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Anonymous
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70585
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flower
Updated:
2011-03-03 22:46:39
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NS exam
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Description:
NS 111 exam #1
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  1. AFEBRILE
    without fever
  2. FEBRILE
    fever
  3. PULSE DEFICIT
    diff between apical & radial pulse
  4. ORTHOSTATIC BP
    BP drops 10+ when you get up
  5. ERYTHEMA
    redness if skin
  6. PETECHIAE
    small purple, red spots
  7. BRONCIAL SOUNDS
    high pitched
  8. BRONCHIAL VESICULAR SOUNDS
    blowing
  9. VESICULAR
    low pitched
  10. PRECORDIUM
    over heart and lower thorax
  11. BRUITS
    abnormal sounds heard over a BV as blood passes an obstruction
  12. THORACENTESIS
    puncturing of chest wall to aspirate pleural fluid
  13. CORTICOSTEROIDS
    reduce inflammation
  14. BIOTERRORISM
    intentional spread of infection
  15. SHOCK
    body's reaction to decrease in Blood Volume
  16. NEGATIVE NITROGEN IMBALANCE
    results in muscle wasting due to cancer, anorexia, etc.
  17. ISOTONIC
    active movement, running
  18. ISOMETRIC
    no change in muscle length
  19. ISOKINETIC
    muscle contraction with active resistance
  20. ISCHEMIA
    deficiency of blood to particular area
  21. BODY TEMP
    controlled by hypothalamus, axillary- 96.7, rectal- 99.6, oral- 98.6
  22. ORTHOPNEA
    dyspnea when laying down
  23. CHEYNE STOKES
    gradual increase, followed by decrease followed by apnea.
  24. KUSSMAUL BREATHING
    rapid deep breathing
  25. BIOT'S RESPIRATIONS
    CNS disorder, respirations are faster and deeper than normal, interspread with abrupt pauses
  26. BORBORYGMI
    normal hyperactive bowel sounds (stomach growling)
  27. PARALYTIC ILEUS
    intestinal muscle paralysis, causing blockage
  28. ACETYLCYSTEINE
    reduces thickness of mucus; 1. Mucomyst 2. Parvolex 3. acetadote- for Tylenol (acetaminophen) Over dose
  29. CARDIOVASCULAR MEDS (HEART FAILURE)
    • 1. increase contractility (inotrophic agents; Digoxin, Dopamine)
    • 2. Reduce preload- Diuretics, vasodilators (Nitrates)
    • 3. Reduce Afterload- vasodilators; ACE inhibitors, Calcium Channel Blockers.
  30. DRY POWDER INHALANTS
    activated by Pts inspiration
  31. METERED DOSE INHALERS
    controlled dose of meds with each compression
  32. NEBULIZERS
    disperse fine particles of meds deeper into passages of respiratory tract where absorption occurs
  33. SINGULAIR (Montelukast)
    • anti-inflammatory
    • -treats difficulty breathing, asthma
    • -can cause h/a, dizziness, heartburn
  34. ACCOLATE (Zafirlukast)
    • -bronchodilator
    • -used to prevent asthma attacks
    • -h/a, dizziness, n & v
  35. PROVENTIL (Albuteral)
    • -bronchodilator
    • - for wheezing, COPD
    • -200-400 mcg q 4-6 hrs
    • may cause tremors, anxiety, insomnia, tachycardia
  36. LONG-ACTING BETA 2 AGONISTS
    • 1. salmenterol
    • 2. formoterol
    • for asthma, prevent bronchospasms
    • dry powder inhaler, 1 inhalation BID
  37. ALPHA-ADRENERGIC INHIBITORS
    anti-hypertensives
  38. ANGIOTENSIN-CONVERTING ENZYME INHIBITORS
    • Vasodilation, anti-hypertensives
    • 1. benazePHRIL
    • 2. enanaPHRIL
    • 3. captoPHRIL
  39. ANGIOTENSIN II RECEPTOR BLOCKERS (ARB's)
    antihypertensives
  40. BETA-ADRENERGIC BLOCKER
    • antihypertensive, also treats abnormal heart rhythms.
    • atenoLOL
    • timoLOL
    • propramoLOL
  41. CALCIUM CHANNEL BLOCKERS
    • antihypertensive
    • verapamil
    • diltiazem
  42. DIURETICS
    • antihypertension
    • rid body of salt and water
    • bumetanide
    • furosemide
  43. INOTROPIC AGENTS
    • increase force of cardiac contractions
    • Digoxin
    • dopamine
  44. ALUPENT (Metaproterenol)
    • Bronchodilator (treats asthma)
    • .65 mg per inhaltion
    • may cause tremors, dizziness, weakness
  45. SLO-BID (theophylline, theodur)
    • bronchodilator
    • may cause N&V, tachycardia, irritability
  46. CROMOLYN (Initial)
    • anti-inflammatory, treats asthma, prevents bronchospasms.
    • 5 y.o + 2 oral inhalations (1.6-2 mg) QID @ 4-6 hr intervals
    • may cause cough, nausea, nasal stinging.
  47. RESTORIL (Temazepan)
    • sedative-hypnotic
    • treats insomnia
    • 7.5-30 mg PO @ HS
  48. AMBIEN (Zolpidem)
    • sedative-hypnotic
    • treats insomnia
    • 10 mg @ HS
    • mas cause Ataxia (lack of coordination), depression, hypersenitivity
  49. ATIVAN (Lorazepam)
    • sedative-hypnotic
    • treats anxiety
    • .5-2mg PO q 6-8 hrs. 1-4mg PO @ HS PRN
  50. DALMANE (Flurazepan)
    • sedative-hypnotic
    • treats insomnia
    • 15-30mg PO @ HS
  51. HYPOXIA
    • low oxygen in cells
    • can cause confusion, anxiety
  52. HYPOXEMIA
    low oxygen in the blood
  53. PARAPLEGIA
    paralysis of legs
  54. QUADRIPLIGIA
    paralysis of arms and legs
  55. HEMIPLEGIA
    paralysis of one half of the body
  56. PURULENT DRAINAGE
    foul smelling gray drainage is a sign of infection
  57. PENROSE DRAIN
    open drainage system
  58. MACERATION
    • wound overhydration, excessive moisture.
    • when cleaning would avoid touching wound bed with forceps or gloves.
  59. PARASOMNIAS
    • Waking behavior during sleep
    • sleep walking (somnambulism)
    • enuresis (urinating)
  60. DYSSOMNIAS
    • insomnia
    • sleep apnea
    • RLS (restless leg syndrome)
  61. HOW MANY HOURS OF SLEEP DO INFANTS NEED?
    14-20 hrs
  62. NREM
    • 1. transition from wake to sleep
    • 2. light sleep
    • 3. deeper sleep
    • 4. DELTA sleep (BP & pulse decrease)
  63. MEDS THAT MAY CAUSE INSOMNIA
    Alcohol, anticonvulsants, bronchodilators, MAO inhibitors, caffiene, cocaine
  64. PRIMARY LESIONS
    macule (freckle), patch (vitiligo), papule (mole), plaque, nodule (wart), tumor, wheal (hive)
  65. VARIOUS METHODS OF ADMINISTERING OXYGEN
    • nasal cannula (1-6 L/min)
    • mask (5-8 L/min)
    • Venturi mask
    • parial rebreathing mask
    • nonrebreathing mask
    • ventilator
  66. NURSING INTERVENTIONS FOR IMMOBILE Pts.
    • re-position frequently
    • SCD's
    • ROM excercises
  67. CYANOSIS
    blue appeance of skin
  68. PRURITUS
    itching
  69. FLUID FILLED LESIONS
    bulla (2nd degree burn), vesicle (herpes simplex), postule (acne)
  70. SECONDARY LESIONS
    • result from changes in primary lesions
    • erosion- loss of superficial epi
    • ulcer- loss of epi and dermis
    • fissure- deep linear crack
    • crust- dried residue from pus or blood
    • scale- dandruff, dry skin
  71. TREATMENT FOR STAGE 1 & 2 ULCERS
    • apply A & D w/transparent dressing (OP site, tagaderm)
    • may use hydrocolloid dressing (duoderm)
    • hydrogel dressing (if low to moderate exudate)
  72. TREATMENT FOR STAGE 3 & 4 ULCERS
    • clean wound w/wound cleanser
    • for wounds with moderate to heavy drainage apply Calcium Algenate (packed loosely)
    • Debridement for necrosis- enzymatic, mechanical, autolytic
    • cover w/island dressing
  73. TEN- TOXIC EPIDERMAL NECROSIS or STEVENS-JOHNSON SYNDROME
    • reaction to meds (antibiotics, NSAIDs)
    • conjunctival burning or itching, may shed much of the dermis.
  74. PRESSURE ULCER RISK FACTORS
    age, mobility, nutrition, incontinence

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