Cirrhosis
end stage complication that presents with elevated BUN & creatinine and decreased urine output
hepatorenal syndrome
The client will remain NPO with this type of pancreatitis
acute
MAP 54 ICP 22 Calculate the CPP
32
Bradycardia and hypotension that occurs if a SCI injury is at T6 or higher
neurogenic shock
Care goals for a client with ALS
comfort measures, palliative, supportive therapies until hospice and EOL care is needed
measuring the abdominal girth and obtaining a daily weight are nursing interventions for this end stage condition
therapeutic position for comfort
fetal
Normal range of ICP
10-15
characterized by acute onset of headache & hypertensive crisis
autonomic dysreflexia
Gum to Bum
Crohns
lactulose
Name 3 risk factors for acute pancreatitis aside from ETOH
ideopathic
gallstones
trauma
steroids
mumps
autoimmune
scorpion sting
hypercalcemia
high triglycerides
ERCP
drugs/meds
bradycardia, HTN or WPP, irregular respirations
Cushings triad
classification of TBI without LOC
mild
Condition which results in frequent bloody stools
ulcerative colitis
safety education for a client with splenomegaly
seatbelt, avoid, injury, avoid rollercoasters
name 3 key labs that will be elevated (may be slightly elevated or WNL if chronic)
amylase
lipase
glucose
Name 5 early signs of ICP
Decreased LOC (earliest sign)
• Behavior changes
• Restlessness
• Irritability
• Confusion
• Headache
• N/V (can be projectile)
• Aphasia
• Dysarthria
• Pupils
• Dilated & nonreactive
• Constricted & non reactive
• Cranial nerve dysfunctions
• Ataxia
• Seizures
Bradycardia and hypotension that occurs with loss of motor, sensory, and reflexes
spinal shock
IV not compatible with anything!
TPN
a client with end stage disease has symptoms of melana and hemoptysis. Patient education: Name 2 key things to avoid
Avoid
• Increasing
intraabdominal
pressure (lifting
heavy objects,
exercise)
• Eating hard foods
What opioid should be avoided in a client with pancreatitis
Daily double points awarded if you can explain why
morphine
causes spasm in the sphincter of Otti
Name 5 nursing interventions for a client with ICP
Head of bed 30 degrees or greater
• Maintain oxygen saturation >95%
• Maintain head in neutral midline position
• Avoid hip & neck flexion
• Promote rest- avoid cluster care!
• Hyperoxygenate pre/post suctioning
• Prevent unnecessary suctioning, limit passes to 30
seconds
• Maintain quiet dark environment
• Monitor VS’s, cardiac rhythm, ICP & CPP
expected intervention if level of injury is between C1-C4
intubation, long term tracheostomy
Diagnosed with Tensilon test
Daily double points awarded if you know the drug used to perform the test and the drug used as an antidote
Myasthenia Gravis
Edrophonium and Atropine