MEd surg test 3.txt

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MEd surg test 3.txt
2011-10-22 17:13:10

Test 3 med surg
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  1. Ratio of hematocrit to hemoglobin
    Hematocrit is 3X Hemoglobin
  2. Therapeutic range of PT/INR
    1.5 to 2.0 times control with an INR of 2.0 to 3.0
  3. When do you notify the charge nurse when a patient has a reaction to blood transfusion
  4. Epoetin alfa (Epogen)
    stimulates bone marrow to produce more RBC (in 2 days)
  5. Sickle cell anemia
    disc shaped RBC become sickle cell, carried on recessive cell
  6. Sickle cell Crisis
    cells become stuck in larger blood vessels of the body; obstruct blood flow and cause severe pain
  7. How is the best way to deal with fatigue and weakness seen in anemic
    schedule time in between to rest
  8. Iron deficiency anemia
    symptons-fatigue and pallor, don�t take iron with milk or caffeine because that inhibits drug absorption
  9. Nursing diagnosis for hemophilia
    Risk for injury related to bleeding, acute pain, ineffective self health mgmt
  10. Administration of feosol
  11. Polycythemia
    too many RBC produced-high HB and HCt make blood thicker; symptoms-headache, dizziness; treatment-have unit of blood taken off
  12. Assessing patient with hematologic disorder
    bleeding in eyes, ears, nose, mouth, gums, crackles at corners of mouth
  13. Thrombocytopenia
    Too few platelets
  14. DIC
    disseminated intervascular coagulation-coagulation occurs at so many sites, clotting factors depleted, uncontrolled hemorrhage results
  15. Transfusion protocol
    stop immediately, keep IV line open with saline, tell dr, nurse, administer oxygen, epinephrine, save unused blood for bank, collect blood and urine for evaluation
  16. Teaching for pituitary surgery
    post op-risk for injury-teach patient to avoid coughing, sneezing
  17. Acromegaly
    in kid, gigantism; overproduction of growth hormone; in adult, causes flat bones to grow
  18. Addisson�s disease
    primary adrenal insufficiency; results in deficiencies of cortisol and aldosterone (helps regulate excretion of K+ and NA)
  19. ACTH levels
    low (Addisons); result of pituitary�s lack of stimulation to adrenal crisis
  20. Assessment for addison�s disease
    weight loss, salt craving, nausea and vomiting, pale skin, emaciation, muscle wasting
  21. Adrenal crisis
    hypotension, tachycardia, dehydration, confusion, hyponatremia, hypercalcemia, and hypoglycemia
  22. Cushing�s syndrome
    production of excess of corticosteroids, particularly glucocorticoid
  23. Hyperpituitarism
    Disturbed body image-encourage patient to express feelings and concerns
  24. Growth hormone in children
    Stop giving it at 5�0�
  25. Thyroid diagnostic tests
    Serum T3, Free T4, T4, TSH
  26. Insomnia in hyperthyroidism
    bedtime rituals, warm bath, reading, listening to music
  27. Negative feedback
    Increase of substance inhibits hormone synthesis; decrease of substance stimulates synthesis
  28. Graves disease
    Increased synthesis and secretion of thyroid hormones; most common in young women
  29. Teaching of thyroidectomy
    Hold and support head after thyroidectomy
  30. Postop care of thyroidectomy
    assess respiratory, consciousness, wound drainage, voice quality, comfort
  31. Hypothyroidism
    inadequate secretion of thyroid hormones, risk for impaired skin integrity
  32. Hypocalcemia
    effect of hypoparathyroidism-airway obstructed due to this; keep trach tray at bedside
  33. Hypoparathyroidism
    risk for injury related to hypocalcemia and decreased cardiac output
  34. Importance of iodine with TSH
    iodine deficiency causes goiter
  35. Type I diabetes
    autoimmune process destroys beta cells, development of insulin antibodies and production of islet cell antibodies
  36. Diabetes lifestyle-exercise
    too much can use up glucose that is made available by insulin and can lead to hypoglycemia
  37. Hemoglobin A1C
    Glycosylated hemoglobin reflects glucose levels over past few months
  38. Care of patient that is hypoglycemic
    ineffective therapeutic regimen mgmt.; ineffective coping
  39. Hypoglycemia
    develops when blood glucose level falls to <45
  40. Complications of diabetes
    may have foot problems associated with neuropathy, inadequate blood loss or both
  41. Foot care for diabetics
    mechanical irritation-cutting toenails; thermal-heating pad burns; chemical
  42. Care plan for hyperthyroid patient
    hyperthermia, imbalanced nutrition-less; disturbed sensory perception-eye care; diarrhea
  43. Signs to test for hypocalcemia
    Chvostek�s sign-spasm of facial muscle when facial nerve tapped and Trousseau�s-hand spasm when BP cuff is inflated above patient�s systolic and left in place 2-3 min
  44. What kind of insulin can be given IV
  45. Rapid insulin
    15-30 minutes; Humalog, novolog; clear
  46. Short acting
    30 minutes-1 hour; regular insulin; clear
  47. Intermediate
    1-2 hours; humulin, novolin; cloudy
  48. Long acting
    1-4 hours; lantus; clear
  49. Primary function of thyroid hormones
    Regulate metabolism