin/Digoxin treat?
AFIB and CHF
What are the precautions with a droplet transmission?
Droplet:private room preffered, cohort of same disease based on POSITIVE
CULTURE, mask, gloves, NO GOWN, hand washing, eye face shield not unless needed,
special filter mask no, patient mask needed when leaving room yes, dedicated equipment
yes, negative airflow no
o Bugs that travel 3 feet
o Meningitis
o H flu which causes epiglottitis
What is a potential post op complication for a cervical laminectomy?
they won’t breathe deeply after surgery: PNEUMONIA
What does Kalemia (K+), Calcemia, and Magnesmia, do compared to the prefix?
Kalemia’s (K+) do the SAME AS the prefix except for heart rate and urine output
Calcemia’s do the OPPOSITE of the prefix
Magnesemia’s do the OPPOSITE of the prefix
BONUS: What is the sign for Chvostek’s or Trousseau’s
What does the acronym LION PIT stand for?
L- turn on their LEFT side
I- increase IV
O- oxygenate them
N- Notify MD
PIT- in a crisis if oxy is running, STOP IT
BONUS- What does the acronym VEAL CHOP stand for?
What are the two toxic effects of AMINOGLYCOSIDES?
ototoxicity
NEPHROTOXICITY
How many chest tubes is placed for unilateral pneumothorax?
Two. Apical for pneumo. Basilar for hemo.
You are caring for patient with lumbar oligodendrogliocytoma. What is the #1 problem?
Urinary retention
What is the number one cause of DKA?
acute viral upper respiratory infections withing the last two weeks
BONUS: What is the treatment
Breast, Uterine Fundus, Bladder, Bowel, Lochia, Episiotomy, Henoglobin and Henatocrit, Extremity check, Affect, and Discomfort
BONUS: What are the interventions for Uterine fundus, Lochia, and Extremity Check?
What are the four defects of tratrallogy of fallor? “VarieD PictureS Of A RancH”
1. VD: ventricular defect
2. PS: pulmonary stenosis
3. OA: overriding aorta
4. RH: right hypertrophy
If a closed chest tube drainage system breaks, if you can only do one thing what should you do?
SUBMERGE end of tube in sterile water.
BONUS: What should you normally do? In order.
What are the S/S for Addisons disease?
Hyperpigmentation
They do not adapt to stress
a. Purpose of stress response: raise glucose and raise BP
b. THEREFORE; hypoglycemia and hypotension when exposed to stress; shock
Which patient is put on a fluid restriction and Lasix?
hyponatremia