NURSING TEST 5

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abnrml101
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79678
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NURSING TEST 5
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2011-04-18 14:48:33
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NURSING TEST
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NURSING TEST 5
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  1. BASIC METABOLIC PANEL
    • NA CL K CO2 BUN GLUCOSE CREATINE
    • NA LEVELS 136-145
    • K 3.5-5.3
  2. CBC
    • WBC 4500-10500
    • RBC 4.2-5.4 3.6-5.0
    • HGB 14-17 12-16
    • HCT 42-52% 36-48%
    • PLATLETS 150000-400000
  3. REASONS FOR URINARY CATHETER
    • MEASURE I &O
    • SURGICAL CLIENTS
    • UROLIGIC SURGERY
    • COMFORT MEASURE
    • INCONTINANCE
    • RETENTION
    • COLLECT STERILE SPECIMANS
  4. FLUID INTAKE
    • NOTE COLOR OF URINE
    • NOTE PRESENCE OF MUCUS
    • SHOULD PRODUCE 30ML/HR 250ML/8HR
  5. CATH REMOVAL
    • SHOULD VOID WITHIN 6-8 HOURS OF REMOVAL
    • ASSESS MEATUS
  6. NG TUBE
    IF ASPIRATED CONTENTS ARE OVER 100ML WITHOLD THE FEEDING
  7. ANTIBIOTIC "CAKE"
    • PCN
    • CEPHALOSPORINS
    • MONOBACTOR
    • MACROLIDES
    • TETROCYCLINES
    • AMINOGLYCOSIDES
    • FLOUROQUINIDES
    • SULFONAMIDES
    • ANTIFUNGALS
    • ZYVOX
  8. COMMON PCN DRUGS
    • AMOXACILIN
    • PCN-G
    • AGMINTEN
    • PVK
  9. PCN
    DERIVED FROM FUNGUS OR MOLD FROM BREAD OR FRUIT
  10. PCN TRTEATS
    • STREP
    • STAPH
    • PNEUMONIA
    • WOUND INFECTIONS
    • UTI
    • RESISTANT TO GHONORRHEA
  11. PCN SIDE EFFECTS
    • RASH
    • GI DISTURBANCES
    • SUPERINFECTIONS
    • ANAPHYLATIC SHOCK
  12. CEPHALOSPORINS
    • BROAD SPECTRUM
    • IF ALLERGIC TO PCN MAY BE ALLERGIC TO CEPHALOSPORINS
  13. CEPHALOSPORINS DRUGS
    AND SIDE EFFECTS
    • CEFAZOLIN- (ANCEF)
    • AZATCAM- DONT GIVE IF ALLERGIC TO CEPHALOSPORINS

    • NEPHROTOXICITY-KIDNEY DAMAGE
    • N/V/D
  14. CEPHALOSPORINS INTERVENTIONS
    • CK ALLERGIES
    • I & O'S
    • CK LABS
    • IF SIGNS OF SUPERINFECTION EAT YOGURT OR BUTTERMILK
  15. MACROLIDES DRUGS
    • ZITHROMAX-Z PACK
    • ERYTHROMYCIN
    • BIAXIN ( CLARITHROMYCIN )
    • VANCOMYCIN
  16. MACROLIDES SIDE EFFECTS
    • HEPATOTOXICITY- LIVER DAMAGE
    • N/V/D
    • HARD ON STOMACH

    DON'T TAKE ASPRIN WITH MACROLIDES!!
  17. MACROLIDES INTERVENTIONS
    • CK LIVER ENZYMES AND JAUNDICE
    • GOOD FOR COMMUNITY AQUIRRED INFECTION
  18. VANCOMYCIN SIDE EFFECTS
    • NEPHROTOXIC-KIDNEY
    • OTOTOXIC-HEARING

    LAST LINE DRUG, ONLY FOR LIFE THREATING
  19. TETRACYCLINES
    • FOR ACNE & STD'S
    • STAIN TEETH
    • DONT GIVE TO PREGNATE
    • IF TAKEN TUMS THEY WONT WORK
    • TAKE ON EMPTY STOMACH
    • PHOTOSENSITIVITY
    • NEPHROTOXICITY-KIDNEY
  20. AMINOGLYCOSIDES DRUGS
    • GENTAMYCIN
    • TOBRAMYCIN
  21. AMINOGLYCOSIDES SIDE EFFECTS
    • OTOTOXICITY-HEARING
    • NEPHROTOXICITY-KIDNEY
    • DECREASED URINE OUTPUT
  22. AMINOGLYCOSIDES PEAK & TROUGH
    CK ON 3RD DOSE

    PEAK- DRAW BLOOD 15-30 AFTER DRUG IS COMPLETE

    TROUGH- DRAW BLOOD MIN BEFORE NEXT DOES
  23. FLUOROQUINOLONES
    • BROAD SPECTRUM
    • UTI'S
    • LOWER RESP TRACT INFECTIONS
  24. FLUOROQUINOLONES DRUGS
    • CIPROFLOXACIN (CIPRO)- FOR UTI'S
    • LEVOFLOXACIN (LEVAQUIN)- RESP INFECTION
  25. FLUOROQUINOLONES SIDE EFFECTS & IMPLACATIONS
    PHOTOSENSITIVITY, DIZZ, N/V/D, RASH, CRAMPS

    • IINCREASE FLUID INTAKE
    • CK KINDEY FUNCTION
    • AVOID TAKING ANTACIDS & IRON B/C IT INTERFERS WITH ABSORPTION
  26. SULFONAMIDES
    DO NOT DESTROY BACTERIA, BUT INHIBIS THEIR GROWTH

    • USED FOR UTI'S
    • TREMENT FOR CHLAMYDIA
    • USED FOR STREP WHEN PT CANNOT TAKE PCN
  27. SULFONAMIDES DRUGS & SIDE EFFECTS
    • BACTRIM
    • GANTINOL-HARD ON LIVER

    • PHOTOSENSITIVITY
    • CAN CAUSE CRYSTALS IN URINE
  28. SULFONAMIDES TEACHING
    • INCREASE FLUIDS
    • I & O'S
    • WATCH FOR SUERINFECTION
    • DONT TAKE ANTACIDS
  29. ANTIFUNGALS DRUGS
    • NYSTATIN (MYCOSTATIN)- SWISH AND SWALLOW
    • GARGLE IF THROAT INVOLVED

    FLUCONAZOLE (DIFLUCAN)

    • METRONIDAZOLE (FLAGYL)- TREATS BACTERIAL VAGINOSIS, BEFORE COLORECTAL SURGERY
    • IT TASTE HORRIBLE
  30. SOMATIC PAIN
    • SKELETAL MUSCLE
    • JOINTS
    • LIGAMENTS
  31. SUPERFICIAL PAIN
    • SKIN
    • MUCOUS MEMBRANES
  32. VASCULAR PAIN
    • HA
    • MIGRANE
  33. VISCERAL PAIN
    • SMOOTH MUSCLE
    • ORGANS
  34. TYPES OF ANTIINFLAMITORY AGENTS
    • NSAIDS
    • NONOPIOID ANALGESICS
    • OPIOID ANALGESICS
    • OPIOID ANTAGONIST
  35. 5 PHASES OF INFECTION
    • REDNESS
    • SWELLING/EDEMA
    • HEAT
    • PAIN
    • LOSS OF FUNCTION
  36. PROSTAGLANDIN INHIBITORS
    ALSO KNOWN AS ANTIINFLAMITORY AGENTS
  37. ANTIINFLAMITORY AGENTS
    • REDUCE PAIN
    • ANTIPYRETICS
    • INHIBIT PLATLET AGREGATION
  38. NSAIDS
    • NONSTEROIDAL ANTIINFLAMITORY AGENTS
    • ANTIINFLAMITORY EFFECT GREATER THAN ANTIPYRETIC EFFECT
  39. 3 TYPES OF NSAIDS
    • SALICYLATES
    • ASPRIN (BAYER, ECOTRIN)
    • PROPRIONIC ACID DERIVITIVES
    • IBUPROFIN (MOTRIN, ADVIL)
    • NAPROXIN (ALEVE) LONG LASTING
    • SELECTIVE COX-2 INHIBITORS
    • CELEBREX, TORADOL
  40. ASPRIN
    • ANALGESIC
    • ANTIPYRETIC
    • NSAID
    • ANTIPLATLET
  41. ASPRIN USED FOR
    • RHEUMATOID ARTHRITIS
    • OSTEOARTHRITIS
    • REDUCE RISK OF STROKE OR MI
    • INHIBITS COX-1 AND 2
  42. ASPRIN SIDE EFFECTS
    • GI UPSET
    • HEPATOTOXICITY
    • TENNITUS
    • NVD
  43. ASPRIN NURSING IMPLICATIONS
    • TAKE WITH FOOD OR MILK
    • CHECK FOR BLEEDING IN STOOL
    • MELENA
  44. PROPRIONIC ACID DERIVITIVES
    • ANALGESIC
    • ANTIPYRETIC
    • NSAIDS
    • INHIBITS COX-1 AND 2
  45. PROPRIONIC ACID DERIVITIVES USED FOR
    • RHEUMATOID ARTHRITIS
    • OSTEOARTHRITIS
    • DENTAL PAIN
  46. PROPRIONIC ACID DERIVITIVES SIDE EFFECTS
    • GI BLEEDING
    • NEPHROTOXICITY
    • TAKE WITH FOOD OR MILK
    • MONITOR LIVER FUNCTION (BUN, CREATINE)
  47. COX-2 INHIBITORS USED FOR
    • ONLY INHIBITS COX-2
    • OSTEOARTHRITIS
    • RHEUMATOID ARTHRITIS
  48. COX-2 INHIBITOR SIDE EFFECTS
    • NVD
    • HTN
    • PERIPHERAL EDEMA
  49. COX-2 INHIBITOR NURSING IMPLICATIONS
    • ASSESS FOR GI BLEEDING
    • ASSESS FOR HTN
    • ASSESS FOR EDEMA
    • DO NOT TAKE WITH ASPRIN OR NSAIDS
    • MONITOR LIVER FUNCTION
  50. NON OPIOID AGENTS
    • NSAIDS
    • TYLENOL (ACETAMENOPHEN)
  51. NONOPIOID AGENT CAUSE
    BLOCKS PAIN IMPULSES IN RESPONSE TO THE PROSTAGLANDIN SYNTHISIS
  52. NONOPIOD SIDE EFFECTS
    • HEPATO TOXICITY
    • RASH
    • NVD
  53. NONOPIOID NURSING IMPLICATIONS
    • WATCH FOR JAUNDICE
    • CONSULT DR IF GREATER THAN 10 DAYS
    • ADMINISTER WITH FOOD
    • DO NOT EXCEAD 4000 MG/DAY
    • MONITOR LIVER ENZYMES
    • CREATINE, BUN
  54. ANTIDOTE FOR ACETAMINOPHEN
    MUCOMYST
  55. OPIOID AGENTS
    • SCHEDULE 2
    • MORPHINE
    • DELODID
    • CODEINE
    • DEMEROL
  56. OPIOID AGENTS ACT ON
    • THE CENTRAL NERVOUS SYSTEM
    • BLOCKS PAIN
    • GIVEN FOR A MI TO REDUCE PAIN
  57. OPIOID SIDE EFFECTS
    • CONSTIPATION
    • RESPITORY DEPRESSION
    • SEDATION
  58. OPIOID NURSING IMPLICATIONS
    • VITAL SIGNS BEFORE AND AFTER
    • ASSESS PAIN BEFORE AND AFTER
    • MONITOR RESP RATE
    • TEACH CLIENT ABOUT CONSTIPATION PREVENTION
  59. OPIOID ANTAGONIST
    • NARCAN
    • REVERSES EFFECT OF OPIOID
  60. PAIN THRESHOLD
    AMOUNT OF STIMULATION REQUIRED BEFORE YOU FEEL PAIN
  61. PAIN TOLLERANCE
    HIGHEST LEVEL OF PAIN A PERSON IS WILLING TO TOLERATE AND STILL PERFORME NORMAL FUNCTION
  62. NEWBORNS AND INFANTS
    • THEY DO FEEL PAIN
    • INCREASE HR BY 50 BPM
  63. TODDLERS AND PRESCHOOLERS
    • MAY WITHDRAW
    • CRY OR SHOW ANGER
  64. SCHOOL AGE`
    • CAN IDENTIFY CHARICTERISTICS OF THE PAIN
    • MAY REGRESS TO AN EARLIER LEVEL
  65. ADOLESCENT
    • MAY NOT GIVE IN TO PAIN
    • BALL PLAYERS KEEP PLAYING
  66. ADULTS
    DIFFER WITH INTERPRITATION OF PAIN
  67. OBJECTIVE DATA ABOUT PAIN
    • PHYSICAL ASSESSMENT-VITAL SIGNS, DIAPHORESIS, GASTRIC DISTRESS
    • FACIAL EXPRESSIONS AND BODY MOVEMENTS
  68. BROCAS AREA
    • WORD FORMATION AND SPEECH
    • EXPRESSIVE APHASIA
  69. WERNICKS AREA
    • INTERPRITATION OF LANGUAGE
    • RECEPTIVE APHASIA
  70. STEPTOMYACIN AND GENTOMYACIN
    • ARE MAJOR FACTORS EFFECTING SENSORY PERCEPTION
    • GIVEN TO NEWBORNS AND CHILDREN
  71. WHAT IS RAS
    • A CLUSTER OF NEURONS EXTENDING FROM THE BRAIN STEM
    • MAINTAINS WAKEFULNESS
    • CONTROLLS HEART AND LUNG REFLEXES

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