What the Pharm?
What category class is Nifedipine and name one assessment that must be done before admin?
Calcium-Channel Blockers
B/P
What is the normal plasma WBC lab value?
5,000-10,000 /microliter
What is Diabetes Insipidus and name a s/s?
Lack of ADH from posterior pituitary
5-20 L/day
hypotension/tachycardia
What kind of diet is a person with hx of an MI put on? Explain
Cardiovascular
low fat/low salt
no/little fried foods/simple carbs
Name 2 teachings for a bladder retraining
urinate on 2-hr schedule
use valsalava/credes maneuver
fluids
do not hold urine
Name the category class of Prednisone and 2 s/e or complications?
Glucocorticoid
hyperglycemia
inflammation/moon face
immunosuppression
bruising
osteoporosis
Peptic ulcer/GI discomfort
Name Neutropenic precautions
No fresh fruits/veggies
no fresh plants
dont be aroung sick people
hand hygiene
no raw foods
decrease sticks/shaving
Name 3 s/s of Graves disease
heat intolerance
rapid heart rate/respirations
nervousness/irritability
weakness/fatigue
diarrhea
insomnia
sweaty/flushed skin
goiter
exophthalmos
A pt is predisposed to uric acid bladder stones.. what kind of diet should they follow?
low purine
What is the first nurse action after assessing a cbg of 60 mg/dl?
Admin 10-15 g of carb
reassess
What is phenoazopyridine used for and name an important teaching?
UTI analgesic
red/orang urine/protection
push water
Name 2 labs that would be elevated with gomerulonephritis.
BUN
Creatinine clearance
specific gravity
WBC
Name 2 s/s of myxedema and 2 treatment/teaching
fatigue/lethargy
intolerance to cold
weight gain/constipation
bradycardia/hypotension
hair loss
Thryoid hormones/fiber
Name 2 diet/food teachings for DM pts
Do not skip meals
sports in DM 1 pts should be skipped if high cbg
assess cbg before meals
low carb/sugar
food withing sight with rapid/short acting insulin
Name 2 s/s of heart failure
dyspnea, fatigue, tachycardia, edema
What plasma electrolyte level might be decreased following a thyroidectomy d/t accidental removal of parathyroid glands and name a s/s?
Calcium
positive Chvosteks, Trosseaus
muscle spasms/tetany
parasthesia of fingers/lips
Name 3 granulocytes and when they are elevated?
Neutrophils- infection/severe
Basophils- contact dermatitis
Eosinophils- allergies
Name 2 s/s of cushings syndrome and what is it?
Overproduction of glucocorticoid
buffalo hump
moon face
purple striations
trunk obesity
decreased immune
fragile skin
What is the fasting CBG
What is the most reliable assessment of fluid volume retention with renal failure?
Daily weight
Name a nephrotoxic drug?
Vancomycin
Opiods
NSAIDs
aminoglycosides
What is multiple myeloma and name an elevated electrolyte lab ?
Multiple myeloma is a cancer that forms in a type of white blood cell called a plasma cell. In multiple myeloma, cancerous plasma cells build up in bone marrow.
hypercalcemia
What is Sickle cell disease and the etiology
sickle celled rbcs cause decreased 02
2 defective genes, one from each parent
Name 2 medications you should take with food
metformin
prednisone
opiods
nsaids
Name 2 classic s/s of DKA
ketones
acetone breath
kussmauls