What condition is commonly associated with PICA?
Anemia is common with PICA
T/F
NSAIDS can worsen asthma symptoms
TRUE
Fexofenadine
antihistamine
Hodgkin’s lymphoma
What are typical signs and symptoms of this disease?
chronic malignant disease of the lymph nodes
affects the lympathic system
S/S include:
Sweats
Painless Enlarged lymph nodes
Fever
Fatigue
How should a nurse provide care for a patient with schizophrenia and persecutory delusions?
Focus on reality and verbally reinforce it
Focus on the clients feeling secondary to the delusions (this is an example of empathy, and therapeutic communication)
What are interventions to help reduce viscosity of mucus?
-Increase fluids
-Cool mist humidifier
-Guaifensein (expectorant)
-Huff coughing – abdominal breathing with a huff, and expiratory cough technique
What GI condition is associated with olive shaped mass?
Pyloric stenosis
What is botulinum toxin type A
What should you closely monitor while using this drug?
Botox – a neuromuscular transmission used by inhibiting acetylcholine(excite) release from nerve endings. RELAXATION of skeletal and smooth muscles.
Used to treating wrinkles, blepharospasm (eye twitching), and cervical dystonia
What are some examples of SSRIs?
What are they and what is a common adverse effect of there use?
How long does it take for this medication to take effect?
Sertraline, Escitalopram
(-etine, -opram)
Selective Serotonin Re-uptake Inhibitors
Used to treat Depression and Anxiety
Side effect:
Sexual dysfunction which is usually under reported
WEIGHT GAIN (eat a health diet and regular exercise)
It will take about 4-6 weeks to take effect
Allopurinol (Zyloprim)
What does this medication treat?
What symptom of the medication can lead to higher complication? What is the complication?
Gout, Anti-gout medication
Used to decrease/prevent levels of Uric Acid
Takes with full glass of water to prevents complications with kidneys and nausea.
COMPLICATION:
Rash – which can indicate a hypersensitivity and develop to Stevens Johnsons Syndrome
Dabigatran (Pradaxa)
What condition is this used for? Why?
Where should you keep these pills?
Anticoagulant, Direct Thrombin Inhibitor
Commonly used for patients with A-Fib and Flutter
Do not crush or open pills.
KEEP THIS MEDICATION IN ITS ORIGINAL CONTAINER/BOX.
What is Trazadone?
What is this used for?
What are the common adverse effects of this medication?
A serotonin modulator
Used to treat Major depressive Disorders
Also blocks alpha and H1 receptors leading to ORTHOSTATIC HYPOTENSION, and SEDATION
What is priapism?
Is it painful?
A prolonged and painful erection
What is tissue plasminogen activator (tPA)
When should it be administered within? (hours)
What is it contraindicated with
Dissolve clots and restore perfusion
ADMINISTER within 3 to 4 hours
Contraindicated in patients with recent surgeries (2 weeks)
How are thyroid medications best absorbed?
What time of the day should they be taken?
Are they safe to take during pregnancy?
On an empty stomach
Best taken in the morning because they increase metabolism and energy
Safe during pregnancy
Steven Johnson Syndrome (SJS)
How does it appear on the skin?
Severe blistering of the skin, with mucous membrane involvement and fever
Can be FATAL
Begins with flu like symptoms, painful and purple/red rash.
Resembles 3rd degree burns.
Cyclosporine
What is it used for to prevent?
Immunosuppressant
Suppresses the immune system to prevent WBC from getting rid of a organ transplant
Tetracycline/Doxycycline // Sulfa Drugs
What are common complications with these type of drugs
Sulfa Drugs:
Tetracyclines
Antibiotics
Complication:
Sun Burn
What insulin is the ONLY insulin administered IV Push?
Regular Insulin
What is the correct administration route for NPH insulin?
Subcutaneous
Digoxin (Lanoxin)
What should be monitored while on this medication?
What the symptoms of Digoxin toxicity
cardiac glycoside
Be sure to monitor patients HR
Toxicity:
Visual symptoms
Gastrointestinal (N/V)
Neurologic manifestions
Positive Inotropic Effects (increase Cardiac Output)
and
Negative Chronotropic Effects (Decrease Heart Rate)
What can colorless nasal drainage indicate?
CSF
A complication
T/F
Any drug order-dose takes priority
TRUE
What can a new painful skin rash indicate?
Steven Johnsons Syndrome
Can be FATAL
What is the action of Sucralfate?
how should it be taken?
An oral medication that forms a protective layer in the gastrointestinal mucosa that provides a physical barrier against stomach acids and enzymes
TAKE ON A EMPTY STOMACH w water
Other meds should be taken 1 or 2 hours before or after this med!
Glyburide
What is this medication used for?
What common symptom is associated with his medication?
Diabeta
Used to treat diabetes mellitus.
Can cause severe hypoglycemia especially in children
How should patients be roomed together?
Patients with the same organism should be roomed together
Life before limb
prioritize interventions for a client in shock over interventions for a client who has a localized limb injury
Pulsatile Mass
Strong pulse of midline abdomen, possible aortic aneurysm
Phenytoin
What is this med used for?
What is the therapeutic range for this medication?
What are symptoms of toxicity?
Dilantin/Anticonvulsant
Used to treat tonic-clonic seizures
Range: 10 -20
Toxicity:
Horizontal Nystagmus
Gait unsteadiness
Hyperosmolar Hyperglycemic Syndrome (HHS)
a serious complication usually associated with type 2 diabetes
What does green amniotic fluid indicate?
fetus has passed meconium in utero
characteristic of DKA
Type 1 diabetes
Younger age
More rapid onset o hyperglycemia
Hyperventilation
Abdominal pain
Glucose 250-500
Bicarb <18
Elevated anion gap
KETONES
serum osm <320
characteristic of hyperosmolar hyperglycemia
Type 2 diabetes
Older age
Altered mental status
Gradual onset of hyperglycemia
Hyperventilation
glucose >600
BECAUSE people with type 2 can develop some insulin, the symptoms occur gradually
Metronidazole (Flagyl)
What condition is this medication usually used for?
antibiotic
Used for C.diff
What are nonselective beta blockers?
What can these medications effect?
Propranolol
Nadolol
Timolol
This medication has beta 2 blocking effect that results in bronchial smooth muscle constriction
After how many hours can a nurse consider a patient stabilized enough to eat after having a stroke?
48 hours
Addison’s disease – what does this effect
What are the treatments for this disease?
occurs when the adrenal glands do not produce enough of the hormones cortisol or aldosterone
Treatment includes:
Life long hormone replacement
Increase salt intake
Monitoring ortho BP
What is a sentinel event?
What is a near miss event?
Sentinel
Unanticipated, preventable errors that cause significant harm or death
Near-miss
Medical errors that are identified before reaching the clients and does not cause harm
What are 4 interventions that are important to monitor with HELLP?
Preparing the client for birth
Magnesium sulfate
Deep tendon reflexes
Monitoring clotting factors
What is DIC?
How would this be treated?
disseminated intravascular coagulation
A BLOOD CLOTTING disease that can turn into uncontrolled bleeding
this results from abnormal activation of clotting cascade followed by consumption of clotting factors and platlets
Treatment:
replacement of clotting factors
blood
platlets
Parovirus B19, what is another name for this condition
What kind of precautions are needed for this disease
Is this disease fatal to pregnant women?
fifth disease; erythema infectious
TORCH
Transmitted from person to person contact, RESPIRATORY secretions
Droplet precautions
Parovirus is infectious to the fetus, can cause abnormalities
What is postpartum psychosis?
How long after birth, can this condition occur?
syndrome occurring after childbirth characterized by severe depression, manic episodes, hallucinations, and/or delusions
Begins usually after 2 weeks of birth
Who/what role is legally appointment to be the primary decision maker for a patient?
What is the role of a __?
Health care proxy
the role is to make decisions for a client who is unable to do so.
They should have good understanding of the the clients wishes and be emotionally capable of fulfilling the role
What task are delegated to an RA?
Clinical assessment
Initial client education
Discharge education
Clinical judgment
Initiating blood transfusion
What task are delegated to an LPN?
Monitoring RN findings
Reinforcing education
Routine procedures
Most medication admin
Ostomy care
Tube patency and enteral feedng
Specific assessments
What task are delegated to a UAP?
Activities of daily living
Hygiene
Linene changes
Routine, stable vital signs
Documenting I&O
Positioning
ROM
Apply protective ointment
Occupational therapy
v.
Physical therapy
Above the waist
v
Below the waist
T/F – Food decreases the absorption of iron supplements
TRUE
gullian-barre syndrome
ascending symmetric muscle paralysis and areflexia (no reflexes), watch for respiratory problems.
Usually occurs after a respiratory or GI infections that triggers this immune response
testicular torsion
How is this condition usually treated?
twisting of the spermatic cord
AND
testicular ischemia and necrosis from inadequate blood supply
Treatment:
Surgery
Removal of the testes