Module 10
What is an example of a thiazide diuretic?
Hydrochlorothiazide
What is the treatment for PCOS?
Metformin
Oral Contraceptives
What should you educate your patients to look for when taking oral contraceptives?
Signs and symptoms of a clot
What is the normal ICP level?
5-15
What position should you keep a patient’s head who has increased ICP?
Keep it midline, even when repositioning
What are thiazide diuretics most commonly used to treat?
Hypertension
What should you educate your patients not to do when taking oral contraceptives?
Skip doses
Don’t let patients smoke
What should you teach your patients using the depo birth control?
Teach them proper technique
Inject IM only
What should you do if your ICP is greater than 20?
Medical treatment is needed
Why do we keep the HOB 30-35 degrees for someone with increased ICP?
Decreased abdominal and thoracic pressure
Natural drain for pressure
What do you want to do when giving an IV bolus of Potassium?
Not fast
Need pump
Patient needs to be on telemetry
What should they do if they only missed one dose of their oral contraceptive?
Double up the next day
What should you teach your patients using the patch form of birth control?
Rotate sites
Clean site
Make sure patch is on properly
What happens when there is increased ICP, where does the pressure go?
It goes down, causing herniation of the brain stem, which leads to brain death
What should you do to decrease the risk of increased ICP when your patient is on a vent?
Hyperventilate
What is used for Symptomatic relief of obstruction with BPH?
Tamsulosin (Flomax)
What should patients do if they miss multiple doses of their oral contraceptive?
Use a second form of contraceptive for the full pack
What should patients do if they are on an oral contraceptive and are taking antibiotic?
Use another form of birth control
What are the factors that increase ICP?
Hyperthermia
Hypoxia
Increased CO2
What should you monitor patients for with increased ICP?
ABGs
Transcutaneous CO2
What will reduce Breast Cancer risk?
Physical activity
Early pregnancy
Removal of ovaries and pituitary gland
What size do people start with oral contraceptives?
Lowest dose possible
Normal Albumin?
3.5-5.0
What happens when a patient becomes hypoxic or hypercapnic (high CO2)?
Vasodilation occurs, causing increased blood, increasing ICP
When should you suction your patient on a vent with increased ICP?
Only when absolutely needed, or else don’t suction
Limited to 15 seconds due to increased thoracic pressure