NURSING TEST 5

• NA CL K CO2 BUN GLUCOSE CREATINE
• NA LEVELS 136-145
• K 3.5-5.3

• 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

• MEASURE I &O
• SURGICAL CLIENTS
• UROLIGIC SURGERY
• COMFORT MEASURE
• INCONTINANCE
• RETENTION
• COLLECT STERILE SPECIMANS

• NOTE COLOR OF URINE
• NOTE PRESENCE OF MUCUS
• SHOULD PRODUCE 30ML/HR 250ML/8HR

• SHOULD VOID WITHIN 6-8 HOURS OF REMOVAL
• ASSESS MEATUS

IF ASPIRATED CONTENTS ARE OVER 100ML WITHOLD THE FEEDING

• PCN
• CEPHALOSPORINS
• MONOBACTOR
• MACROLIDES
• TETROCYCLINES
• AMINOGLYCOSIDES
• FLOUROQUINIDES
• SULFONAMIDES
• ANTIFUNGALS
• ZYVOX

• AMOXACILIN
• PCN-G
• AGMINTEN
• PVK

DERIVED FROM FUNGUS OR MOLD FROM BREAD OR FRUIT

• STREP
• STAPH
• PNEUMONIA
• WOUND INFECTIONS
• UTI
• RESISTANT TO GHONORRHEA

• RASH
• GI DISTURBANCES
• SUPERINFECTIONS
• ANAPHYLATIC SHOCK

• BROAD SPECTRUM
• IF ALLERGIC TO PCN MAY BE ALLERGIC TO CEPHALOSPORINS

• CEFAZOLIN- (ANCEF)
• AZATCAM- DONT GIVE IF ALLERGIC TO CEPHALOSPORINS

• NEPHROTOXICITY-KIDNEY DAMAGE
• N/V/D

• CK ALLERGIES
• I & O'S
• CK LABS
• IF SIGNS OF SUPERINFECTION EAT YOGURT OR BUTTERMILK

• ZITHROMAX-Z PACK
• ERYTHROMYCIN
• BIAXIN ( CLARITHROMYCIN )
• VANCOMYCIN

• HEPATOTOXICITY- LIVER DAMAGE
• N/V/D
• HARD ON STOMACH

DON'T TAKE ASPRIN WITH MACROLIDES!!

• CK LIVER ENZYMES AND JAUNDICE
• GOOD FOR COMMUNITY AQUIRRED INFECTION

• NEPHROTOXIC-KIDNEY
• OTOTOXIC-HEARING

LAST LINE DRUG, ONLY FOR LIFE THREATING

• FOR ACNE & STD'S
• STAIN TEETH
• DONT GIVE TO PREGNATE
• IF TAKEN TUMS THEY WONT WORK
• TAKE ON EMPTY STOMACH
• PHOTOSENSITIVITY
• NEPHROTOXICITY-KIDNEY

• GENTAMYCIN
• TOBRAMYCIN

• OTOTOXICITY-HEARING
• NEPHROTOXICITY-KIDNEY
• DECREASED URINE OUTPUT

CK ON 3RD DOSE

PEAK- DRAW BLOOD 15-30 AFTER DRUG IS COMPLETE

TROUGH- DRAW BLOOD MIN BEFORE NEXT DOES

• BROAD SPECTRUM
• UTI'S
• LOWER RESP TRACT INFECTIONS

• CIPROFLOXACIN (CIPRO)- FOR UTI'S
• LEVOFLOXACIN (LEVAQUIN)- RESP INFECTION

PHOTOSENSITIVITY, DIZZ, N/V/D, RASH, CRAMPS

• IINCREASE FLUID INTAKE
• CK KINDEY FUNCTION
• AVOID TAKING ANTACIDS & IRON B/C IT INTERFERS WITH ABSORPTION

DO NOT DESTROY BACTERIA, BUT INHIBIS THEIR GROWTH

• USED FOR UTI'S
• TREMENT FOR CHLAMYDIA
• USED FOR STREP WHEN PT CANNOT TAKE PCN

• BACTRIM
• GANTINOL-HARD ON LIVER

• PHOTOSENSITIVITY
• CAN CAUSE CRYSTALS IN URINE

• INCREASE FLUIDS
• I & O'S
• WATCH FOR SUERINFECTION
• DONT TAKE ANTACIDS

• NYSTATIN (MYCOSTATIN)- SWISH AND SWALLOW
• GARGLE IF THROAT INVOLVED

FLUCONAZOLE (DIFLUCAN)

• METRONIDAZOLE (FLAGYL)- TREATS BACTERIAL VAGINOSIS, BEFORE COLORECTAL SURGERY
• IT TASTE HORRIBLE

• SKELETAL MUSCLE
• JOINTS
• LIGAMENTS

• SKIN
• MUCOUS MEMBRANES

• HA
• MIGRANE

• SMOOTH MUSCLE
• ORGANS

• NSAIDS
• NONOPIOID ANALGESICS
• OPIOID ANALGESICS
• OPIOID ANTAGONIST

• REDNESS
• SWELLING/EDEMA
• HEAT
• PAIN
• LOSS OF FUNCTION

ALSO KNOWN AS ANTIINFLAMITORY AGENTS

• REDUCE PAIN
• ANTIPYRETICS
• INHIBIT PLATLET AGREGATION

• NONSTEROIDAL ANTIINFLAMITORY AGENTS
• ANTIINFLAMITORY EFFECT GREATER THAN ANTIPYRETIC EFFECT

• SALICYLATES
• ASPRIN (BAYER, ECOTRIN)
• PROPRIONIC ACID DERIVITIVES
• IBUPROFIN (MOTRIN, ADVIL)
• NAPROXIN (ALEVE) LONG LASTING
• SELECTIVE COX-2 INHIBITORS
• CELEBREX, TORADOL

• ANALGESIC
• ANTIPYRETIC
• NSAID
• ANTIPLATLET

• RHEUMATOID ARTHRITIS
• OSTEOARTHRITIS
• REDUCE RISK OF STROKE OR MI
• INHIBITS COX-1 AND 2

• GI UPSET
• HEPATOTOXICITY
• TENNITUS
• NVD

• TAKE WITH FOOD OR MILK
• CHECK FOR BLEEDING IN STOOL
• MELENA

• ANALGESIC
• ANTIPYRETIC
• NSAIDS
• INHIBITS COX-1 AND 2

• RHEUMATOID ARTHRITIS
• OSTEOARTHRITIS
• DENTAL PAIN

• GI BLEEDING
• NEPHROTOXICITY
• TAKE WITH FOOD OR MILK
• MONITOR LIVER FUNCTION (BUN, CREATINE)

• ONLY INHIBITS COX-2
• OSTEOARTHRITIS
• RHEUMATOID ARTHRITIS

• NVD
• HTN
• PERIPHERAL EDEMA

• ASSESS FOR GI BLEEDING
• ASSESS FOR HTN
• ASSESS FOR EDEMA
• DO NOT TAKE WITH ASPRIN OR NSAIDS
• MONITOR LIVER FUNCTION

• NSAIDS
• TYLENOL (ACETAMENOPHEN)

BLOCKS PAIN IMPULSES IN RESPONSE TO THE PROSTAGLANDIN SYNTHISIS

• HEPATO TOXICITY
• RASH
• NVD

• WATCH FOR JAUNDICE
• CONSULT DR IF GREATER THAN 10 DAYS
• ADMINISTER WITH FOOD
• DO NOT EXCEAD 4000 MG/DAY
• MONITOR LIVER ENZYMES
• CREATINE, BUN

MUCOMYST

• SCHEDULE 2
• MORPHINE
• DELODID
• CODEINE
• DEMEROL

• THE CENTRAL NERVOUS SYSTEM
• BLOCKS PAIN
• GIVEN FOR A MI TO REDUCE PAIN

• CONSTIPATION
• RESPITORY DEPRESSION
• SEDATION

• VITAL SIGNS BEFORE AND AFTER
• ASSESS PAIN BEFORE AND AFTER
• MONITOR RESP RATE
• TEACH CLIENT ABOUT CONSTIPATION PREVENTION

• NARCAN
• REVERSES EFFECT OF OPIOID

AMOUNT OF STIMULATION REQUIRED BEFORE YOU FEEL PAIN

HIGHEST LEVEL OF PAIN A PERSON IS WILLING TO TOLERATE AND STILL PERFORME NORMAL FUNCTION

• THEY DO FEEL PAIN
• INCREASE HR BY 50 BPM

• MAY WITHDRAW
• CRY OR SHOW ANGER

• CAN IDENTIFY CHARICTERISTICS OF THE PAIN
• MAY REGRESS TO AN EARLIER LEVEL

• MAY NOT GIVE IN TO PAIN
• BALL PLAYERS KEEP PLAYING

DIFFER WITH INTERPRITATION OF PAIN

• PHYSICAL ASSESSMENT-VITAL SIGNS, DIAPHORESIS, GASTRIC DISTRESS
• FACIAL EXPRESSIONS AND BODY MOVEMENTS

• WORD FORMATION AND SPEECH
• EXPRESSIVE APHASIA

• INTERPRITATION OF LANGUAGE
• RECEPTIVE APHASIA

• ARE MAJOR FACTORS EFFECTING SENSORY PERCEPTION
• GIVEN TO NEWBORNS AND CHILDREN

• A CLUSTER OF NEURONS EXTENDING FROM THE BRAIN STEM
• MAINTAINS WAKEFULNESS
• CONTROLLS HEART AND LUNG REFLEXES