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230 Cards in this Set
- Front
- Back
|
What do you watch for with Guillan Barr syndrome
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respitory disfunction
|
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an increase in urine specific gravity is a sign of what
|
dehydration
|
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jaw stiffness, chills, fever and sore throat are s/s of
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tetanus/lock jaw
|
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what type of shock can occur after surgery that is evidenced by a low CVP
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hypovolemic shock
|
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DTP is an immunization for
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diptheria, tetanus,and pertussis
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|
burn pt with black tarry stools has signs of
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curling ulcers
|
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_____is a complication of gastrotomy
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dumping syndrome
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s/s of Thypus are
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a sudden onset of fever, chills, and myalgia
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position of pt after crainotomy
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fowlers with a pillow under shoulder
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What is a priority NSG DX for pyelonephritis
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altered comfort
related to inflammatroy process |
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MS results from
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demylenation of neurons
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what is tinels sign
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tapping lightly over medial never that will cause tingling and numbness in carparl tunnel
|
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phalens maneuver
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allow wrist to fall freely in to maxium flexion for 60 seconds--a tingling sensation in median never over hand
used for dx of carpal tunnel |
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a white coating on tounge and muscle pain =
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Rocky Mt spotted fever
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A pt with lymes disease should never take their tetracycline with
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dairy products or mineral supplements such as vit. with iron
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flushed face, ^BP,^sweating, headache and distended neck veins are s/s of
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autonomic dysreflexia
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________controls hearing
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temporal lobe
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________controls sensory info and spatial orientation
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parietal lobe
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what is the first sign of syphillis
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a painless chancre
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an effect of strep is
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glumerular nephritis
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With proper equipment a pt with a C6 injury should be able to
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feed themself
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Why increase fluids when taking colichine
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to help excrete uric acid and help with constipation
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ketosis,metabolic acidosis, and hyperventilation are s/s of
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salycate poisoning
|
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who should not recieve the oral polio vaccine
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an immune suppressed person
|
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what meds are used to decrease cerebral edema
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corticosteriods
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|
problems with the hypoglossal nerve will show
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paralysis of side of the tongue, deviation of the tongue towards the paralyzed side, and thick speech
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If a pt is taking Amphotericn B what needs to be monitored for
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anaphylaxis and hypokalemia
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rubella vaccine is contraindicated in pt with what type of allergy
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egg
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night sweats, pallor, and wheezing are s/s of
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TB
|
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diet for Crohns
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small frequent meals-avoid high fiber foods and foods that stimulate intestinal activity such as carbonated drinks those with caffine
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A pt with abducens neve problems will have
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eye problems/double vision
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s/e of lanoxin
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halo and yellow vision
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A vaccination of pertussis should be expected at what age
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10
|
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problems with the optic nerve=
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problems with sight
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corneal reflex is a sign of
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brain met. of breast cancer
|
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how long for a cast to dry
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24-72 hrs
|
|
group A strep is documented with
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rheumatic fever
|
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syphillis can be DX'd by
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VDRL and RPR
|
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What is the main s/s of gonorrhea in both men and women
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dysuria with purlent drainage
|
|
a positive sputum test means
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active TB
|
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Where will you see herpes zoster on a body
|
thoracic area
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The incubation period for gonorrhea is
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2-8 days after exposure
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____is given for an UTI and ___should be increased to prevent crystaluria
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Gastrisin fluids
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What happends when HSV 2 diminishes
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when HSV2 diminishes it asends the periphal nerves and remains in the nerve ganglia
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Chlamydia is a concern for what during pregancy
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vag. birth
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s/s of CMV
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fever, headache, photophobia,stiff neck,and seziures
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how is giardiasis spread
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by the fecal oral route found in contaminated water
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s/s of legionares disease
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fever, cough, chest x-ray will show pnx, and decrease kidney and liver functions
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nuchal rigidity, photophobia, delrium, and seziures are s/s of
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meningitis
|
|
kopliks spots accompany
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ruebella
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In the 1st phase of Gram Neg. sepsis a pt will have
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hyperthemia, vasodilation, hypotension, and tachycardia
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2nd phase of Gram Neg. sepsis is
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shock and decrease urinary output
|
|
what color is normal synovial fluid
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clear, scant, and straw colored
|
|
Rubella vaccine contains
|
live attenuated virus
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What are the two major signs of SLE
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a butterly rash on the face and muscle soreness
|
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What type of Fx are usually a sign of abuse
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spiral
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s/s of fat emboli are
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restlessness and irritability
|
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The frontal lobe controls
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speech, memory, motor function, and concentration
|
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What is used for the dx of myasthenia gravis
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tensilon test
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how is tensilon test performed
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pt is injected with endophonium chloride via IVP and watched for facial movements
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what lobe controls sight
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occipital
|
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how should pt be placed when having a seziure
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lateral position
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what does a transection at C4 result in
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quadriplegia
|
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paraplegia is a result of damage to what area
|
thoracic
|
|
Pin rolling tremors and a shuffling gait are signs of
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Parkinson's disease
|
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penrose dressing placement
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over and around penrose drain
|
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The major effects of mysthenia gravis are
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a decrease in motor function begining with the muscles of the eyes, face, and throat.
|
|
what is the antidote for digoxin
|
lidocaine
digibind |
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What is the antidote for INH
|
pyridoxine(b-6)
|
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What hormone is affected by surgery and anesthesia
|
ADH
|
|
What is a distinctive sign of diverticulitis
|
LLQ pain
other s/s are alternating constipation and diarrhea,flatus, and abd distention |
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how is dumping syndrome best managed
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eat several small meals thru out the day, lie down after eating, avoid fluids except with meals
|
|
diet for ulcertive colitus
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low residue
ex. milk cottage cheese, white bread, refined pasta and cereal,pulp free juice |
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The older the pt the higher the risk for___and___ produced by hypoventilation
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hypoxemia and hypercapnia
|
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what is a major problem with an ileostomy
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excoriation which can lead to infection
|
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what is a common med for gonorrhea
|
flagyl
|
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Pt with HIV should not recieve what vaccine
|
polio vaccine or trivalent polio vaccine
|
|
What is Legg Calves perthes disease
|
necrosis of the femoral head causing dislocation
|
|
what is a replacement valve from a human
|
homograft
|
|
s/s of duodenal ulcers are
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wt loss, belching, poor app. and n/v
|
|
remove a tic with
|
tweezers
|
|
problems with olfactory=
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problems with smell
|
|
prpblems with oculomotor=
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pytosis, double vision, devation of eyeball
|
|
problems with trochlear=
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rotation of the eyeball upwards and double vision
|
|
problems with trigeminal=
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pain or loss of sensation in the face, forehead, and temple
|
|
problems with abducens=
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eye trouble
|
|
problems with vestibulcuchlear=
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deafness, ringing in ears, dizzines, n/v
|
|
prob with glossoharyngeal=
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problems swallowing and taste
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problems with vagus=
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hoarseness difficultiy swallowing
|
|
What is Parkinson's caused by
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a deficiency in dopamine
|
|
A masklike expression is a sign of
|
Parkinson's disease
|
|
acquired immunity developes by
|
a vaccation or contracting the disease
|
|
herpes are what type of lesion
|
vesicles
|
|
haemophilus otits media is a reult of
|
strep pneumae and haemophilus influenzae
|
|
complications of varicella are
|
encephalitis and other secondary bacterial infections
|
|
What is often responsible for the development of pleural effusions
|
lobar pnx
|
|
What can be documented in most cases of Rheumatic Fever
|
a previous infection with group a beta-hemolytic streptocci
|
|
how does herpes simplex 2 survive in the body
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by invading the nerve ganglia when its replication is diminished
|
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The most common sources of salmonella are
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poultry and egss
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Gonorrhea is resistant to
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PCN
|
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2 drugs often used in the tx of gonorrhea
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cipro and suprax
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Gonorrhea my be
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asymptomatic
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What is the most effective way to clean blood spills
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sodium hypochlorite/bleach
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a sudden onset of fever along with chills and difuse myalgia is indicative of
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typhus
|
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What is most often seen in Rocky Mt. Spotted Fever
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severe vomiting along with chills and headache
|
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vesicular lesions on the trunk are a sign of
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varicella/chicken pox
|
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A strawberry tongue is a classic sign of
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scarlet fever
|
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rubeola aka
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measles
|
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hep B is transmitted primarly
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thu blood
|
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A pt with PID is best positioned
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in semi-fowlers to facilate drainage
|
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Clinical manifestation of pneumocystis carnii in an AIDS pt
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pulmonary infiltrates, nonproductive cough, fever, and dysnea
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pt with TB will have
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pallor, night sweats, weight loss, low grade temp, and cough
|
|
clinical manifestation of PNX are
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chills, some form of respiratory distress that necessitates the use of accessory muscles (neck muscles) for breathing.INSPIRATORY CRACKLES WILL BE PRESENT
|
|
2 test for syphilis
|
VDRL
RPR |
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The DOC of streptoccal pharyngitis is
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PCN
|
|
what are inital signs of shigella
|
fever and cramping abd pain
|
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What are the intital signs of salmonella
|
nausa and vomiting
|
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what are the intial signs of monoucleosis
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headache and fatigue
|
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what are the inital signs of Norwalk virus
|
anorexia and maliase
|
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NSG DX for a 3 month old with salmonella
|
fluid volume defict
|
|
Primary goals for pt scheduled for ortho surgery
|
pain relief
tissue perfusion health maint. improved mobility improved self concept |
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What is one of the most common fx seen in children
|
an oblique fx of the clavicle
|
|
What can be done to protect/keep clean a spica cast on child
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apply a lg diaper around the perinal area
|
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maint. of Bucks traction
|
weight should be btn 5-10 lbs
circulation ck q 2hr remove foam boot tid |
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compartment syndrome is signaled by
|
deep throbing pain
|
|
Osteomyelitis is signaled by
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symptoms of a systemic infection including chills, fever, and general maliase
|
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a fat embolism is signaled by
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SOB, chest pain, and confusion
|
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Avulsion and open fxs are associated with
|
traumatic bone injury
|
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compression fxs are often associated with
|
crush injuries
|
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what would make a bone more prone to a pathologic fx
|
the presence of disease
|
|
A pt with scoliosis should wear their brace
|
23 hrs a day
|
|
Positive antinuclear antibodies support the dx of
|
SLE
|
|
what are resting spints designed to do
|
hold the joints of the hands in a desirable position
|
|
the best chair for pt with hip fx
|
straight chair with tall legs
|
|
place pt in what position in the acute phase of CVA
|
lateral with HOB^
|
|
precipitating factors for a generalized tonic clonic seziure are
|
^stress, insomia and acohol use
|
|
_____is used to decrease ICP in a pt with a brain injury
|
Mannitol(osmitrol)
|
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how should dilantin be taken
|
with food or fluid and maintain dental hygiene
|
|
_____will elicit the bicep reflex
|
elbow flexion
|
|
______is the expected responcse to testing the triceps reflex
|
elbow extension
|
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What are the inital signs of bacterial meningitis
|
headache and fever--any ^ or recurrence should be investigated and neurological status assessed continously
|
|
most comfortable position for pt with meningitis
|
lying on back with head slightly elevated without a pillow or in the side lying postion
|
|
personality, judgement, and inhibitions are in the
|
frontal lobe
|
|
a pt with a c5 injury may regain
|
some use of their hands
|
|
a pt with C4 transection will be a
|
quad
|
|
What is the purpose of skin grafting with a burn pt
|
to prevent contractures
|
|
what is the purpose of an elastic pressure garmet and when is it used
|
it is used in the rehabilative phase to reduce hypertropic scarring by helping to restrucure collagen
|
|
Epigastrium pain that occurs 1-3 hrs after a meal is characteristic of a
|
duodenal ulcer
|
|
rigidity and diminished bowel sound are the most common signs of a
|
intraperitoneal injury
|
|
what suggest renal trauma
|
a palpable flank mass
|
|
The combo of muscle relaxants and general anesthesia may cause
|
respiratory arrest
|
|
A central venous pressure of 3 is low and usually a manifestation of
|
shock
|
|
What is the post- op physiological process that affects a pt's fluid and electrolyte balance
|
a stimulation of antidiuretic hormone-the pt is at risk for imbalances and decrease urinary output
|
|
What is most often seen in acctaminophen poisoning
|
pallor
|
|
corrosive chemical poisoning s/s
|
pain, drooling and difficulty swallowing
|
|
The theraputic action of zidovudine(AZT) is
|
it inhibits or slows the replication of the virus
|
|
what is kept at bedside for pt with epiglotits
|
trach set
|
|
The causative organism for epiglottis is
|
meningitis
|
|
Mumps is inflamation of the
|
salivary gland
|
|
Pt's with RA and lupus will both have an ^ in
|
ESR
|
|
Bucks traction theraputic effects
|
decreases muscle spasm
imbolizes relieves pain |
|
what is deficient in myesthenia gravis
|
acetylcholine
|
|
What type of excercises help maintain muscle tone in a pt with a cast
|
Isometric
|
|
The first sign of ICP is
|
a decrease in arousability
|
|
CVA NSG DX
|
impaired verbal communication related to aphasia
|
|
The normal babinskis reflex is
|
the toes will fan outand draw together when the sole of the foot is stroked
|
|
The rash with Rocky Mt Spotted fever will be on
|
the soles of the feet and palms of the hands
|
|
The positive signs a pt with meningitis will have
|
Brudzinski and kernigs
Brudzinski flex hips or knee when hands are place on the back of the neck and bent foward kernigs sign pain or resistance when the pt's leg is flexed at the hip or knee while in supine |
|
Opisthotonos is a
|
spasm in which the back and extremities arch backward so the body rest on the head and heels ***seen in meningitis
|
|
how does plasmapheresis diminishes symptoms in pts with MS
|
It works by removing antibodies from plasma
|
|
treatment of compartment syndrome
|
fasciotomy,positioning the affected area lower than the heart, and remove constrictive coverings from the area
|
|
the etiology of rheumatic heart disease is
|
Group A streptococci
|
|
Rheumatic heart disease is the most significant complication of
|
rheumatic fever
|
|
What meds are contraindicated in pt's with salmonellosis and why
|
antidiarrheals because they can potentially extend ther period of the infection
|
|
The 1st phase of gram negative infection you will see
|
*hyperthermia(indicative of the onset)*
vasodilation with vascular dehydration hypotension tachycardia anxiety |
|
Mild conjunctivitis is present in the prodomal stage of
|
Rubella/german measles
|
|
abd pain is present in the prodromal stage of
|
scarlet fever
|
|
papules are present in the prodromal stage of
|
chicken pox
|
|
An earache is a manifestation in the prodromal stage of
|
mumps
|
|
The 1st med tried after total hip replacemnt is
|
acetaminophen
|
|
compartment syndrome always remember
|
***tissue damage after 30 mins
***permanent damage after 4 hrs |
|
What is given during hemorrage to control hypovolemia
|
dopamine
|
|
post-op cataract surgery pt should be in what position
|
prone **bedrest**
|
|
vitals signs with increase of ICP
|
increasing BP and slowing heart rate
|
|
s/s of fat embolism are
|
chest pain, SOB, and confusion
|
|
what is predisposes a pt to otitis media
|
smoking
|
|
An____is most at risk for ruebella
|
unborn fetus
|
|
Injuries above C4 will result in
|
paralysis of respiratory muscles and all 4 extremities
|
|
In the second stage of syphillis the pt will have
|
bone and muscle aches
|
|
Huntington disease is caused by
|
the degeneration of neurons
|
|
bowel sounds in pt with diverticolosis will
|
be increased
|
|
DOC for
|
Gonorrhea
|
|
The MMR is given at
|
12months, 4 years and 11 years old
|
|
what type of dressing for shingles
|
cool wet
|
|
A ct scan will show stroke after
|
48-72 hrs
|
|
Type of pain with 3rd degree burn
|
none
|
|
The tx for hypovolemic shock is
|
fluids and transfusions
|
|
Eye problems with MS include
|
nystagmus,diplopia, and blurred vision
|
|
A CVP of 18 shows
|
over hydration
|
|
what drugs for lupus
|
corticosteriods
|
|
In Kawasaki disease the pt's temp will be
|
higher than 102.2
|
|
peptic ulcers occur in the
|
pyloric area
|
|
ratio for rubella resistance
|
1:20
|
|
The use of corticsteriods for pt's with spinal injuries is to
|
help increase sensory and motor function
|
|
blood test are used to detect
|
antibodies
|
|
What drug slows the progression of HIV to AIDS
|
zidovucline/AZT
|
|
Cytomegalovirus/CMV mainly effects what type of person
|
immune compromised such as those with AIDS or with organ transplants
|
|
What in history may predispose a pt to Rheumatic fever
|
a sore throat
|
|
what are complications seen with thermal burns
|
Arrhythmias
|
|
What is a T tube used for
|
after exploration of the common bile duct to help prevent bile from spilling into the peritoneal cavity
|
|
a penrose drain promotes
|
blood and sersanguineous drainge from a wound out of the body
|
|
Why is estrogen replacement therapy primarily presbcribed for pt's with osteoporosis
|
to decrease the rate of bone resorption
|
|
What are the DOC for RA
|
salicylates particulary ASA
|
|
The side effects of INH
|
decrease muscle strength and hand eye coordination numbess in extremities
|
|
s/s of cystitis
|
pyuria
|
|
legg-calves-perthes disease is most common in
|
boys ages 4-10
|
|
s/s of legg-calves-perhes
|
a limp that becomes worse
pain in groin anteror thigh or knee shortned appearance of affected leg restricted hip abduction |
|
post op hip arthroplasty
|
supine with affected side abducted trapeze over head
|
|
Neostigmine bromide and pyridostigmine are given to pt's with mysthenia gravis to
|
increase the response of the muscles to nerve impulses and improve strength
|
|
Jackson Pratt pump
|
depress cap and rtn to suction
squeeze and expel air before recapping |
|
What to avoid S/P cataract surgery
|
laying on stomach
sneezing and coughing |
|
What med will decrease the discomfort in meniere's disease
|
benadryl
|
|
How is Ipecac given
|
with warm water
|
|
an artificial opening in the small bowel is a
|
ileostomy
|
|
a fax emboli is most common in a
|
femur fracture
|
|
miotics
|
drain aqueous fluid in glaucoma
|
|
The only definitive way to dx Crohns is by
|
biopsy
|
|
14-16 year olds get what vaccine
|
DT
|
|
symptoms of spleen rupture are
|
pain in the L shoulder
|
|
a finding in chronic glomerulonephritis
|
hypokalemia
|
