CHF
What are right sided CHF symptoms?
Ascites
JVD
peripheral edema
Enlarged spleen or liver
What medication do you take for diabetes with the first bite of food?
Precose
What are s/s of hyponatremia?
HA
vomiting
neuro changes
seizures
muscle twitching
What do you call when a patient has a radiation burn?
Desquamation
What do you give to bring the potassium down in a patient?
IV regular insulin
IV calcium gluconate
PO kayexalate
What are symptoms of Parkinson's disease?
tremors
muscle rigidity
akinesia
postural instability or shuffling gait (Festination)
What are some hypertonic fluids?
3% NS
5% NS
D5 0.9 NS
What are risk factors for CAD?
HTN
Diabetes
Obesity
high cholesterol
smoking
What are Left sided heart failure symptoms?
Crackles in the lungs
hypoxia
orthopnea
PND
pink frothy sputum
Fatigue
What are symptoms of DKA?
Warm, dry skin
dry mucous membranes
lethargy or confusion
rapid respirations or Kussmaul respirations
poor skin tugor
What diet would you give to a patient with SIADH?
high sodium diet
What nursing intervention can you do with a patient that had a right mastectomy to prevent lymphoedema?
elevate that right arm
What nursing interventions would you do for a patient with AKI and a high potassium?
monitor the serum creatine level
place on a cardiac monitor
Strict I&O's
What are triggers for MS?
extreme cold or hot temperatures
managing stress and fatigue
avoiding illness
What happens with hypotonic solutions?
Fluid will shift from the vascular to the cells
What is the imbalance in angina?
Oxygen supply and oxygen demand
When giving Lasix, what does the nurse need to monitor?
Potassium
What are the microvascular complications of Diabetes?
Retinopathy
Nephropathy
Neuropathy
Name some causes of DI?
Brain tumor
CNS infection
head trauma
renal damage
What would you look out for with a patient with chemo induced thrombocytopenia?
black tarry stools
hematuria
easy bruising
coffee ground emesis
How much urine would the patient have if they are in the oliguric phase of AKI?
Less the 400ml in 24 hours
When a MS patient is having an exacerbation what medication would they be given?
Prednisone
What are the complications of refeeding syndrome?
cardiac dysrhythmias
respiratory arrest
neurological problems
What are the stages of developing atherosclerosis?
1. endothelium injury
2. fatty streak
3. fibrous plaque
4. complicated lesion
What is the normal Digoxin level?
0.5-2
Patient is on an insulin drip due to DKA. The blood sugar is 400 and then the next blood sugar is 240. What would you hang for this?
Add 5% Dextrose to the IV fluids
What kind of medicine would you give a patient with DI?
Desmopressin acetate (DDAVP)
Patient with cancer has stomatitis, what things would you inform the patient to do for this?
rinse mouth with saline or water
eat moist, soft and bland foods
use a soft toothbrush
What are complications nurses need to watch out for in CKD?
HTN
Anemia
High potassium
What would be included in a care plan for a patient with MG?
Avoiding aspiration with meals
managing fatigue
return of muscle strength
diet-soft easily chewable
Why would a patient with UC be placed on TPN?
To rest their bowels
What are the five components of metabolic syndrome?
elevated B/P
elevated triglycerides
elevated fasting glucose
waist circumference
low HDL's
What blood test would you do to check for CHF?
BNP
Both DKA and HHS are?
Medical emergencies
Due to hyperglycemia
Treatment is the same
What is the normal NA level?
135-145
What is the normal platelet count and WBC count?
PLT=150,000 to 400,000
WBC=5,000 to 10,000
What are s/s of nephrotic syndrome?
Edema
HTN
massive proteinuria
foamy urine
hyperlipidemia
hypoalbuminemia
What is the pathology of MS?
Demyelination of central nervous system
If the patient with TPN runs out of fluid prior to another bag being available, what would the nurse hang?
What causes collateral circulation in CAD?
develops over long time due to decrease perfusion