Pain, Inflammation, Burns
The Fluid that is given when a patient presents with burns
Lactated Ringers
What Does the Acronym RICE stand for
Rest, Ice, Compress, Elevate
* You better get you a piece of the motion !
Tricuspid !!! Remember you have to TRY before you BUY
Yellow Discharge coming from an recent surgical site is called
Purulent Drainage?
Tell me what class of meds these meds fall in? with one fact about each
Propanolol
Dialtiazm
Losartan
Lisinopril
Beta Blocker: Apical pulse must be checked prior
Calcium Channel Blocker: Do not take with orange juice
ARB: Has a cross sensitivity to Ace inhibitors
Ace Inhibitor: Can cause AngioEdema
A Patient that is 14 years old and has a history of Down syndrome, Cerebral Palsy , would use which pain scale ?
FLACC : Faces, Legs, Activity, Cries, Consoalibity
A patient present with Melena, Well-Nourishment, Pain And Discomfort at night, and pain 1-3 hours after eating, what is the medical diagnosis and NURSING DIAGNOSIS
Duodenal Ulcer,
Hypovolemia Related to Duodenal Ulcer As EVB Bleeding
Acute Discomfort Related to ulcer as EVB Pain after eating
Why does a patient go into DDS and who normally goes into DDS ?
Newer Dialysis patients go into DDS Due to the rapid change of fluid moving and the BUN Spiking at a higher number than usual
PH : 7.32
PACO2: 74
HCO3:29
Respiratory Acidosis Partially Compensated
What is an adverse effect of the thyroid medication PTU that has to do with WBC
Angranulocytosis
A Patient who weighs 98 Kg suffered burns on the front torso, front and back of the head , front of the left leg, back of the right arm, and in the peri area. What is the TBSA percentage effected ? and how much fluid is given in the first 8 hours and then how much fluid PER HOUR will they receive in the last 16 hours. ( Round to the nearest whole number)
41.5 TBSA
In Total the patient will get 16,268ml of fluid in 24 hours
In 8 hours they will receive 8,134
In 16 hours they will receive 508 Ml Per Hour
What are the appropriate nursing actions for a patient that is experiencing thyroid storm? and what are two causes for this to occur
Provide AntiHypertensives, Antipyretics, Administer PTU or Methimazole Provide a calm relaxing environment. Thyroidectomy, failure to comply with medication regimen.
What lung sound would you expect to hear in an elderly adult who presents with Fever, Diaphoresis , Elevated WBC, Confusion, and fluid filled inflamed alveoli. What is this disease process ?
Rales/Crackles, Pneumonia
What is the antidote for a patient that experiences malignant hyperthermia and what electrolyte imbalance causes this ?
Daltronene, Hyperkalemia
Tell me what class of medications these GI Meds are with one fact about them
FamotodineOndansetron
Metocloprimide
Sulcrulfate
Calcium Carbonate
Famotodine: Libido, Infection H2 Receptor Blocker
Ondansetron: Blurry Vision AntiEmetic
Metocloprimide: EPS Prokinetic E
Sulcrulfate: Trick Question Mucosal Protectant
Calcium Carbonate: Hypercalcemia Antacid
There is a lockout interval
It must be double checked by two nurses
it usually contains opioid analgesic medications
The patient is the only one who can push it
You must medicate the patient before providing PCA Pump
What are 5 signs and symptoms of HHNS?
( Hyperglycemic Hyperosmolar NonKetotoic Syndrome)
Hyperglycemia, Polyuria, Polyphagia, Polydipsia, Dehydration, Seizures Decreased Level of Consciousness, Blurred Vision, Weight Loss, Orthostatic Hypotension
What is the first thing done at Dialysis ?
What class of medication is NEVER given before Dialysis ?
What do you do if you notice that the inflow of dialysate is not flowing properly
Check and feel for the thrill or Buritt
Beta blockers
Reposition the client
A nurse is preparing to administer 25 Mg PO every 6 hours of diphenhydramine to a patient who presents with allergies, available is 12.5mg/5 ml. How many Tsp should the nurse administer.
2 Tsp
When does the following insulins peak ?
Lispro, Aspart, Novalog
NPH
Humilin R
Glargine
30 Minutes
6-14 Hours
2-4 Hours
Never Peaks
What is the normal white blood cell count, what does an excess amount in white blood cells mean, and what is the medical term for High White Blood Cells
5000-10000, Infection, Leukocytosis
What is a spiral fracture ?
What is a greenstick fracture?
What is the CMS ?
What are the 5 P's
Which leg moves up the stairs first with crutches ?
Spiral Fracture: A fracture from a twisting motion usually seen in abused elderly or children
Greenstick : When the bone only breaks on one side
CMS: Circulatory Motor Sensory to test impairment or circulatory neuromuscular issues in a patient's limb
5 P's: Pain, Pulselessness, Parastehsia, Pallor, Paralysis
UP WITH THE GOOD
P wave is atrial depolarization which is contraction of the atrium
PR Segment: The Delay that the AV Node Creates
PR Interval: How long it takes for the SA Node to send out to the AV node to release blood to the ventricle ( Shows Heart Block)
QRS Interval: Depolarization Of the Ventricles
ST Segment: is the ending of QRS Depolarization ( The heart is relaxing)
T Wave : Beginning of ventricular depolarization
Doctor's order says: "500 mL of D5 1/2 Normal Saline with 10 meq of potassium chloride to infuse over 5 hours " Drip factor: 10 gtt/mL
Round to the nearest whole number.
17 Gtts/min
What is the name of the medication that we give to patients with UTI that DOES NOT TREAT a UTI , but it treats the symptoms
Pyridium, Phinazopyridine