-
As my PH increases
- pt faster, hypokalemia
- alkalotic
- worst: seizure, use suction machine
-
As my PH decreases
- pt slower, hyperkalemic
- acidotic
- worst: resp arrest, use ambu bag
-
prolonged gastric, vomit, suction
metabolic alkalosis
-
Maslow (6)
- Physiological
- Safety
- Comfort
- Psychological
- Social
- Spiritual
-
Aminoglycosides
- -mycin
- ototoxicity: monitor hearing, balance, tinitis
- nephrotoxicity: monitor creatine
- q8hr, nerve 8, IV/IM
-
PO aminoglycosides
- Neo-Kan
- sterilize my bowel: hepatic encelopathy and pre op bowel sugury
-
IV peak
15-30 min after med is FINISHED
-
Treat ventricular rhythms
lidocaine and amiadarone
-
treat atrial rhythms
- Adeno, Beta, Calcium, Dig (lanoxin)
- give heparin with afib
-
treat asystole
epinephrine and atropine
-
Tetralogy of Fallot
- Ventricular Defects
- Pulmunary Stenosis
- Overriding Aorta
- Right Hypertrophy
-
Functional psychosis
- Acknowledge feelings
- present REALITY
-
-
-
Lithium
- 0.6-1.2
- toxic: 2
- SE: Peein poopin parathesia
- toxic: Temors, N/V/D, thirst, metallic taste
- monitor for HypoNA
-
Lanoxin/digitalis
- 1-2
- toxic: 2
- SE: yellow/green halo N/V/HA
- Must monitor Apical pulse (under 60 bad)
-
amino-phylline
- 10-20
- toxic: 20
- airway antispasmotic
- give with meals?
-
Dilantin
- 10-20
- toxic: 20
- prevent seizures
-
Bilirubin
- elevated: 10-20
- toxic: 20
- Kernicterus in CSF - Opisthotonos (extension of neck)
-
Kalemias
- do the same as the prefix
- except HR and UO
- pick if not skeletal muscle/nerve
-
Calcemias
- do the opposite of the prefix
- screw up BP
- pick if skeletal muscle/nerve
-
magnesemias
- do the opposite of the prefix
- screw up BP
- never pick
-
Earliest sx of any electrolyte disoder
- paresthesia
- universal sx: paresis
-
Total thyroidectomy
- hypocalcemia
- 12hr later: tetany
-
Subtotal thyroidectomy
- Thyroid storm: HIGH VS, HIGH temp
- tx: high flow o2 and decrease temp
-
hypothyroidism
do not sedate, give pill before surgery
-
contact infections
herpes, enteric, staph, RSV
-
droplet infections
- influenza, meningitis, mumps, RSV
- need mask
-
airborne infections
- TB, measles, varicella, SARS
- need special mask and neg airflow
-
-
6-9mo toy
cover/uncover toys
-
-
1-3 toys
- push pull toys
- gross motor
- parallel play
-
3-6 toy
- balance,
- fine motor
- cooperative play
-
7-11 toy
creative, competitive, collective
-
cervical
- neck
- diaphragm and UE
- assess breathing/sensation
- complication: pneumonia
-
thoracic
- upper back
- abdominal muscles and gut
- assess cough and bowel sounds
- complication: paralytic ilius
-
lumbar
- lower back
- bladder and LE
- assess void and sensation
- complication: urinary retention
-
Heparin
- works ASAP, 21 days only
- monitor PTT
- antidote: protamine sulfate
-
Warfarin
- takes days to work, for life
- monitor PT, INR
- antidote: Vitamin K
-
Teaching
- 0-2: as you do it
- 3-6: day of with play
- 7-11: days ahead with material
- 12-15: teach like an adult
-
-zine
- antipsychotic se-ABCDEFG
- anticholinergic, blurred vision, constipation, drowsiness, EPS, fotosensitivity, aGranulocytisus
-
-zep
- benzo, cant take for more than 6 weeks
- se:ABCD
-
-
Haldol
- ABCDEFG
- elderly develop NMS
- NMS: fever (104-108), rigidity
-
fluoxetine
- Prozac: SSRI
- serotonin syndrome: SADHead
- sweating, apprehensive, dizzy, headache
- Causes insomnia
-
-zap
- no A-F
- Se: severe agranulocytosis
- monitor white count
-
-
prolapsed cord OB protocol
- variable decels
- Push
- position
-
LION OB protocol (3)
- Left lying, increase IV, O2, Notify
- fetal HR uner 110
- low baseline variability
- late decels
-
-fenec
- -profen
- NSAID
- stomach bleed/upset
-
BP meds
- -dipine, -zem CCB
- -sartan
- -pril
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