N202 Final Exam

Card Set Information

Author:
bminch0121
ID:
228502
Filename:
N202 Final Exam
Updated:
2013-08-02 09:43:33
Tags:
nursing
Folders:

Description:
Med surg nursing final
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user bminch0121 on FreezingBlue Flashcards. What would you like to do?


  1. Pulmonary Edema
    • MEDICAL EMERGENCY
    • Pt drowning in own secretions. pink-frothy sputum and crackles
    • Dopamine Drop --> 1-3 mcg/kg/min
  2. ACE inhibitors
    • 1st line Heart Failure drug "pril"
    • Prevents ventricular remodeling by preventing vasoconstriction and aldosterone secretion
  3. Systolic Heart Failure
    • Most common
    • alteration in ventricular contraction
    • ejection fraction <40%
  4. Diastolic Heart Failure
    • Less common
    • Decreased ventricular compliance
    • normal ejection fraction
  5. Nitroglycerin
    • Reduces myocardial o2 consumption and workload
    • dilates coronary artiers
    • decreases ischemic pain
  6. Normal ABG values
    • ACID ----- BASE
    • pH - 7.35-7.45
    • PCO2 - 45-35 (resp)
    • HCO3 - 22-26 (meta)
  7. Acidosis
    To much carbonic acid or too little bicarb
  8. Alkalosis
    to much bicarb, to little carbonic acid
  9. Cardiac Tamponade
    • MEDICAL EMERGENCY
    • Rapid accumulation of small quantity of pericardial fluid
    • fluid compressing on the heart causing it not to beat
  10. Digoxin
    • Increases pumping ability of the heart
    • Decreases HR and increases squeeze
    • Levels - .5-2.0
    • Tocixity - vision, fatigue, nausea, bradycardia
  11. Diminished pulses is a sign of...
    Decreased cardiac output
  12. Why is damage to the myocardium problematic to a recent MI patient?
    Damage to this layer can decrease the contractile force of the heart
  13. Activated renin angiotensin aldosterone system
    • Increases BP
    • Vasoconstriction and increased intravascular volume
    • Kidney senses low BP and activates system
  14. P waves represent...
    Atrial depolarization
  15. NANDA for dysrhytmias
    Ineffective tissue perfusion
  16. ECG measures...
    • Size of the cardiac chambers
    • assess ventricular function and ejection fraction
  17. Stroke Volume
    • Amount of blood being pumped in one beat
    • 60 cc
  18. Cardiomyopathy
    • Caused by any disease that affects the heart muscle and causes a decrease in cardiac output
    • dilated is most common
  19. automaticity
    Ability of cardiac cells to depolarize without external stimuli
  20. Excitibility
    Ability of a non-pacemaker heart cell to depolarize
  21. Conductivity
    Ability to propagate a wave of depolarization from cell to cell
  22. Mitral Valve
    Structure that separates LA from LV and prevents back flow during systole
  23. Preload
    • Diastolic filling
    • Degree of myocardial stretch at the end of diastole
    • increases with fluid
    • decreases with dehydration
  24. Calcium Channel Blocker
    Prevent and treat vasospasms
  25. Beta Blocker
    • "lol"
    • Block beta adrenergic sympathetic stimulation thereby reducing myocardial o2 demand
    • decreases workload, contractility and HR
  26. Cardiac Output
    Amount of blood pumped by the LV in one minute
  27. Right Sided Heart Failure
    • RA & RV become distended and blood accumulated in venous system
    • Peripheral edema, JVD, Enlarged Liver, Nausea and anorexia
  28. Left Sided Heart Failure
    • Causes a backup of blood into LA and Pulm veins
    • Dyspnea
    • dry hacking cough
    • fatigue
    • crackles/wheeze
  29. Afterload
    • A measure of work
    • Amount of work the heart has to do to get the blood to the body
    • aka SVR
  30. ST Segment
    • End of QRS to beginning of T
    • If depressed or elevated = MI or Ischemia
  31. A-Flutter
    • 75-150 bpm
    • Reg or Irreg
    • P waves = Saw tooth
  32. Myocarditis
    Diffuse inflammation of the myocardium
  33. Infective Endocarditis
    • Infection of the endocardial surface
    • presents like the flu
  34. Biventricular Failure
    • Both ventricles fail to function
    • Paroxysmal nocturnal dyspnea
    • S3 & S4 Sounds
  35. Anemia associated with HF
    Predisposed to increased HR
  36. Speech alterations and A-fib
    Possible embolic stroke
  37. Cardiac Impulse Order...
    SA Node --> AV Node --> Bundle of HIS --> Purkinje Fibers
  38. Right Heart
    receives deoxygenated blood
  39. Left heart
    receives oxygenated blood
  40. Left Anterior Descending Coronary
    • Most important coronary
    • feeds the heart
  41. Pulses Paradoxus
    • Change in BP when patient is breathing
    • Inhale = increase
    • Exhale = decrease
  42. Pericardial Tamponade
    Fluid from pericardial sack prevents heart from beating well
  43. Purkinje Fibers
    • Represents QRS .04-.12
    • Rapid conduction of electrical impulses throughout the ventricle
  44. A-Fib
    • No pattern at all
    • No meaningful P waves
    • Atrial quiver instead of squeeze
  45. Lub Sound
    Tricuspid and mitral valves closing
  46. SA Node
    • Main pacemaker of the heart
    • wave of depolarization
    • p wave
  47. Anticoagulants
    • Decreases clotting ability
    • i.e - heparin
  48. STEMI
    Goes through the entire wall
  49. NSTEMI
    Goes through only part of the wall
  50. Distended neck veins is a sign of...
    Right sided heart failure
  51. Heart Failure
    Inability of the heart to pump enough blood to meet tissue demands for O2 and nutrients
  52. Mitral Valve prolapse
    • Most benign valvular disorder
    • Portion balloons back into the atrium during systole
  53. Mitral Regurgitation
    • Dx by ECHO
    • Hear some type of murmur
    • Leaflets dont close all the way and regurgitates into the LA
  54. Aortic Regurgitation
    • Flow of blood back to LV from aorta during diastole
    • end up with hypertrophy of LV
  55. Aortic Stenosis
    • Associated with aging
    • most common valvular disorder
  56. Prophylactic abx prior to procedures prevents...
    endocarditis
  57. Dilated Cardiomyopathy
    • Most common type
    • Cardiomegaly and ventricular dilation but no hypertrophy
    • Resembles CHF
  58. Hypertrophic Cardiomyopathy
    • Believed to have autosomal dominant genetic base
    • Usually dx in young adults/athletes
    • arrhythmia's are common and may cause sudden death
  59. Restrictive Cardiomyopathy
    • Least common
    • Unknown etiology
    • walls of the ventricles become stiff and do not pump as well
  60. Cardiac Tumors
    • Rare
    • 85-90% benign
    • Trauma to the heart carries high mortality
  61. Resp Acidosis
    • Excess CO2 retention
    • Hypo ventilation
    • Over dose
    • over sedation
    • head trauma
  62. Resp Alkalosis
    • Excess CO2 loss
    • hyperventilation
    • pain
    • anxiety
    • severe anemia
    • CNS lesions
  63. Metabolic Acidosis
    • Loss of HCO3 or acid rentention
    • DKA
    • renal failure
    • starvation
    • anaerobic metabolism
  64. Metabolic Alkalosis
    • HCO3 retention or acid loss
    • hyperemesis
    • GI suctioning
    • diuretic therapy 
    • K deficit
    • Over use of antacids
  65. Ventilation
    Air we breath in everyday
  66. Perfusion
    Absorbed into the blood stream
  67. BI-Pap
    • Bi-level positive airway pressure
    • positive pressure applied to airways during inspiration but less pressure during exhalation
  68. Obstructive sleep apnea
    Breathing disruption during sleep lasting 10 seconds at least 5x per hr
  69. Upper airway obstruction
    • Interruption of airflow through nose, mouth, pharynx or larynx
    • Key sound is stridor
    • low SpO2% and accessory muscle use
  70. Superior Vena Cava Syndrome
    • Tumor pressure clocking entrance to superior vena cava
    • EMERGENCY
  71. Pneumonectomy
    Removal of the entire lung
  72. Lobectomy
    Removal of a lobe of the lung
  73. Wedge resection
    Small well circumscribed lesion
  74. Segmental Resection
    Segment of the lung removed
  75. Asthma
    Intermittent and reversible airflow obstruction affecting airways only, not alveoli
  76. Wheezing
    • More common during expiration
    • COPD common on expiration
    • Asthma common on inspiration
  77. Status Asthmaticus
    • MEDICAL EMERGENCY
    • Severe life-threatening acute episode of airway obstruction
  78. COPD
    • Chronic Obstructive Pulm Disorder
    • Tissue damage not reversible 
    • increases in severity 
    • eventually leads to resp failure
  79. Alpha 1 antitrypsin
    Protein that helps keep lung tissue healthy
  80. Chronic Bronchitis
    • Production of large amounts of thick mucus,risk for PNA d/t mucus
    • Barrell chest
    • diminished breath sounds
    • dyspnea
    • cough
    • sputum production
  81. Emphysema
    • Loss of lung elasticity and hyperinflation of lung
    • "pink puffer"
    • severe dyspnea
    • cachexic
    • pursed lip breathing
    • accessory muscle use
    • clubbing
    • anxiety
  82. Pneumonia
    • PNA
    • Excess fluid in the lungs resulting from inflammatory process
  83. Who is at risk for HAP?
    • > 70 yo
    • Smokers
    • compromised immunity
    • admitted for burns, CNS disease or trauma
    • Malnutrition
    • Underlying chronic lung disease
  84. Consolidation
    • Lung tissue develops an airless, solid consistency when exudate accumulates in alveoli and bronchioles
    • Hear crackles/rhonchi
  85. Influenza
    • Highly contagious resp infection caused by influenza virus
    • can be life-threatening
    • contagious up to 5-7 days
  86. Stroke
    Sudden damage or injury to the brain caused by a change in the normal blood supply to the brain
  87. Bifurcation
    (stroke related)
    Most common site for a thrombosis to form and for a thrombotic stroke
  88. Embolic Stroke
    • Caused by a thrombus or thrombi that break off from the interior wall of an artery
    • Most common source of emboli are the walls of the heart
  89. Right cerebral hemisphere stroke
    • Vision symptoms
    • Spatial neglect deficits
    • poor judgment and impulse control
  90. Left Cerebral Hemisphere Stroke
    • language deficits
    • "L"eft think "L"anguage
  91. Expressive Aphasia
    • difficulty expressing language
    • Brocas area of the frontal lobe
    • motor speech problem
  92. Receptive Aphasia
    • Difficulty comprehending language
    • Wernickes area of temporoparietal area
    • sensory speech problem
  93. alexia
    inability to read
  94. Dyslexia
    Inability to understand the written word
  95. Agraphia
    Inability to write
  96. Acalculia
    Inability to do math
  97. Unilateral body neglect syndrome
    • ONLY present in right sided stroke
    • motor and sensory deficit
    • high risk category to incur injury
  98. Agnosia
    • Inability of the patient to correctly use an object
    • i.e - using a toothbrush for combing
  99. Apraxia
    Inability to carry out a purposeful motor activity when requested
  100. Proprioception
    • Loss of sense of the neighboring parts of the body in movement
    • characteristic in unilateral body neglect
  101. Penumbra
    tissue at risk
  102. rtPA
    • Recombinant Tissue Plasminogen Activator 
    • Must be given in 4.5 hr window of onset or LSN
  103. Complications of stroke
    • Hydrocephalus
    • Vasospasm
    • Increased intracranial pressure
    • Rebleeding
  104. Hydrocephalus
    Prevents CSF from being reabsorbed properly by the arachnoid villi
  105. Vasospasms
    • Most common cause of death and disability following hemorrhagic stroke
    • Calcium channel blockers used in tx
  106. Hematopoiesis
    Complex process of blood cell formation and maturation
  107. Pancytopenia
    Deficiency in all cell types
  108. Anemia
    • A reduction in the number of RBCs, amount of Hgb or hematocrit
    • common manifestations - fatigue, pallor, tachycardia,dyspnea
  109. Sickle Cell
    • Abnormal HbS is sensitive to changes in oxygen content within the RBC
    • RBCs become crescent shape a bunch together which impedes blood flow and patient ends up necrosis
  110. Iron Deficiency Anemia
    • Hypoproliferative Anemia
    • Need iron to make RBC
    • Very common ; world wide problem
  111. Iron-rich foods
    • Cereal 
    • whole grain
    • clams
    • dried beans and peas
    • fried fruit
    • green leafy veggies
    • lean red meats
    • Molasses
    • Organ meats (liver)
  112. Polycythemia
    Number of RBCs is greater than normal and blood if hyperviscous(thicker) than normal
  113. Polycythemia Vera (PV)
    • CA of RBCs with excessive production of RBCs, WBCs & platelets; poor tissue oxygenation
    • fatal if not treated
  114. Migraine HA
    • Chronic, episodic disorder
    • Usually lasts > 4 hours
    • More common in women than men
  115. Prodrome Phase
    Before HA occurs
  116. Aura Phase
    Signal of the HA
  117. Headache Phase
    Severe throbbing HA pain
  118. Termination or postdrome phase
    Subsiding of HA
  119. Cluster Headaches
    • Chronic, Short-duration episodic HA
    • 30 mins - 2 hours
    • more prodominant in men
  120. Thyroid Gland Function
    • Responsible for the secretion of three hormones
    • essential for the proper regulation of metabolism
  121. 3 major thyroid hormones
    • 1. T3 - triodothyronine
    • 2. T4 - thyoxine
    • 3. Calcitonin
  122. Calcitonin
    Lowers serum calcium and phosphate levels by inhibiting bone resorption
  123. Bone Resorption
    • Releasing of calcium from the bone
    • "Swiss cheese" look
  124. Myxedema
    • State of extreme hypothyroidism
    • can be fatal
  125. Hyperthyroidism
    Excessive secretion of the thyroid hormones from the thyroid gland
  126. Graves Disease
    • Most common cause of hyperthyroidism
    • Autoimmune disease that causes an increased number and size of thyroid cells
    • Most serious hyperthyroid state
  127. Distinguishing Characteristics of Graves
    • 1. Exophthalmos - bulging eyes
    • 2. Diffuse goiter
    • 3. Pretibial myxedema
  128. Laboratory Assessment
    Graves Disease
    • TSH - DECREASED
    • T3 - INCREASED
    • T4 - INCREASED
  129. Tapazole
    • initial Tx for hyperthyroid
    • preferred drug treatment
    • avoid during pregnancy
  130. PTU (Pylthiouracil)
    • Hyperthyroid Tx
    • 2nd choice for anti-thyroid drig treatment
    • faster than tapazole
    • Increased incidence of serious liver injury and failure
  131. Thyroid Storm
    Thyrotoxicosis Crisis
    • Life threatening even indicative of uncontrolled hyperthyroidism 
    • happens very quickly
    • High fever, HTN,tachycardia
    • Administer tapazole or PTU asap
  132. Tetany
    Muscle contraction and spasm usually of hands and arms due to hypocalcemia
  133. Serious complication of thyroidectomy...
    • Respiratory obstruction
    • laryngeal stridor
    • steroids given
    • sometimes intubated
  134. Hypothyroidism
    • Condition characterized by diminished production of the thyroid hormones by the thyroid gland
    • hypometabolic state
  135. Classifications of hypothyroidism
    • Primary - Abnormality with thyroid
    •       cant produce enough thyroid hormone
    •        95% of all cases
    • Secondary - Abnormality with pituitary
    •       Decreased TSH
    • Tertiary - Abnormality with hypothalamus
    •       Decreased TRH
  136. levothyroxine
    • medication for hypothyroidism
    • increases HR and BP 
    • Given on empty stomach
    • may need to lower dose if patient is on coumadin bc coumadin potentates synthroid
    • start at low dose to prevent MI
  137. Myxedema Coma
    • grave hypothyroid condition
    • serious and life threatening
    • happens very quickly
    • comatose, cardiomegaly, resp failure,hypotension, hyponatermia,hypothermia an hypoglycemia
    • administer synthroid
  138. Parathyroid Gland
    • Maintains calcium levels at normal range
    • Produces and secretes PTH
    • Acts directly on the kidney and bone
  139. Parathyroid and negative feedback
    • High calcium level causes PTH to decrease
    • Low calcium level causes PTH to increase
  140. Hyperparathyroidism
    • hypercalcemia
    • most common cause is benign tumor
    • Parathyroid ademona is most common cause
  141. manifestations of hyperparathyroid
    • excess PTH = hypercalcemia
    • bone fractures
    • loss of bone density
    • arthritis
    • psychological distress
    • pallor skin
    • bone deformities
    • renal calculi
  142. Laboratory Assessment
    Hyperparathyroidism
    • Serum Calcium INCREASED
    • Serum phosphate DECREASED
  143. Tx for hyperparathyroid
    • 1. Diuretic
    • 2. anti-resorption agent
    • 3. calcitonin + glucocorticoids
    • 4. Calcium chelators
  144. Chvosteks sign
    • Hypocalcemia
    • facial muscle contract and twitch
    • 7th cranial nerve
    • hypoparathyroid
  145. Trousseaus sign
    • hypocalcemia
    • Spasm of muscles of hand and forearm
    • flexion of wrist and MCP joints
    • hypoparathyroid
  146. Laboratory Assessment
    Hypoparathyroid
    • Serum Calcium DECREASED
    • Serum Phosphate INCREASED
  147. Which hormones are secreted by the posterior pituitary gland?
    • ADH (anti-diuretic hormone)
    • Oxytocin
  148. Which hormones are secreted by the anterior pituitary?
    • ACTH (adrenocorticotropic hormone)
    • Prolactin
    • FSH
    • Growth hormone
    • LH
  149. Bromocriptine
    Tx of growth hormone secreting adenoma
  150. Diabetes Insipidus
    • Large amounts of urine with low concentration 
    • complete or partial deficit of ADH

    Hourly matching of intake and output
  151. DDAVP
    Desmopressin
    • Treatment of diabetes insipidus
    • synthetic form of vasopressin
  152. SIADH
    • Syndrome of Inappropriate ADH
    • Scant amount of urine with high concentration
    • water retention
  153. Tolvaptan PO
    • Tx for SIADH
    • Interferes with action of ADH
    • promotes water excretion
  154. Conivaptan IV
    • Tx of SIADH
    • Interferes with action of ADH
    • Promotes water excretion
  155. Demeclocycline
    • works by increasing urine output
    • used in SIADH but can cause DI
    • Adverse effect may cause renal failure
  156. Addisons Disease
    • decreased glucocorticosteroids, mineralcorticoids and androgens
    • increased amount of ACTH secreted
  157. Clinical manifestations of addisons disease
    • fatigue
    • weakness
    • weight loss
    • NVD
    • hyperpigmentation changes
    • abd pain
    • orthostatic hypotension
  158. Adrenal Crisis
    Addisonian Crisis
    • Dehydration
    • hyponatermia
    • hyperkalemia
    • fever
    • violent abd pain
    • vascular collapse
    • death
  159. Hydrocortisone
    • Treatment for addisons disease
    • corrects the glucocorticoid deficiency 
    • steroid
    • i.e Solu-Medrol
  160. Fludrocortisone
    Florinef
    • Corrects the mineralcorticoid deficency
    • Used in addisons disease
  161. What hormone is excessively secreted by the adrenal medulla with a pheochromocytoma tumor?
    Catecholamines
  162. Contraindication for receiving androgen therapy
    Men with prostate CA
  163. Most common cause of hyperpituitarism
    Pituitary Ademona
  164. Hormonal cause of dwarfism in children?
    Hypopituitarism of growth hormone
  165. Surgical procedure to remove a pheochromocytoma
    Adrenalectomy
  166. Greatest priority with tolvaptan or conivaptan
    Monitor sodium levels
  167. Most common cause of secondary adrenal insufficiency
    Exogenous use of steroids
  168. Clinical manifestations of cushings
    • weight gain        truncal obesity
    • reddened moon face
    • buffalo cervical hump
    • hirsuitism/acne
    • hypernatremia
    • hypokalemia
    • HTN, fluid retention, hyperglycemia, insulin resistance, GI bleed, wound healing
  169. O2 toxicity
    • 24-48 hours after O2
    • decreased RR
    • decreased LOC
    • increased CO2
  170. #1 symptom of hypoxia
    confusion
  171. Restrictive Pulm Disorders
    • Pleural Effusion
    • PNA
    • Lung CA with tumor
  172. Obstructive Pulm Disorders
    • COPD
    • Asthma
  173. Biggest complication of lung Sx
    PNA
  174. Primary nursing action for PNA
    Cough and deep breathing
  175. Priority nursing actions for acute SOB with retractions
    • 1. Auscultate
    • 2. RR
    • 3. Pulse Ox
  176. Wet Chest Tubes
    • Neonates
    • bubbling all the time
  177. Dry Chest Tubes
    • No bubbling all the time
    • 3cc H2O in water seal to create barrier so air cant exit but can enter
  178. Tidaling in Dry Chest Tube
    Rise and fall of H2O with respirations
  179. No tidaling in Dry chest tube
    • Abnormal
    • may be due to wall suction
  180. Air leak in chest tube
    • Continuous bubbling in dry
    • coming from either patient side or machine side
  181. Clinical manifestations of COPD
    • 2X2 chest (barrel)
    • Clubbing - d/t air trapping
  182. Signs of worsening COPD
    • Increased RR
    • Increased CO2
    • Increase wheeze on inhale and exhale d/t bronchioles getting tighter
  183. #1 symptom of bronchospasm
    productive hacking cough
  184. #1 symptoms of bronchoconstriction
    wheezing
  185. 3 concerns with Laryngeal CA
    • 1. Airway
    • 2. communication
    • 3. nutrition
  186. #1 concern with lung sx
    • Secretions
    • give patient their own suction
  187. Creatinine Phosphokinase (CPK)
    Increases with muscle damage
  188. Troponins
    • Specific cardiac marker
    • preferred for MI dx
  189. Peaked T waves
    Hyperkalemia
  190. ST elevation/depression
    Ischemia
  191. Rheumatic fever
    Possible abnormality of heart valves
  192. Stable Angina
    Ischemia limited in duration and does not cause perm damage to myocardial tissue
  193. Unstable Angina
    Patients may have ST changes on 12 lead ECG but will not have change in troponin or CK levels
  194. Prinzmetal or Variant Angina
    • At or after rest
    • Calcium channel blocker given
  195. Normal ejection fraction
    60-65%
  196. Natriuretic Peptides
    Hormones released by heart when atrial pressure is high
  197. endocarditis leads to...
    valvular disease
  198. myocarditis leads to...
    cardiomyopathy
  199. Stridor
    High pitched wheeze
  200. Symptoms of active TB
    • Nausea
    • weight loss
    • night sweats
  201. Pain from sickle cell is d/t...
    blocked sickled RBC that deprive tissues of O2
  202. Extrinsic Pathway
    Happens quickly
  203. Intrinsic pathway
    happens more slowly
  204. Anomia
    inability to find words
  205. Buergers
    • Men < 40 w hx of smoking
    • PAD
    • quit smoking
    • vasodilator increases flow to arteries
  206. Raynauds
    • Women 20-40
    • fingers/hands
    • exposure to cold = severe pain in hands
    • avoid cold and caffiene
    • give vasodilator
  207. PAD - Peripheral arterial disease
    • "Angina in legs"
    • caused by DM and HTN
    • Narrowing of arteries in legs
    • intermittent claudication - pain w activity, relieved at rest
    • Ulcers on toes
    • no hair on legs
    • legs DOWN to relieve pain
  208. PVD - peripheral venous disease
    • Caused by HTN, atherosclerosis
    • DVT - Pain at clot site
    • Brown discoloration of legs
    • Legs UP to relieve pain
  209. NSAIDS cause...
    renal impairment
  210. Protein in urine suggests...
    glomerulus membrane damage
  211. Most indicative lab of renal failure
    elevated BUN and Creat
  212. Key cause of renal failure
    ESRD
  213. Phoslo
    Binds with phosphorus to be eliminated from the body
  214. Kayexelate
    removes K+ through excretion in the feces
  215. ARF
    • Acute renal failure
    • sudden onset
    • reversible
    • causes low BP
  216. CRF
    • Slow onset
    • not reversible
    • causes DM and HTN
    • Nephrotic syndrome
  217. Glomerulonepretis
    • Inflammation of the glomerulus caused by beta-hemolytic strep
    • protein in urine
    • s/s uremia
    • tx - abx , bedrest
  218. Key of HTN Tx
    Prevent end/target organ damage
  219. Eosinophils
    Limits allergic inflammation
  220. Basophils
    Initiates inflammatory response
  221. MDS
    • Formation of abnormal bone marrow cells
    • characterized by apoptosis
  222. Blast cells define...
    Leukemia
  223. Plasma cells define...
    Multiple myeloma
  224. Allogenic Transplant
    From sibling or matched unrelated donor
  225. Leukemia
    Overproduction of immature, dysfunctional leukocytes
  226. Graft vs Host disease
    • Rejection
    • Rash on bottom of feet
  227. Stress Incontinence
    • Most common involuntary loss of small amount of urine
    • keep diary
  228. Urge Incontinence
    • Overactive bladder
    • citrus, diuretics, nicotine, alcohol and caffeine stimulate bladder
  229. Functional Incontinence
    Unintentional loss of urine related to physical, cognitive or social impairment
  230. Multiple Sclerosis (MS)
    • Chronic autoimmune disease that damages the nerves in the brain, spinal cord and optic nerves
    • no cause, unknown cause
    • muscle weakness, fatigue,tremors,dysmetria,balance and speech
    • maintain activity levels
    • falls risk
  231. ALS (lou gehrigs disease)
    • Progressive weakness, muscle wasting and spasticity that eventually leads to paralysis 
    • resp and musculoskeletal assessments important
  232. Myasthenia Gravis (MG)
    • Chronic autoimmune disease of the neuromuscular function that affects muscle contraction
    • Increased Ach receptor antibody levels
  233. Trigeminal Neuralgia
    • Classic - bursts of pain
    • Atypical - continuous burning
  234. Clinical Manifestations of hyperthyroid
    • muscle wasting
    • tachycardia
    • warm flushed skin
  235. Clinical manifestations of hypothyroid
    • weight gain
    • bradycardia
    • mucinous myexedema
  236. Pathological Fx
    • Hyperparathyroid
    • too much calcium in body
    • bone resorption

What would you like to do?

Home > Flashcards > Print Preview