The flashcards below were created by user
em1277
on FreezingBlue Flashcards.
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AML
Acute myelogenous leukemia
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APC
Atrial Premature contraction
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BPH
Benign prostatic hypertrophy
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BUN
Blood, Urea, Nitrogen
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CAPD
Continuous ambulatory peritoneal dialysis
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CPK
Creatine Phosphokinase
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DIFF
Differential blood count
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ECT
Electroconvulsive therapy
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ESRD
End stage renal disease
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FUO
Fever of undetermined origin
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HLA
Human leukocyte antigen
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JRA
Juvenile rheumatoid arthritis
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Cranial nerve I
Olfactory - Smell
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Cranial nerve II
Optic- vision acuity
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Cranial nerve III
Occulomotor - Eye function
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Cranial nerve IV
Trochlear - Eye function
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Cranial nerve V
Trigeminal - Face movement
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Cranial nerve VI
Abducens - Eye function
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Cranial nerve VII
Facial - facial expression, forehead, taste anterior tongue
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Cranial nerve VIII
Vestibuloccular - Auditory acuity, balance and postural responses
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Cranial nerve IX
Glossopharyngeal - Taste
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Cranial nerve X
Vagus - cardiac, respiratory reflexes
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Cranial nerve XI
Spinal accessory -
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Cranial nerve XII
Hypoglossal - motor function of tongue
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Normal white blood cell count
5,000 - 10,000mm³
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Increased ESR rates can indicate what
Inflammation
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Majority of hospital acquired infections caused by?
Staphyloccocus Aureus
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Airborne diseases
TB, Shingles, Chicken pox (varicella), measles
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Droplet precautions diseases
Group A Strep, Pertussis, Pneumonia, rubella, mumps
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Contact precautions diseases
MRSA, Cdiff, herpes, scabies, excessive wound drainage, Hep A
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TB S/S
- Night sweats
- Progressive fatigue
- Nausea
- Anorexia/weight loss
- Low grade fever
- Coughing blood tinged sputum
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Treatment for TB
- INH (Isoniazid), Rifampin
- Isolation 2-4 weeks or 3 negative sputum cultures
- 6-9 months drug therapy
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5 P's of Labor
- Passenger
- Passageway
- Powers
- Position
- Psyche
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Mechanisms of labor
- Engagement
- Descent
- Flexion
- Internal rotation
- Expulsion
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Late decelerations
- Bad
- Can be a sign of neonate hypoxia
- Turn woman on side and apply oxygen
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Variable decelerations
- Can be caused by compressed umbilical cord
- Reposition woman
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BUBBLE-HE
- Postpartum assessment
- B-Breast U-Uterus B-Bladder B-Bowels L-Lochia E - Episiotomy H- Homan's sign (legs) E -Emotions
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Lochia type
- Rubra - red, 1-3 days
- Serosa - Pink to brown, 3-7 days
- Alba - Creamy white, after day 10
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4 stages of Piaget's theory
- Sensorimotor (0-2)
- Preoperational (2-6)
- Concrete operations (7-10)
- Formal operations (11 - adult)
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Erikson's 8 stages
- Trust vs. mistrust (birth - 18 mo)
- Autonomy vs shame & doubt (18 mo - 3yrs)
- Initiative vs. guilt (3-5)
- Industry vs. inferiority (6-11)
- Identity vs. role confusion (12-18)
- Intimacy vs. isolation (18-40)
- Generativity vs. stagnation (40-64)
- Integrity vs. despair (64-death)
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Growth in first year
- Weight doubles by 6 mo, triples by 1 year
- Length grows by 50%
- By 1 year head circumference equals chest circumference
- Posterial fontanel closes 6-8 weeks
- Anterior fontanel closes 12- 18 months
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Where to start auscultating in abdomen
RLQ
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Glascow coma EYES
- 1 = no response
- 2 = speech
- 3 = pain
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Glascow coma - VERBAL
- 1 = no response
- 2 = incomprehensible sounds
- 3 = Inappropriate words
- 4 = disoriented but converses
- 5 = oriented and converses
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Glascow coma - motor
- 1 = no response to painful stimulus
- 2 = extension to painful stimulus (decerebrate)
- 3 = abnormal flexion to painful stimulus (decorticate)
- 4 = withdrawal from painful stimulus
- 5 = purposeful movement to painful stimuli
- 6 = obeys verbal command for movement
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Pnuemonic for cranial nerve impulses
Some say marry money but my brother says big business makes money
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Safest time for fetus to administer analgesics
dilated between 4-7 centimeters
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Fight or flight response
- ↑ cardiac output
- ↑ HR
- ↑ Respirations
- Dilated pupils
- ↓ urine output
- Nausea, vomiting, diarrhea
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Therapeutic lab values for lithium
0.8 - 1.2 mEq/L
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Lithium overdose S/S
- nausea
- vomiting
- diarrhea
- drowsiness
- muscle weakness
- tremor
- lack of coordination
- blurred vision
- tinnitus
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Normal lab value - Chloride
95 - 105 mEq/L
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Normal arterial and venous bicarbonate
- Arterial: 22-26 mEq/L
- Venous: 24-30 mEq/L
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Normal phosphate level
2.8-4.5 mg/dL
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Normal sodium and S/S of imbalance
- 135-145 mEq/L
- <125 mental confusion, hostility, hallucinations
- excess: hypertension, anasarca (generalized edema)
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Normal calcium level & S/S of imbalance
- 8.5 - 10.5 mg/dL
- hypercalcemia: weakness, paralysis, decreased deep tendon reflexes
- hypocalcemia: tetany, muscle tingling, twitching
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Normal magnesium level and s/s of imbalance
- 1.5 - 2.5 mEq/L
- hypermagnesemia: lethargy, slower heart conduction, paralysis, slurred speech, nausea, vomiting, muscle weakness
- hypomagnesemia: mood and cardiac irritability, muscle tingling, tetany, twitching
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Reversible causes of urinary incontinence
- D.r.i.p.
- Delrium
- restricted mobility
- infection/inflammation/impaction
- Pharmaceuticals
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"PRILS"
- Ace inhibitors (Lisinopril)
- Causes dilation of blood vessels, lowers blood pressure
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"SARTANS"
- Angiotensin reception blockers (ARBs)
- (Losartin, valsartin)
- lowers blood pressure
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"TRIPTANS"
Treatment of acute migraine
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"STATINS"
Lower LDL cholesterol
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"DIPINES"
Calcium channel blockers
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"PRAZOLES"
- Proton pump inhibitors
- (reduction of gastric acid production)
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Maslow's heirarchy of needs
- #1: Physiological (breathing, food, water)
- #2: Safety
- #3: Love/belonging
- #4: Self esteem
- #5: Self actualization
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5 rights of medication distribution
- right dose
- right patient
- right time
- right route
- right drug
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1 grain = how many mg?
60 mg
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1 gram = how many grains?
15 grains
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30 mL is equivilent to?
- 1 ounce
- 2 tablespoons
- 8 drams
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Do not crush medication that ends with?
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Warfarin antidote
vitamin k
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Monitor what blood level when taking ACE inhibitors?
Potassium because it can cause hypokalemia
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S/S Hyperkalemia
- irregular heartbeat
- bradycardia
- ECG may show
- Peaked T wave, depressed P wave, wide QRS complex
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Increase in Neutrophils can mean what?
Infection by bacteria or fungus
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Increase in Lymphocytes can mean what?
Viral infection or tumor
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S/S of digitalis toxicity and common cause
- anorexia
- nausea
- vomiting
- blurred vision
- cardiac arrythimias
Low potassium
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DO-ABLE mneumonic for heart failure interventions
- Diuretics
- Oxygen
- Ace inhibitors
- Beta Blockers
- Low sodium diet
- Exercise
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Treatment for pulmonary edema
- MDOG
- Morphone
- Diuretics
- Oxygen
- Gases (blood)
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Prehypertensive
- Systolic 120-139
- Diastolic 80-89
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Management of Afib
- ABCD
- Anticoagulants
- Beta Blockers
- Cardioversion
- Digoxin
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6 P's of arterial occlusion
- Paresthesia
- Pain
- Paralysis
- Pallor
- Pulselessness
- Poikilothermia (coldness)
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Most specific elevated lab value indicating MI
Troponin
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Signs of stroke - FAST
- Facial droop
- Arm drift (eyes closed arms held out in front. Does one arm drift?)
- Speech - difficulty understanding and speaking
- Time
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Normal specific gravity
1.010 - 1.030
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Normal magnesium
- 1.3 - 2.1
- Critical <0.5 or >3
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Normal HGB (hemoglobin)
12-15
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Normal HCT (Hemocrit)
36-45
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Normal platelets
150,000 - 450,000
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Myesthenia gravis
- Wosens with exercise, improves with rest
- Tensilon test to diagnose
- Cholinergic crisis - when too much medication is given
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Mannitol
Osmotic diuretic. Given with head injury
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Severe diarrhea can cause
Metabolic acidosis
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Severe vomiting can cause
Metabolic alkalosis
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Specific gravity of <0.010
- Hypervolemia -
- s/s: bounding pulse, SOB, dyspnea, crackles, peripheral edema
- put in semi-fowlers
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MAOI's used for depression
all have ar sound in the middle
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Vistaril
- for anxiety and itching
- Given commonly for pre-op.
- Dry-mouth
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Sinemet
- Given for Parkinsons
- Causes drowsiness
- may turn body fluids reddish brown
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Cogentin
For parkinson's and extrapyramidal effects
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Bactrim
- Antibiotic
- Don't take if allergic to sulfa drugs
- diarrhea is common side effect
- drink plenty of fluids
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Mucomyst
Antedote for tylenol
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Dilantin
- For seizures
- Therapeutic level 10-20
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VEAL CHOP
- V:ariable decelerations - C:ompressed cord
- E: arly decelerations - H: ead compression caused
- A: ccelerations - O: K, not a problem!
- L: ate decelerations - P: lacental inefficiency
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Sources of potassium
citrus fruits, bananas, potatoes
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Med of choice for vTach
lidocaine
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Med of choice for asystole
Atropine
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Med of choice for CHF
Ace inhibitor
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Med of choice for status epilectus
Valium
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Drugs ending in -ide
Probably a diuretic
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Therapeutic function of supine position
Avoids hip flexion, which can compress arter
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Therapeutic function of dorsal recumbent
Supine with knees flexed; more comfortable
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Therapeutic function of side lateral
Allows drainage of oral secretions
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Therapeutic function of fowlers
Increases venous return; allows maximal lung expansion
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Tube feeding residual less than ? should be returned to stomach to maintain electrolyte balance?
150 mL
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RhoGHAM is given why?
Prevents maternal circulation from developing antibodies
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Most common complication of tube feeding
Diarrhea
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