BS

What to do when administering vistaril

Tx for anxiety and also itching. Watch for dry mouth. Given preop commonly

What is Bentyl used for

Tx of IBS assess for anticholinergic side effects

What is Librium used for

Tx of alcohol wd..don't take etoh with this, very bad nausea and vomiting can occur.

Intervention for Diabetes Insipidus

Vasopressin (pitressin)

Pt Position During Epidural Procedure

Side-Lying

A Thyroid Storm S&S

Increased temp, pulse and HTN

When drawing up regular insuline and NPH

RN (regular comes before NPH)

Head Injury intervention

elevate hob 30 degrees to decrease intracranial pressure

after a supratentorial surgery (incision behind hairline)

elevate hob of 30-45 degrees

a detached retina

area of detachment should be in the dependent position

What to do when administering Versed

given for conscious sedation..watch for resp depression and hypotension

What to do when administering Cogentin

tx of parksonson and extrapyramidal effects of other drugs

What to do when administering Tigan

tx of postop NV and for Nausea associated with gastroenteritis

what is kwell used for

tx of scabies and lice..(scabies) applie lotion once and leave aon for 8-12 lice

Navane is used for

tx of schizophrenia..assess for EPS

Dilantin is used for

tx of seizures. thera drug level 10-20

S&S for Hypervolemia

Bounding Pulse, SOB, Dyspnea, rales/crackles, peripheral edema, HTN< urine specific gravity <1.010; semi-fowlers

Intervention for SIADH

Administer Declomycin, Diuretics

Measles, Varicella, and TB are

Airborne Precautions: N95 for TB, Private Room - Negative Pressure with 6 -12 air exchanges MTV

What is Calan (verapamil) used for

Ca2+ channel blocker, tx for HTN, angina, assess for constipation

What to do when administering PTU and Tapazole

prevention of thyroid storm

S&S of Air/PE

Chest Pain, Difficulty Breathing, Tachycardia, Pale/Cyanotic, Sense of Impending Doom Interventions -> Turn Pt to left side and lower HOB

MRSA, Respiratory INfection, Skin Infection, Enteric Infection, and Eye Infection are

Contact Precautions

Tetratology of Fallot; remembers HOPS

DROPS(child drops to floor or squats) or POSH Defect, Deptal Right Ventricular Hypertrophy Overiding Aorts Pulmonary Stenosis

A patient should be given

Demorol, not morphine sulfate

Sepsis, Scarlet Fever, Streptococcal, Parvovirus, Pneumonia, Pertussis, Influenza, Diptheria, Epiglottis, Rubella, Mumps, Meningitis, mycoplasma pneumonia are

Droplet Precautions Think Spider Man

Autonomic Dysreflexia: potentially life threatening emergency Intervention

Elevate HOB 90 Loosen constrictive clothing assess for bladder distention and bowel impaction Administer antihypertensive meds (may cause stroke, MI, seizure)

An infant with spina bifida should be positioned

proned (on abdomen) so the sac doesn't rupture

A person with cushings disease has signs of

Hypernatremia, hypertension, increased blood volume, hypokalemia, hyperglycemia Up, Up, Up, Down, Up

Addison"s

HypoNA, HyperK, Hypoglycemia, dark pigmentation, decreased resistance to stress, fractures, alopecia, weight loss, GI distress1

A person with Addison's Disease has signs of

Hyponatremia, Hypotension, Decreased Volume, Hyperkalemia, and Hypoglycemia Down, Down, Down, Up, Down

S&S for Hypovolemia

Increased Temperature, Rapid/Weak Pulse, Increase Respiration, Hypotension, Anxiety Urine Specificity - > 1.030

S&S of Woman in Labor with un-reassuring FHR

Late Decels, Decreased Variability, Fetal Bradycardia Interventions --> Turn on Left Side( and give O2, Stop Pitocin, Increased IV Fluids)

Pt with a Heatstroke should lie

Life Flat with Legs Elevated

A pt with Head Injury should be given

Mannitol (Osmotic Diuretic) - Crystallizes at room temp so always use filter needle

From the Ass (diarrhea)

Metabolic Acidosis

From the Mouth

Metabolic Alkalosis

S&S Hypokalemia

Muscle Weakness, Dysrhythmias, Increase K

Neuroleptic Malignant Syndrome (NMS)

NMS is like S&M, you get hot, stiff (increased muscle tone), sweaty (diaphoresis), bp, pulse, and respirations go up & you start to drool

what is Indocin used for

NSAID tx of arthritis (osteo,rhematoid, gouty), bursitis, and tendonitis

Addionian Crisis

NV, confusion, ab pain, extreme weakness, hypoglycemia, dehydration, decreased BP

MAOIS for antidepressant

PA - parnate NA-nardil MA - marplan

S&S: Tube Feeding W/Decreased LOC

Position Pt on Right Side (Promotes Emptying of the stomach) with the HOB elevated

Gout Meds

Probenecid (Benemid), Colchicine, Allopurinol (zyloprim)

During a Continuous Bladder Irrigation (CBI) the Catheter should

The Catheter should be taped so leg should be kept straight. No Other positions which would cause instructions

diet for a pt with hypoparathyroidism

a high calcium, low phosphorus diet

administration of enema

a patient should be should be in left side lying (sim's) with knee flexed

Myasthenia Crisis S&S

a positive reaction to Tensilon-- will improve symptoms

What to do when administering Bactrim

abx..don't take if allergic to sulfa drugs..diarrhea common side effect...drink plenty of fluids

Grave's disease/hyperthyroidism S&S

accelerated physical and mental function; sensitivity to head, fine soft/ hair

after infratentorial surgery (incision at nape of necK)

position patient flat and lateral on either side

Lumbar puncture

after the procedure, the client shoudl be placed in the supine position for 4 to 12 hours as prescribed

What is mucomyst used for

antedote for tylenol and adminstered PO

an infant with a cleft lip

positioned on back or in infant seat to prevent trauma to suture line. While feeding, holdin upright position

Shock Intervention

bedrest with extremities elevated 20 degrees, knees straight, head slightly elevated (modified trendenlenburg)

Cholinergic Crisis Intervention

caused by excessive medication stop medication administration - giving Tensilon will make it worse

S&S SIADH

changes in LOC, dec DTR, tachycardia, NVA, HA

What to do when administering DIGOXIN

check pulse, less than 60 hold, check dig levels and K+ levels

S&S hypocalcemia: CATS

convulsions, arrhythmias, tetany, spasms and stridor

hypo-parahyroid S&S CATS

convulsions, arrhythmias, tetany, spasms, stridor (decreased calcium),

Above Knee Amputation (aka)

elevate for first 24 hours on pillow, position prone daily to provide for hip extension.

hypermg

depresses the cns, hypotension, facial flushing, muscle weakness, absent DTR, shallow respirations, emergency

What is Carafate used for

duodenal ulcers...coat ulcer...take before meals

To Prevent Dumping Syndrome (post-operative ulcer/stomach surgeries)

eat in reclining position, lie down after meals for 20-30 minutes (also restrict fluids during meals, low CHO and fiber diet, small frequent meals)

S&S of Diabetes Insipidus (Decreased ADH)

excessive urine output and thirst, dehydration, weakness, and

S&S for hyper-parathyroidism:

fatigue, muslcle weakness, renal calculi, back and joint pain (increased calcium)

Below Knee Amputation (bka)

food of bed elevated for first 24 hours, position prone daily to provide for hip extension

autonomic dysreflexia/hyperreflexia S&S

pounding headache, profuse sweating,, nasal congestion, goose flesh, bradycardia, hypertension

Cushings

hyperNA, hypoK, hyperglycemia, prone to infection, muscle wasting, weakness, edema, HTN, hirstutism, moonface/fuffalo hump

Pheochromocytoma

hypersecretion of Epi/norepi, presistent HTN, increased HT, hyperglycemia, diaphoresis, tremor, pounding HA; avoid stress, freaquent bathing and rest breaks, avoid cold and stimulating foods, surgery to remove tumor

S&S Hypernatremia

increased Temperature, weakness, disorientation/delusion, hypotension, tachycardia; hypotonic solution

diet for a patient with hyper-parathyroidism:

low calcium, high phosphorus diet

Hypercalcemia

muscle weakness, lack of coordination, abodominal pain, confusion, absent tendon reflexes, sedative effect on CNS

S&S of Hyperkalemia

muscle weakness, urine (oliguria/anuria), respiratory depression, decreased cardiac contractility, ECG Changes, reflexes

S&S of hyponatremia

nausea, muscle cramps, increased ICP, muscular twitching, convulsion, osmotic diuretic, fluids

After a Myringotomy a position should be lie

on affected ear after surgery (allows drainage of secretions)

during internal radiation

on bedrest while implant in place

autonomic dysreflexia/hyperreflexia interventions

place client in sitting position (elevate HOB) first before any other implementation

What Position Should a Patient Be after a Lumbar Puncture

pt should ly flat supine (to prevent headache and leaking of CSF)

Food with K

raisins, bananas, apricots, oranges, beans, potatoes, carrots, and celery

What is Synthroid used for

tx of hypothyroidism..make take several weeks to take effect... notify doctor of chest pain..take in the AM on empty stomach..could cause hyperthyroidism

What is Oncovin (vincristine)

tx of leukemia..given IV only

Post-Thyroidectomy a pt should be placed

semi-fowler's, prevent neck flexion/hyperextension, trach at bedside

A pt with a prolapsed cord

should be in knee-chest position or trendenlenburg

After a Thyroidectomy a Pt

should be in low or semi-fowler's, support head, neck and shoulders

A pt on buck's traction (skin traction)

should elevate foot of bed for counter-traction

after a total hip replacement a pt

shouldn't sleep on operated side, don't flex hip more than 45-60 degrees, don't elevate HOB more than 45 degrees. Maintain hip abduction by seprating with pillows.

What to do when administering Artane

tx of parkson...sedative effect also

After a cataract surgery a patient should

sleep on unaffected side with a night shield for 1-4 weeks

S&S Myxedema/hypothyroidism

slows physical and mental function, sensitivity to cold, dry skin and hair

What to do when administering Sinemet

tx of parkson..sweat, saliva, urine may turn reddish brown occasionally ...causes drowsiness

HypoMg

tremors tetany seizures, dysrthymtmias, dperssion, confusion, dysphagia; dig toxicity

Preitoneal Dialysis when outflow is inadequate

turn pt from side to side before checking for kink in tubing

Premarin tx used for

tx after menopause estrogen replcement

What to do when administering amphojel

tx for GERD and kidney stones...watch for constipation

What meds for Apresoline(hydralazine)

tx of HTN or CHF, report flu like symptoms, rise slowly from sitting/lying position, take with meals

What is Theophylline used for

tx of asthma, COPD check therapeutic level 10-20

What to do when administering Timolol (Timoptic)

tx of glaucoma

What is DIAMOX used for

tx of glaucoma, high altitude sickness...don't take if allergic to sulfa drugs

S&S Myastenia Gravis

worsens with exercise and improves with rest