ATI Med Surg Nursing Care Of the Adult Medical-Surgical Patient: Study Guide

Document Content and Description Below

Diabetic Ketoacidosis Beta blockers (Propanolol) Factors that affect wound healing HIV/AIDS - positive response to treatment monitored by viral load Cerebrovascular accident Preventing UTIs - wip... e from front to back Radiation therapy Kidney transplants Hemodialysis - expected: weight loss, decrease BP, increase temp Inotropic medications Diabetes inspidus - deficiency in ADH Heart failure - monitor daily weight and i/o Esophageal varices Blood transfusion Contact precaution - leave equipment in room Gout - decrease intake of purine; increase foods that elevate urine pH TB - assessment: anorexia, low grade fever, night sweats, persistent cough, purulent sputum (possible blood streak) Hypokalemia - assess: hypoactive bowel sounds, shallow resp, orthostatic hypotension, thready weak pulse, reduce DTR Shock - assessment: tachycardia, decrease systolic pressure/increase diastolic, increase resp, hypoactive bowel sounds Lyme Disease - assessment: joint/muscle pain, memory problems, fatigue, carditis, dysrhythmias Cushing's disease Magnesium sulfate Pneumonia Myocardial infarction - troponin T/I elevation Cirrhosis Potential for hemorrhage Abd aortic aneurysm Mannitol Fat embolism IM administration PICC - indication: admin blood; long term chemo, abx, tpn Digoxin Contrast dye - assess for shellfish, milk, eggs, chocolate allergy; asthma Diabetes - assessment: polyuria, polydipsia, polyphagia, neuropathy Oxygen therapy - nonrebreather: 80-95% O2 Nitroglycerin - store in original container as it is inactivated by heat, light, moisture Cardiac catheterization - apply firm pressure to prevent bleeding, hematoma formation Thoracic aortic aneurysm - assessment: dysphagia, SOB, hoarseness Tension pneumothorax - assessment: deviation of trachea, severe resp distress, reduced lung sounds Flail chest - inability of injured side of chest to expand adequately upon inhalation and contract upon exhalation Meningitis - nuchal rigidity Burns - change dressing every 12-24h, inspect and monitor for infection Autonomic dysreflexia - exaggerated response to stimuli Pressure ulcers - keep skin clean, dry/properly hydrated Wound irrigation - use proper solution, usually NS Morphine - adverse effects: cough suppression, constipation, Celiac disease - avoid foods with gluten Allergy skin tests - dc meds 2 wk prior: beta blocker Gingko biloba - increase blood flow and decrease pain r/t PAD Compartment syndrome - assess neuro and circulation Mastectomy - drain will be removed after 1-3 weeks and there is <25mL/24h Dehiscence/evisceration - *** call for help Peripheral arterial disease - impaired circulation Crutches - going up stairs: place body weight on crutches, advance unaffected leg, shift Anaphylaxis - patent airway, O2 via face mask Metered dose inhaler - breathe in slowly and deeply Ureterostomy - removal of the bladder and connecting ureters to abd, stoma formation Psyllium - Plantain seed used as laxative/bulking Arterial line - use to obtain abg samples and monitor hemodynamic pressures Plasmapheresis - adverse effects: citrate induced hypocalcemia Suctioning - limit each pass to 10-15 sec Organ rejection - early manifestations: fever, hypertension, pain at transplant site Arteriovenous fistula - matures over 2-3 months Osteoarthritis - cartilage destruction with bone spur growth at joint ends Rheumatoid arthritis - synovial membrane inflammation resulting in cartilage destruction and bone erosion Parkland formula 4 mL x % TBSA x kg = fluid needs for first 24 h BMI - kg/m^2 - lb x 703/ in^2 Hyponatremia - delay, slow depolarization Hypernatremia Hyperkalemia Hypocalcemia Hypomagnesemia Respiratory acidosis Metabolic acidosis Respiratory alkalosis Increase intracranial pressure Metabolic alkalosis Thyroid storm Hearing aids [Show More]

Last updated: 1 year ago

Preview 1 out of 15 pages