NUR4 final

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Author:
fisheatflies
ID:
151106
Filename:
NUR4 final
Updated:
2012-05-02 19:01:43
Tags:
nursing school about over
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Description:
Yea! almost done
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  1. Side effects of suctioning
    • - Only complete as needed
    • - listen before/after for need/effectivness
    • - Can cause increase ICP
    • - cab stimulate vagal (sinus brady, hypo-tn)
  2. Complications of broken femur
    • - Hemmorhage
    • - fat emboli
    • - compartment syndrome
    • - decreased circulation
  3. Epogen (rx)
    Used to increase RBC production
  4. Cuff pressure for ET tube
    15-20 mm/murk
  5. Fistula placement
    • - place on side it wasn't before
    • - 4-6 wks (until heal) to use
    • - no BP on that side
  6. Cardiover on ___ wave
    R-wave
  7. Oliguria
    • - decrease (<30ml/hr) urine output
    • - BUN & creatinine will rise
  8. Tx. for hepatic encephalopathy
    - Lactulose to make pt. poop out ammonia
  9. Spinal shock
    • - pt. will be flaccid w/o reflexes
    • - resolved when spastisity presents
  10. Pulse pressure
    Systolic minus Diastolic
  11. State nurse pratice act
    • - Written to protect the public from nurse rachett
    • - State legislature write them
  12. Acid/base balance
    - Kidneys and lungs regulate pH
  13. High BNP
    • indication of heart failure
    • - Should be < 100
    • - 300 mild
    • - 600 moderate
    • - 900 Bad
  14. Lasix monitoring
    Monitor urine output closely (at least hourly)
  15. Cerebral perfusion pressure (CPP)
    • CPP = MAP minus ICP
    • - should be 80-100
  16. Post-op tx of craniotomy
    - monitor urine specific gravity for s/s DI or SIADH
  17. Acute glomerulonephritis
    Colauria (cola color urine)
  18. What wave = atrial contration
    PR interval
  19. Tx. for nerve agent
    • - Give atropine (anticholergenic so dries things up)
    • - Nerve agent will have fastest onset of symptoms
  20. Inotropes
    • Effects contractility or force of ejection of blood
    • - Dopamine
  21. Dromtropes
    Effects conduction speed in the AV node
  22. Chronotropes
    Effects heart rate
  23. Biomarkers/labs associated with MI
    • - Creatine Kinase-MB specific to cardiac muscle
    • - Troponins -
  24. Formula for fluid resusitation for burns...
    4mL x ___Kg x ___%TBSA = ____/24 hrs

    1/2 the fluid to infuse in 1st 8 hrs from the time of the burn.
  25. Respiratory VQ mismatch
    • -When portions of the lung has better perfusion then ventalation and vice versa.
    • - think COPD, pul. embolism or asthma, pul. HTN
  26. S/s of GI bleed
    • -* cool clammy skin
    • - higher HR/BP
    • - decrease UO d/t less perfusion to kidneys
  27. Dopamine
    • -Will increase BP
    • - should improve cardiac and UO
    • - Titrate up and taper off the medication
    • - Pos. Inotrope
  28. Cullen’s sign
    (bruise around belly button) – pancreatitis
  29. Priapism
    – when erection can not turn back to its flaccid state. It is a medical emergency. Can happen with Viagra
  30. Poilkethermia
    – take on temp of room they are in
  31. HIV encephalopathy
    • -AIDS dementia
    • - loss of cognitive and motor skills
  32. When does HIV turn to AIDS
    • - When CD4 count is <200
    • - And/or when a specific infection occurs;
    • kaposis sarchoma,
  33. Pt. Self-Determination Act
    The purpose is to inform pt.s of their rights regarding decisions toward their own medical care and ensure that these rights are communicated by the health care provider
  34. Advance Directive
    Instructions given by individuals specifying what actions should be taken for their health in the event that they are no longer able to make decisions due to illness or incapacity, and appoints a person to make such decisions on their behalf
  35. 5 R’s of Delegation
    • Right...
    • 1) Task
    • 2) Circumstance
    • 3) Person
    • 4) Direction/Communicatio
    • 5) Supervision/Evaluation
  36. Phases of burn care
    • 1) Emergent-
    • 2) Resuscitative- Parkland formula
    • 3) Acute- wound care, infection prevention
    • 4) Rehabilitation - enable max function & independence
  37. Glasgow Coma Scale
    • Eyes: 4-1
    • Verbal: 5-1
    • Motor: 6-1

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