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