-
BASIC METABOLIC PANEL
- NA CL K CO2 BUN GLUCOSE CREATINE
- NA LEVELS 136-145
- K 3.5-5.3
-
CBC
- WBC 4500-10500
- RBC 4.2-5.4 3.6-5.0
- HGB 14-17 12-16
- HCT 42-52% 36-48%
- PLATLETS 150000-400000
-
REASONS FOR URINARY CATHETER
- MEASURE I &O
- SURGICAL CLIENTS
- UROLIGIC SURGERY
- COMFORT MEASURE
- INCONTINANCE
- RETENTION
- COLLECT STERILE SPECIMANS
-
FLUID INTAKE
- NOTE COLOR OF URINE
- NOTE PRESENCE OF MUCUS
- SHOULD PRODUCE 30ML/HR 250ML/8HR
-
CATH REMOVAL
- SHOULD VOID WITHIN 6-8 HOURS OF REMOVAL
- ASSESS MEATUS
-
NG TUBE
IF ASPIRATED CONTENTS ARE OVER 100ML WITHOLD THE FEEDING
-
ANTIBIOTIC "CAKE"
- PCN
- CEPHALOSPORINS
- MONOBACTOR
- MACROLIDES
- TETROCYCLINES
- AMINOGLYCOSIDES
- FLOUROQUINIDES
- SULFONAMIDES
- ANTIFUNGALS
- ZYVOX
-
COMMON PCN DRUGS
- AMOXACILIN
- PCN-G
- AGMINTEN
- PVK
-
PCN
DERIVED FROM FUNGUS OR MOLD FROM BREAD OR FRUIT
-
PCN TRTEATS
- STREP
- STAPH
- PNEUMONIA
- WOUND INFECTIONS
- UTI
- RESISTANT TO GHONORRHEA
-
PCN SIDE EFFECTS
- RASH
- GI DISTURBANCES
- SUPERINFECTIONS
- ANAPHYLATIC SHOCK
-
CEPHALOSPORINS
- BROAD SPECTRUM
- IF ALLERGIC TO PCN MAY BE ALLERGIC TO CEPHALOSPORINS
-
CEPHALOSPORINS DRUGS
AND SIDE EFFECTS
- CEFAZOLIN- (ANCEF)
- AZATCAM- DONT GIVE IF ALLERGIC TO CEPHALOSPORINS
- NEPHROTOXICITY-KIDNEY DAMAGE
- N/V/D
-
CEPHALOSPORINS INTERVENTIONS
- CK ALLERGIES
- I & O'S
- CK LABS
- IF SIGNS OF SUPERINFECTION EAT YOGURT OR BUTTERMILK
-
MACROLIDES DRUGS
- ZITHROMAX-Z PACK
- ERYTHROMYCIN
- BIAXIN ( CLARITHROMYCIN )
- VANCOMYCIN
-
MACROLIDES SIDE EFFECTS
- HEPATOTOXICITY- LIVER DAMAGE
- N/V/D
- HARD ON STOMACH
DON'T TAKE ASPRIN WITH MACROLIDES!!
-
MACROLIDES INTERVENTIONS
- CK LIVER ENZYMES AND JAUNDICE
- GOOD FOR COMMUNITY AQUIRRED INFECTION
-
VANCOMYCIN SIDE EFFECTS
- NEPHROTOXIC-KIDNEY
- OTOTOXIC-HEARING
LAST LINE DRUG, ONLY FOR LIFE THREATING
-
TETRACYCLINES
- FOR ACNE & STD'S
- STAIN TEETH
- DONT GIVE TO PREGNATE
- IF TAKEN TUMS THEY WONT WORK
- TAKE ON EMPTY STOMACH
- PHOTOSENSITIVITY
- NEPHROTOXICITY-KIDNEY
-
-
AMINOGLYCOSIDES SIDE EFFECTS
- OTOTOXICITY-HEARING
- NEPHROTOXICITY-KIDNEY
- DECREASED URINE OUTPUT
-
AMINOGLYCOSIDES PEAK & TROUGH
CK ON 3RD DOSE
PEAK- DRAW BLOOD 15-30 AFTER DRUG IS COMPLETE
TROUGH- DRAW BLOOD MIN BEFORE NEXT DOES
-
FLUOROQUINOLONES
- BROAD SPECTRUM
- UTI'S
- LOWER RESP TRACT INFECTIONS
-
FLUOROQUINOLONES DRUGS
- CIPROFLOXACIN (CIPRO)- FOR UTI'S
- LEVOFLOXACIN (LEVAQUIN)- RESP INFECTION
-
FLUOROQUINOLONES SIDE EFFECTS & IMPLACATIONS
PHOTOSENSITIVITY, DIZZ, N/V/D, RASH, CRAMPS
- IINCREASE FLUID INTAKE
- CK KINDEY FUNCTION
- AVOID TAKING ANTACIDS & IRON B/C IT INTERFERS WITH ABSORPTION
-
SULFONAMIDES
DO NOT DESTROY BACTERIA, BUT INHIBIS THEIR GROWTH
- USED FOR UTI'S
- TREMENT FOR CHLAMYDIA
- USED FOR STREP WHEN PT CANNOT TAKE PCN
-
SULFONAMIDES DRUGS & SIDE EFFECTS
- BACTRIM
- GANTINOL-HARD ON LIVER
- PHOTOSENSITIVITY
- CAN CAUSE CRYSTALS IN URINE
-
SULFONAMIDES TEACHING
- INCREASE FLUIDS
- I & O'S
- WATCH FOR SUERINFECTION
- DONT TAKE ANTACIDS
-
ANTIFUNGALS DRUGS
- NYSTATIN (MYCOSTATIN)- SWISH AND SWALLOW
- GARGLE IF THROAT INVOLVED
FLUCONAZOLE (DIFLUCAN)
- METRONIDAZOLE (FLAGYL)- TREATS BACTERIAL VAGINOSIS, BEFORE COLORECTAL SURGERY
- IT TASTE HORRIBLE
-
SOMATIC PAIN
- SKELETAL MUSCLE
- JOINTS
- LIGAMENTS
-
-
-
-
TYPES OF ANTIINFLAMITORY AGENTS
- NSAIDS
- NONOPIOID ANALGESICS
- OPIOID ANALGESICS
- OPIOID ANTAGONIST
-
5 PHASES OF INFECTION
- REDNESS
- SWELLING/EDEMA
- HEAT
- PAIN
- LOSS OF FUNCTION
-
PROSTAGLANDIN INHIBITORS
ALSO KNOWN AS ANTIINFLAMITORY AGENTS
-
ANTIINFLAMITORY AGENTS
- REDUCE PAIN
- ANTIPYRETICS
- INHIBIT PLATLET AGREGATION
-
NSAIDS
- NONSTEROIDAL ANTIINFLAMITORY AGENTS
- ANTIINFLAMITORY EFFECT GREATER THAN ANTIPYRETIC EFFECT
-
3 TYPES OF NSAIDS
- SALICYLATES
- ASPRIN (BAYER, ECOTRIN)
- PROPRIONIC ACID DERIVITIVES
- IBUPROFIN (MOTRIN, ADVIL)
- NAPROXIN (ALEVE) LONG LASTING
- SELECTIVE COX-2 INHIBITORS
- CELEBREX, TORADOL
-
ASPRIN
- ANALGESIC
- ANTIPYRETIC
- NSAID
- ANTIPLATLET
-
ASPRIN USED FOR
- RHEUMATOID ARTHRITIS
- OSTEOARTHRITIS
- REDUCE RISK OF STROKE OR MI
- INHIBITS COX-1 AND 2
-
ASPRIN SIDE EFFECTS
- GI UPSET
- HEPATOTOXICITY
- TENNITUS
- NVD
-
ASPRIN NURSING IMPLICATIONS
- TAKE WITH FOOD OR MILK
- CHECK FOR BLEEDING IN STOOL
- MELENA
-
PROPRIONIC ACID DERIVITIVES
- ANALGESIC
- ANTIPYRETIC
- NSAIDS
- INHIBITS COX-1 AND 2
-
PROPRIONIC ACID DERIVITIVES USED FOR
- RHEUMATOID ARTHRITIS
- OSTEOARTHRITIS
- DENTAL PAIN
-
PROPRIONIC ACID DERIVITIVES SIDE EFFECTS
- GI BLEEDING
- NEPHROTOXICITY
- TAKE WITH FOOD OR MILK
- MONITOR LIVER FUNCTION (BUN, CREATINE)
-
COX-2 INHIBITORS USED FOR
- ONLY INHIBITS COX-2
- OSTEOARTHRITIS
- RHEUMATOID ARTHRITIS
-
COX-2 INHIBITOR SIDE EFFECTS
-
COX-2 INHIBITOR NURSING IMPLICATIONS
- ASSESS FOR GI BLEEDING
- ASSESS FOR HTN
- ASSESS FOR EDEMA
- DO NOT TAKE WITH ASPRIN OR NSAIDS
- MONITOR LIVER FUNCTION
-
NON OPIOID AGENTS
- NSAIDS
- TYLENOL (ACETAMENOPHEN)
-
NONOPIOID AGENT CAUSE
BLOCKS PAIN IMPULSES IN RESPONSE TO THE PROSTAGLANDIN SYNTHISIS
-
-
NONOPIOID NURSING IMPLICATIONS
- WATCH FOR JAUNDICE
- CONSULT DR IF GREATER THAN 10 DAYS
- ADMINISTER WITH FOOD
- DO NOT EXCEAD 4000 MG/DAY
- MONITOR LIVER ENZYMES
- CREATINE, BUN
-
ANTIDOTE FOR ACETAMINOPHEN
MUCOMYST
-
OPIOID AGENTS
- SCHEDULE 2
- MORPHINE
- DELODID
- CODEINE
- DEMEROL
-
OPIOID AGENTS ACT ON
- THE CENTRAL NERVOUS SYSTEM
- BLOCKS PAIN
- GIVEN FOR A MI TO REDUCE PAIN
-
OPIOID SIDE EFFECTS
- CONSTIPATION
- RESPITORY DEPRESSION
- SEDATION
-
OPIOID NURSING IMPLICATIONS
- VITAL SIGNS BEFORE AND AFTER
- ASSESS PAIN BEFORE AND AFTER
- MONITOR RESP RATE
- TEACH CLIENT ABOUT CONSTIPATION PREVENTION
-
OPIOID ANTAGONIST
- NARCAN
- REVERSES EFFECT OF OPIOID
-
PAIN THRESHOLD
AMOUNT OF STIMULATION REQUIRED BEFORE YOU FEEL PAIN
-
PAIN TOLLERANCE
HIGHEST LEVEL OF PAIN A PERSON IS WILLING TO TOLERATE AND STILL PERFORME NORMAL FUNCTION
-
NEWBORNS AND INFANTS
- THEY DO FEEL PAIN
- INCREASE HR BY 50 BPM
-
TODDLERS AND PRESCHOOLERS
- MAY WITHDRAW
- CRY OR SHOW ANGER
-
SCHOOL AGE`
- CAN IDENTIFY CHARICTERISTICS OF THE PAIN
- MAY REGRESS TO AN EARLIER LEVEL
-
ADOLESCENT
- MAY NOT GIVE IN TO PAIN
- BALL PLAYERS KEEP PLAYING
-
ADULTS
DIFFER WITH INTERPRITATION OF PAIN
-
OBJECTIVE DATA ABOUT PAIN
- PHYSICAL ASSESSMENT-VITAL SIGNS, DIAPHORESIS, GASTRIC DISTRESS
- FACIAL EXPRESSIONS AND BODY MOVEMENTS
-
BROCAS AREA
- WORD FORMATION AND SPEECH
- EXPRESSIVE APHASIA
-
WERNICKS AREA
- INTERPRITATION OF LANGUAGE
- RECEPTIVE APHASIA
-
STEPTOMYACIN AND GENTOMYACIN
- ARE MAJOR FACTORS EFFECTING SENSORY PERCEPTION
- GIVEN TO NEWBORNS AND CHILDREN
-
WHAT IS RAS
- A CLUSTER OF NEURONS EXTENDING FROM THE BRAIN STEM
- MAINTAINS WAKEFULNESS
- CONTROLLS HEART AND LUNG REFLEXES
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