Nursing Final

Its a beta blocker. Chapter 18- marginal Vascular Disorders -Hypertension- BP 140/90. -Hypertensive Crisis- 180/120 -DASH diet- 2,000 calories. 7-8 grains, fewer than 2 servings of protein appraise pages 430- 438 Chapter 29- Urinary System Urinary Tract Infection- 1 Nonsocial contagion Most universal location is the bladder (cystitis) Most rough-cut upper berth OUT is kidney and renal pelvis (polytheists) Most common bacteria to possess OUT is e-coli Difference between Cystitis and PolytheistsCystitis- Disarray, urgency, nocturne, Papyri, Hematite Polytheists- Same as taller up plus annexe pain, N-V-D, fever, malaise- Urinary Calculi. St iodins made from Ca. Dull, aching to severe flank pain. Na social occasiona, vomiting. Gross hematite. Lithography- crushing stones by dint of sound waves Acute Renal Failure. -Rapid onset. Reversible.Most common pay back is sashimi (poor perfusion to the kidney) Most common symptom is Algeria ( pee output less than cd muddy) High BUN and creating trains rapscallion 2 Occurs in 3 stages rise (up to days), maintenance human body (up to 2 weeks) and this is here all the problems occur, and the recovery phase (up to 1 Globetrottings Leading cause of kidney disease and failure Caused by streptococcus (a beta-hemolytic strep) Sur approximatelyed by bowmans capsule Sex hematite, proteins, hypoglycemia, azotes (increase Nitrogen) Lasts 10-14 days Nephritis- nephritis is any degenerative disease of the renal tubules.Nephritis can be caused by kidney disease, or it may be secondary to another disorder. It should not be scattered with nephritis, where inflammation is implied. Nephritic Syndrome Same as above moreover on that point is a significant loss of protein lost in urine strand in lupus ND those with kidney disorders Sex proteins, low albumin, high lipids, and severe edema in face and periodontal bea. Blood clots argon common. Urine Dipstick PH 6-6. 5 specific gravity 1. 010-1. 025 Everything else is n egative in a ample patient Potassium Normal 3. -5. 2 Sodium Normal 135-145 Drugs that spurn sodium levels are diuretics, (pep-/ Noreen), decongestants and antithetic medications IV solutions that increase sodium are Nasal Chapter 31- Male Reproductive Tetrahedral resection of the prostate (TURN) is a surgical occasion that removes portions of the prostate gland with the TURN requires no external incision. Pens. A Inserted through the penis and the wire loop is guided by the operating surgeon so it can remove carried by fluent the obstructing tissue one piece at a time.The pieces of tissue are into the bladder and melodic phrase-red out at the end of the procedure. TURN is generally done to adopt symptoms collect to prostate enlargement, often due to quite enlarged Problems with dribbling. BP. BP is a condition in which the prostate gland may become and cause problems with urination. Symptoms may include get a urine stream started . Nocturne, urgency, admonisher tort h emorrhage tort the TLS 2 Chapter 32- Female Reproductive meteorologic release between periods Sign of cervical or uterine malignant neoplastic disease Dilation and Curettage (D C) Page 3 Cervical canal is scraped 48 hours.Monitor for circulation. Avoid pillow under legs. Avoid tampons for 2 weeks. Vaginas Fungal (candidates) protozoan (trice. ) bacteria (grandparent) Chapter 34/35- Endocrine System Biofeedback Mechanisms (3 below) 1) glucose maintenance- interplay between insulin and clangor, pancreatic hormones that move around glucose and store glucose, respectively 2) body temperature maintenance -hypothalamus, nerves, scratch, sweat glands, earth(beats faster if warm), kidneys -if your temp. Increases due to exercise/warm weather/ unhealthiness sweating occurs to produce vapour which leads to cooling -if your temp. Decreases due to cold weather/being s supervised/illness goose bumps (obliteration) occurs, which are thought to be derived from a response that enable the hai r to stand on end causing more insulant and warmheartedness 3) fluid maintenance- -kidneys regulate how much fluid is excreted. If you are desiccate they will produce less urine. If you drink a lot of fluid quickly, then more urine will be excreted Thyroid sits on either side of tracheaIsthmus connects two lobes Needs iodine to secrete to (thyroxin) and to (trinitrotoluene) that increases transfiguration Also secretes calculation that decreases excess calcium levels in the declension thyrotoxicosis Too much thyroid hormone AS Increased appetite, save loses weight. If left untreated, will cause cardiac dysphasia and heart failure Develops into 2 disorders Graves disease and thyroid crisis Graves disease (goiters expostulates- jut out eyes) Expostulates- protruding eyes Thyroid storm- High fever (102), tachycardia, hypertension, restlessness, seizures, delirium- Tracheotomy-Will be on long replacement hormones Thyroid state (balanced hormonal state before surgery) treat p recautions hemorrhage, respiratory distress, laryngeal nerve damage, tenant, thyroid storm Maxed- form of hypothyroidism Brought on by exposure to cold, infix, temp, trauma, narcotics tranquilizer More frequent in women AS seizures, lethargy to coma, hypothermia. Respiratory and cardiovascular systems shut down. TX airway, Cardiac function, increasing Temperature and HTH levels by getting labyrinthine by IV. Page 4 Cushing Syndrome Adrenal cortex produces overly much cortical (hormone) or ACTAAS fat deposits in abdomen, clavicle, buffalo hump, round moon face, hirsute (excessive facial hair) DXL Increase cortical level and urge on 24 hour urine test with 17- sisterhoods and 17- horticulturalists. Low potassium, Sodium and glucose levels are also higher. Meds lessoned and acetated are commonly used. Addison Disease Adrenal insufficiency AS decrease glorifications, mineralogists, and androgens TX IV fluids, glucose, An, sociolinguistics, warm and quiet environment DXL Decreased le vels of cortical, lessen 24 hour urine test with 17- sisterhoods, Potassium is change magnitude, glucose and sodium are decreased.Phosphorescently benign tumor of adrenal gland medulla Produces excessive amounts of epinephrine and morphogenesis Stimulates the tender nervous system AS BP 200-300/150 +, pounding HA, profuse sweating, tachycardia, flushing, DXL change magnitude catecholamine levels in the blood or urine, CT scan. Tracheotomy Nursing care stabilize BP Tracheotomy Removal of adrenal gland High encounter of Addison crisis or adrenal crisis. Addison Crisis hypertension, rapid weak pulse, extreme weakness, confusion, circulating leave and stroke.Dangerously low K+ levels. Diabetes Insipid Results from lack of DAD hormone both types energetic (damage to pituitary) and nephritic (Kidneys) Risk for hyperthermia Sex Polynesia, popularly (5-15 ml. day) urine specific gravity of less than 1. 005, mucous pale urine, weakens, dehydration, tachycardia, poor skin author, dry membranes Nursing Care managing fluid and electrolytes, replacing DAD. Monitor routine weight. Meds Visionaries (monitor for h/a and abdominal cramps).Ethicize diuretics sodium Chapter 36- Diabetes Normal blood glucose is 70-100. analyze Diabetes plasma glucose level (200) oral glucose tolerance test (2 hour test, 200) bite blood glucose (8 hour test, 126) Peripheral Vascular Disease Greater in Type 2 Atherosclerosis of lower legs Page 5 Leads to gangrene. (Most common cause of amputations) AS hair loss, atrophic skin, cool feet, red- white legs, stocky toenails, pain with walking a pulses. ND at rest (usually at night), diminished or absent peripheral Type 1 Diabetes decease of beta cells leads to state of absolute insulin deficiency Usually occurs in childhood Prone to developing acidosiss Insulin dependent Sex Popularly, Polynesia, polyphonic, weight loss, fatigue, malaise, blurred pile Type 2 Diabetes Sufficient insulin to prevent acidosiss, but to lower blood glu cose Usually occurs after 30 Most clients are obese Insulin requiring but not dependent Sex Popularly, Polynesia, obesity, recurrent infix, fatigue, blurred vision, parenthesis (numbness and shiver around mouth and hands and feet. DAD 1800 clone Diet diabetic Acidosis Occurs in Type 1 diabetes Sex hyperglycemia, dehydration, coma, BBS 250, stentorian. Metabolic Acidosiss= fruity, alcoholic beverageic beverage breath Common in those who are undiagnosed. TX fluids, insulin, correction of electrolytes. Unconsciousness patients have 0. 9% normal saline to replace sodium. Start with 0. 9, then 0. 45%. Dextrose is added to prevent hypoglycemia. Exercise Reduces blood glucose by increase glucose use by the muscles. Eat collation before exercising. Avoid exercising if refrain is 250. -Only regular insulin may be given b y the IV route.HAS (Hyperbolas hyperglycaemia State) Occurs in Type 2 Characterized by severely high glucose ( or ), extreme dehydration, and alter LOC, grand mall s eizures. -Differences between capital of Senegal and HAS Type 1 Lethargy H HAS Type 2 Coma Samuels breaths Rapid, change breathing Glucose 250 Glucose 600 *Samuels breathing rapid, deep respiration to prevent decrease in PH. Smoggy Effect Morning rise in glucose after a nighttime hypoglycemia. Sex tenors, night sweats, and restlessness. TX Eat bedtime snack Dawn phenomenon wax in glucose between 4 am and 8 am.TX increase insulin treat or changing injection time from dinnertime to bedtime Page Hyperglycemia Sex Increased thirst and frequency Diet low carbohydrates and sugar, sufficient hydration, and frequent small meals. Hypoglycemia Sex carry an emergency snack high in carbohydrates to help raise low blood sugar. volume who have experienced hypoglycemia in the past should eat meals at regular intervals, avoid excessive alcohol and never drink alcohol on an empty stomach. Chapter 37- Nervous system Cardiovascular Accident- Brain pom-pom or stroke Thrombosis C.V.- Caused by atherosclerosis of arteries.Happens during or after sleep. embolism C.V.- caused by problems with the heart Hemorrhagic C.V.- caused by hypertension Right lieu vs. Left side Effects left side Effects counterbalance side Visual Unaware Impulsive Heat stroke pitch (Left-Language) Away re Slow, cautious heat cramps, heat syncope (fainting), and heat exhaustion . Nausea, seizures, confusion, disorientation, and sometimes loss of consciousness. Remove any extra clothes. hoarfrost bite Dont put direct heat on it. Wrap in blankets or move to a warmer environment.Chapter 38- Interracial Disorders Closed vanguard injuries Coup-contractor- Jerking forward-jerking back Concussion brain suffering resulting trot cherry snaking or impact Contusion bleeding into soft tissue resulting from damp force Epidural Hematite severe blow to brain causing arterial bleeding between skull and durra mater. Suburbia Hematite injury between durra mater and subtractions layer Antibacterial Hematit e Bleeding into brain caused by gunshot wound or depressed skull fracture- simpleton arterial seizure- Jerking of finger, hand, foot, leg and face.Called Jackson March. Sex flashing unmortgageds, tingling sensations, or hallucinations. Complex Partial Seizures Sex lip smacking, aimless walking, pickax up clothing Absence seizures- In children. Blank stare. Lasts 5-10 seconds. May be unaware. Tonic-clinic seizures- Adults and children. From trauma. Stages aura, tonic phase, clinic phase, postnatal phase Up to 30 bunk Page 7 Chapter 39- Neurological and Spinal Multiple Sclerosis degenerative disease that damages myelin sheath surrounding axons. Marked by periods of provocation and remissionEffects Women between 20-50 Myelin sheath is the white matter in the CONS gift is prone to ITS, pressure ulcers, Joint conjunctures, pneumonia, depression DXL SF (cerebrations fluid analysis). Look for Gig. , MR. and CT scan. Parkinson Disease Results from a lack of dopamine 3 cardiac sig ns tremor, rigidity, braininess. Pill-rolling. Leopard- use to treat shaking, stiffness, and slow movement Interscholastic- Med for Parkinson Sex dry mouth, orthodontic hypertension, constipation, urinary hesitation, pupil dilation, blurred vision, dry eyes, photosensitive, increased heart rate.Anesthesia Gravies Marked by periods of exacerbation and remission Sex eyelid photos (drooping eye), diploma (double vision), slurred speech, nasal consonant voice, difficulty chewing or swallowing Face appears to have a mat up or grimace Risk for aspiration and respiratory insufficiency madcap Crisis caused by taking meds too early. Sex Severe muscle weakness, NV, increased salivation, sweating, brickyard. Anesthetic crisis Caused by taking meds late Sex muscle weakness, softness to speak/swallow, respiratory distress, anxiety Terminal Neuralgia Causes pain along both sides of face.Sex periodic, severe pain in cheeks, forehead, lips. Triggered by wind, chewing, shaving. Rhizome- surgi cal breach of a nerve root to control pain. Autonomic Dyslexia Effects TO and above. ablaze by full bladder or fecal impaction. TX Elevate elf 45 degrees. Check for kinks in catheter. CLC-CA injury puts a person on a ventilator. MONOCOTYLEDON a protrusion of impinges and spinal cord through a defect in the spinal column Chapter 40- Eye Disorders Cataracts Red-reflex (reddish-orange radiance in pupil when light hits it) disappears. Intraocular lens is implanted to focus light and restore vision.Snell Chart Eye chart. Madrigals- med that causes dilation of pupil Page 8 Chapter 43- Musculoskeletal Trauma Mast Suit Used for carcinogenic & hypoglycemic shock in abdominal, pelvic and lower extremity Internal (Proportional) trauma go Diabetes, insulin peak time & preparing, when to administer, Insulin Comparison Chart Insulin Type Onset Peaks at Ends Working in Low Occurs at Humanly- (Rapid) 15-20 miss 30-90 miss 3-4 hours 2-4 her Novel- (Rapid) 15-20 miss 40-50 miss 3-4 hours 2- 4 her Regular (short)30-60 miss 80-120 miss 4-6 hours 3-7 her NAP (intermediate 2-4 hours 6-10 hours 14-16 hours 6-12 herLandaus (Long) 2-3 hours almost no peak 18-26 hours 4-24 her Oxalate This medication is used to treat a high level of potassium in your blood. Too much potassium in your blood can sometimes cause heart rhythm problems. Sodium polystyrene sultanate deeds by helping your body get rid of extra potassium. Corticosteroids- from the adrenal cortex . Used to treat purists (itching) and psoriasis, bone cancer, chronic interpolator diseases such as Arthur s Sociolinguistics (creditors) raises blood glucose levels. Mineralogical (lodestone) maintains normal salt and water balance through kidneys.