Lupe Gutierrez

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Anonymous
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157136
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Lupe Gutierrez
Updated:
2012-06-06 21:49:01
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Medical Surgical
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Final Notes
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  1. GLOMERULONEPHRITIS
    • KIDNEY INFECTION
    • S/S: FLUID OVERLOAD WITH OLIGURIA, HYPERTENSION, ELECTROLYTE IMBALANCE, AND EDEMA.
  2. MAIN CAUSES OF CONSTIPATION?
    MEDICATIONS SUCH AS NARCOTICS, TRANQUILIZERS, AND ANTACIDS WITH ALUMINUM DECREASE MOTILITY OF THE LARGE INTESTINE ADN MAY CONTRIBUTE TO CONSTIPATIONS.
  3. IF PATIENT HAS BEEN GIVEN A BLOOD TRANSFUSION WHAT WOULD YOU DO IF PATIENT IS HAVING TROUBLE BREATHING?
    • STOP TRANSFUSION PLACE PATIENT IN A FOWLERS POSITION AND INFORM THE CHARGE NURSE
    • FOWLERS 45-60 DEG, SEMI-FOWLERS' 30 DEG, HIGH-FOWLERS >80 DEG.
  4. BUN
    • BLOOD UREA NITROGEN (BUN)8-25
    • SERUM CREATININE (CR) KIDNEY FUNCTION.7-1.4
    • URIC ACID PATIENT WITH GOUT, ARTHRITIS 2-8
    • URINE ALBUMIN CREATININE RATIO (U ALB:CR)>30
  5. JAUNDICE?
    • PROBLEMS WITH THE LIVER, GALLBLADDER, OR PANCREASE. BILE DUCTS ARE
    • LIVER REMOVES THE OLD BLOOD CELL, FORMING BILIRUBIN. THE LIVER HELP BREAK DOWN BILIRUBIN SO THAT IT CAN BE REMOVED BY THE BODY IN THE STOOL.
  6. APPENDECTOMY?
    • REMOVAL OF THE APPENDIX.
    • S/S RIGID ABDOMEN, DISTENTION.
  7. ESOPHAGOGASTRODUODENOSCOPY?
    • VISUALIZES THE UPPER PART OF THE GASTROINTESTINAL TRACT UP TO THE DUODENUM.
    • PATIENT MUST BE NPO 8-12 HRS.
  8. MAIN CONCERN FOR DIARRHEA?
    • PATIENT CAN SUFFER FROM DEHYDRATION.
  9. ICP= INTRACRANIAL PRESSURE
    S/S HEADACHE, VOMITING WITHOUT NAUSEA, ALTERED LEVEL OF CONSIOUSNESS, BACK PAIN AND BIG GAP BETWEEN SYSTOLIC AND DIASTOLIC PRESSURE, BRADYCARDIA, AND ABNORMAL RESPIRATORY PATTERN.
  10. tPA= TISSUE PLASMINOGEN ACTIVATOR?
    • IS USED IN PATIENT THAT HAVE HAD A STROKE OR MYOCARDIO INFARCTION.. THIS IS A ONLY IF ADMINISTERED WITH IN 3 HRS OF ONSET...
    • MEDICATION ASPRINE AND PLAVIX TO PREVENT STROKE.
  11. ICP= INTRACRANIAL PRESSURE?
    PATIENT NEED TO HAVE IS STOOL SOFTNERS TO INSURE THAT NO STRAIN.
  12. BLOOD TRANSFUSION COMPLICATIONS?
    STOP TRANSFUSION AND STAY WITH PATIENT AND CALL FOR HELP..
  13. PATIENT WITH BLEEDING DISORDERS WHAT MEDS TO STAY AWAY FROM..
    ASPRIN AND OTHER MEDICATION HEPARIN, WARFARIN/ COUMADIN, TICLID AND PLAVIX, AND NSAIDS..
  14. ILEOSTOMY?
    SURGICAL OPENING CONSTRUCTED BY BRINGING THE END OR LOOP OF SMALL INTESTIN OUT ONTO THE SURFACE OF THE SKIN. ABOVE THE GROIN ON THE RIGHT SIDE OF THE ABDOMEN.
  15. URINE SPECIFIC GRAVITY?
    NORMAL VALUE=1.002-1.035
  16. CELIAC DISEASE? CONDITION THAT DAMAGES THE LINING OF THE SMALL INTESTINE AND PREVENT IT FROM AQBSORBING PARTS OF FOOD THAT ARE IMPORTANT FOR STAYING HEALTHY...
    GLUTEN-FREE DIET= NO FOOD OR BEVERAGES AND MEDICATIONS THAT CONTAIN WHEAT, BARLEY, RYE AND POSSIBLE OATS.
  17. MAIN THERAPY FOR HEADACHE?
    RELAXATION THERAPY.
  18. CALCIUM OXALATE KIDNEY STONES?
    FOODS TO AVOID IS LOW FLUID INTAKE, PROTEIN, SODIUM, REFINED SUGARS, FRUCTOSE AND HIGH FRUCTOSE CORN SYRUP, OXALATE, GRAPEFRUIT JUICE, APPLE JUICE AND COLA DRINKS.
  19. WHITE BLOOD CELL?
    NEUTROPHIL, EOSINOPHIL, BASOPHIL, LYMPHOCYTE, AND MONOCYTE. ALL MADE IN THE BONE MARROW.
  20. PROSTIGMIN?
    MEDICATION TO TREAT MYASTHENIA GRAVIS TO IMPROVE MUSCLE TONE, AND ACETYLCHOLINE CAN BIND TO THE FEW RECEPTORS AND TRIGGER A MUSCULAR CONTRACTION.
  21. DUMPING SYNDROME?
    CONDITION WHERE INGESTED FOODS BYPASS THE STOMACH TOO RAPIDLY AND ENTER THE SMALL INTESTINE LARGELY UNDIGESTED.CAUSING PATIENT TO FEEL NAUSEA, VOMITING, BLOATING, CRAMPING, DIARRHEA, DIZZINESS AND FATIGUE.
  22. TIA=TRANSIENT ISCHEMIC ATTACK
    S/S LOSS OF VISION, DIFFICULTY SPEAKING (APHASIA) WEAKNESS ON ONE SIDE OF THE BODY (HEMIPARESIS) AND NUMBNESS OR TINGLING (PARESTHESIA) USUALLY ON ONE SIDE OF THE BODY.
  23. ONCE BLOOD IS TAKEN OUT OF FREG.. HOW LONG IS THE LIFE?
    FROM BEGINING TO END ONLY 4 HRS...
  24. SIZE OF NEEDLE ALWAYS USED IS?
    18 GAUGE IS ALLWAYS USED.
  25. HOW DO YOU KNOW IF PATIENT WITH EDEMA HAS A POSSITIVE RESPONSE?
    WIEGHING PATIENT IN THE MORNING AND INSURE THAT EDEMA IS UNDER CONTROL AND PATIENT NOT GAINING MORE WIEGHT.
  26. WHAT DO PATIENTS EXPERIENCE WITH PANCREATITIS?
    PATIENT WITH PANCREATITIS HAVE ABDOMINAL PAIN. PLACE PATIENT SITTING UP LEANING FOWARD WITH A PILLOW UNDER THE KNEES.
  27. PRILOSEC/ OMEPRAZOLE
    • S/S STOMACH PAIN, DIARRHEA, CONSTIPATION, GAS, NAUSEA, VOMITING, HEADACHE, FEVER.
    • TAKE MED 1 HR BEFORE MEAL FOR ACIDREFLEX.
  28. ACETYLCHOLINE? ACH
    FLIGHT OR FIGHT
    ACTIVATES MUSCLES, AND IS MAJOR NEUROTRANSMITTER IN THE AUTONOMIC NERVOUS SYSTEM.
  29. C 5 SPINAL INJURIES?
    CARDIAC PROBLEMS RESULTS IN POTENTIAL LOSS OF FUNCTION AT THE BICEPS AND SHOULDERS AND COMPLET LOSS OF THE FUNCTHION AT THE WRISTS AND HANDS.
  30. WHEN PROFORMING A RENAL BIOPSY WHAT DO YOU LOOK FOR TO PREVENT COMPLICATIONS?
    HEMORRHAGE, BLEEDING OF ANY KIND... PLACE PATIENT IN PRONE POSSITIONS AFTER POST OP FOR COMFORT AND TO PREVENT COMPLICATIONS AFTER THE PROCEDURE.
  31. UPPER GI SERIES?
    X-RAY IMAGES OF THE ESOPHAGUS, STOMACH AND DUODENUM.
  32. TIA= TRANSIENT ISCHEMIC ATTACK?
    TIA IS EXPERIENCE TO THE LT OF BRAIN RT SIDE OF BODY IS EFFECTED, IF TO THE RT THE LT SIDE IS EFFECTED.
  33. IF NURSE SEES A PATIENT BLEEDING WHAT TO DO IN STAGES?
    • 1. YOU STOP BLEEDING.
    • 2. YOU TAKE VITAL SIGNS.
    • 3. YOU CALL DR. AND FOR HELP.
  34. CLEAR LIQUID DIET?
    TRANSPARENT LIQUID FOODS SUCH AS VEG. BROTH, BOUILLON, CLEAR FRUIT JUICES, CLEAR FRUIT ICES, POPSICLES, CLEAR GELATIN DESSERTS, AND NO CARVONATED DRINKS.
  35. MYOCARDIAL INFARCTION ?
    PREVENTIVE MEASURES FOR FUTURE MI STOOL SOFTNERS NO STRAIN AT ALL.
  36. PATIENT CANT BREATH WHAT DO YOU DO?
    CHECK FOR FLUID OVERLOAD CHECK LUNG SOUND IF CRACKELS POSITIVE FOR FLUID OVERLOAD. SET PATIENT UP.
  37. IRON DEFICIENCY ANEMIA?
    GIVE PATIENT SUPPLEMTNS SUCH AS ( FERROUS SULFATE)VITAMIN C TO HELP WITH IRON ABSORPTION. EAT CHICKEN, TURKEY, DRIED LENTIL, PEAS, AND BEANS, EGGS, FISH, MEATS, PEANUT BUTTER, SOYBEANS, WHOLEGRAIN BREAD, SPINACH.
  38. URINE OUTPUT IN ONE HOUR?
    25ML/ HR
  39. WHAT TO DO WITH A PATIENT WITH A HIATLA HERNIA?
    FOR LESS PAIN SIT UP PATIENT.
  40. VITAMIN B12 IS MOSTLY USED IN PATIENTS?
    PERNICIOUS ANEMIA.
  41. HOW DOES LIVER FAILURE EFFECT ENCEPHALOPATHY?
    WHEN BODY CANT GET RID OF AMMONIA DUE TO LIVER FAILURE, AND THESE SUBSTANCES GET INTO BRAIN AND CAUSE CONFUSION.. TEST THAT IS DONE TO FIND OUT IF CONDITION IS STANDING UP AND HANDS OUT IF THEY TIP OVER DUE TO BALANCE THIS COULD BE A POSSITIVE TEST..
  42. RENGEL/SEVELAMER HOW SHOULD ONE TAKE THIS MED...
    TAKE WITH MEALS/ USED FOR PATIENTS WITH KIDNEY DISEASE. THAT HAVE HIGH BLOOD LEVELS OF PHOSPHORUS..
  43. CIRCULATION OVER LOAD?
    FLUID IN LUNGS SIT PATIENT UP AND TO HELP WITH SHORTNESS OF BREATH...
  44. TEMPORAL LOBES DAMAGE?
    EFFECTS VOLUNTARY MOVEMENTS...
  45. MEDULLA OBLONGATA?
    DEALS WITH INVOLUNTARY FUNCTIONS, SUCH AS BREATHING, HEART RATE AND BLOOD PRESSURE.
  46. CEREBELLUM?
    • MOTOR CONTROL. SUCH AS EQUILIBRIUM, POSTURE, AND MOTOR LEARNING..MUSCLE TONE..
  47. SYMPATHETIC NERVOUS SYSTEM?
    NEURONS RELEASE ACETYLCHOLINE, NEUROMUSCULAR JUNCTION.
  48. HYPOTHALAMUS CONTROL?
    BODY TEMPERATURE, HUNGER, THIRST, FATIGUE, SLEEP.
  49. FOR A LUMBAR PUNCTURE?
    PATEINT MUST BE ON LT OR RT SIDE WITH KNEES UP/ OR ON THE EDGE OF BED WITH PILLOW INFRONT AND HUNCHED FORWARDS
  50. AFTER THE LUMBAR PUNCTURE?
    PATIENT SHOULD REMAIN FLAT ON PRONE POSITION FOR 6-12 HRS .LOOKING FOR LEAKAGE.
  51. 1. GRAND MAL, GENERALIZED TONIC-CLONIC
    2. ABSENCE
    3. MYOCLONIC
    4. CLONIC
    5. TONIC
    6. ATONIC
    • 1. UNCONSIOUSNESS, CONVULSIONS, MUSCLE RIGIDITY
    • 2. BRIEF LOSS OF CONSCIOUSNESS
    • 3. SPORADIC(ISOLATED) JERKING MOVEMENTS
    • 4. REPETITIVE, JERKING MOVEMENTSS
    • 5. MUSCLE STIFFNESS, REGIDITY
    • 6. LOSS OF MUSCLE TONE
  52. MANNITOL?
    MEDICATION IS USED TO FORCE URINE PRODUCTION IN PATIENTS WITH ACUTE KIDNEY FAILURE.
  53. NEUROLOGICAL ASSESSMENTS?
    LEVEL OF CONSCIOUSNESS, PUPILLARY ASSESSMENT GLASGOW COMA SCALE, VITAL SIGNS
  54. WIDENING PULSE PRESSURE?
    SYSTOLIC PRESSURE MINUS THE DIASTOLIC PRESSURE.
  55. MOTOR DYSPHASIA?
    DROOLING,PT UNDERSTANDS BUT CANNAT ANSWER APPROPRIATLELY. FINDING WORDSS
  56. ACTH IS USED IN MULTIPLE SCLEROSIS?
    ACTH IS A CORTICOSTEROID USE TO IMPROVE THE RATE OF RECOVERY FROM ACUTE EXACERBATION OF MULTIPLE SCLEROSIS.
  57. PATIENT WITH KIDNEY DISEASE?
    SODIUM BICARBONATE USED TO MAKE YOUR BLOOD OR URINE LESS ACIDIC IN CERTAIN CONDITIONS. MAINTAIN ACID BASE BALANCE
  58. BUN =BLOOD UREA NITROGEN
    • NORMAL RESULTS 6-20MG/DL
    • NITROGEN IS WHAT FORMS WHEN PROTEIN BREAKS DOWN.
  59. CREATININE?
    NORMAL 0.5-1.5 MG/DL WOMEN 0.6-1.2MG/DL
  60. ABNORMAL COMPONENTS IN URINE?
    CARBOHYDRATES, PROTEINS, KETONE BODIES, BLOOD, BILE SALTS, BILE PIGMENTS, FATS.
  61. LIVER FUNCTIONS?
    GLOCOGEN STORAGE, DECOMPOSITION OF RBC, PLASMA PROTIEN SYNTHESIS,HORMONE PRODUCTION, AND DETOXIFICATIONS. BILIRUBIN AND COAGULATION.

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