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Mix of Physiological and Procedures
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Def of Crohns Disease
inflammatory condition of large or small intestine
s/s of appendicitis (3)
pain in RLQ at McBurneys pt (between umbilicus and right illiac crest)
N/V
low grade fever, high white count
def of cirrhosis
replacement of normal liver tissue with widespread fibrosis and nodule formation
circulatory s/s with cirrhosis (4)
esophageal varices
ascites
increased bleeding tendencies/anemia
edema in extremities
complications of cirrhosis (3)
portal hypertension with esophageal varices
peripheral edema and ascites
hepatic encephalopathy
fx of portal vein system
carries blood from GI tract and spleen TO the liver
major component of hepatic portal system
nutritional care for cirrhosis (3)
high protein, high calorie
small frequent meals
fluid restriction
nursing care for cirrhosis (4)
measure abdominal girth and weight daily
maintain skin integ
reduce exposure to infection
reduce ascites (fluid restriction, diuretics)
hepatic encephalopathy (3)
result of cirrosis that is an accumulation of ammonia and other toxic metabolites in blood
change in LOC
can lead to coma
cause of jaundice
elevated bilirubin in blood
def of cholecystitis
inflammation of gallbladder that causes severe abd. pain
caused by gallstones in gallbladder
def of cholelithiasis
gallstones
nursing care for cholecystitis (3)
analgesics/antibiotics
low fats
AVOID fried foods, pork, chees, alcohol
nursing care for pancreatitis (4)
NPO
monitor for hyperglycemia
semi-fowler's position
repiratory care (pt may have shallow breathing r/t pain) -- ABGs, TCDB Q2
what is the best way to teach a toddler?
simple directions
what is best way to teach preschool and school aged children
let them play with equipment
what does a positive Homan's sign indicate
DVT
normal Hgb
men --13-18
women 12-16
purpose of creatinine lab test and normal value
test of renal fx (increased with renal failure)
normal -- 0.7-1.4
purpose of BUN and normal value
test of renal fx (increased in renail failure)
normal 7-18
purporse of amylase and lipase tests
diagnose pancreatitis and cholecystitis
nursing care for suctioning (3)
semi folwers position
insert catheter without suction
withdrawal with rotating motion and suction for no longer than 10 seconds
procedure for trach care (6)
use sterile kit
remove inner cannula
clean with hydrogen peroxide
rinse with sterile water
clean stoma with hydrogen peroxide and sterile water
apply new sterile dressing
what causes fluid in water seal chest tube chamber to stop flucuating? (3)
lungs re-expand
tubing obstructed
suction not working
what does constant bubbling in the water seal chamber of a chest tube indicate?
air leak in drainage system
Author
rodghawk
ID
191673
Card Set
Mix of Physiological and Procedures
Description
NCLEX
Updated
2013-01-18T04:00:58Z
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