Saunders Nclex Pn
Diabetes type 2 Amylinn Mimetics( parmlintide)
(Action) Delays gastric emptying and suppresses glucagon secretion, decreasing the postprandial rise in glucose. (Major Adverse effects) Hypoglycemia, Nausea, injections-site reaction
Diabetes type 2 alpha-glucosidase inhibitors (acarbose) miglitol
(Action) Delay carbohydrate digestion and absorption, thereby decreasing the postprandial rise in blood glucose (Major Adverse Effects) Gi symptoms : flatulence,cramps abdominal distention,borborygums.
Diabetes type 2 sodium-Glucose co-transporter 2 (SGLT-2)inhibitors (canagliflozin)(dapagliflozin)(empagliflozin)
(Action) increase glucose extraction via the urine by inhibiting SGLT-2 in kidney tubules, decreasing glucose levels and inducing weight loss via caloric loss through the urine Major Adverse Effects Genital mycotic infections orthostasis
Diabetes type 2 DPP-4 inhibitors (Gliptins) alogliptin,linagliptin,saxagliptin,sitagliptin
(Actions) Enhance the activity of incretins(by inhibiting their breakdown by Dpp-4), therebh increase insulin release, reduce glucagon release, and decrease hepatic glucose production (Major Adverse effects) pancreatitis hypersensitivity reactions
Diabetes type 2 thiazolidinediones ( Glitazones) pioglitazone, rosiglitazone
(Actions) Decrease insulin resistance, thereby increasing glucose uptake by muscle and adipose tissue and decrease glucose production by the liver (Major Adverse Effects) hypoglycemia, but only in the presence of excessive insulin. heart failure. bladder cancer .fractures (in women) ovulation,and thus possible unintended pregnancy
Diabetes type 2 biguanide (metformin)
(Actions) Decreases glucose production by the liver; increases tissue reponse to insulin (Major adverse effects ) Gi symptoms: decreased appetite,nausea,diarrhea lactic acidosis
Diabetes type 2 non insulin injection medication Incretin mimetics (exenatide) (Exenatide extended ‐Release liraglutide albiglutide
(Actions) lower blood glucose by slowing gastric emptying, stimulating glucose dependent insulin release, suppressing postprandial glucagon release,and reduce appetite (Major Adverse effects ) Hypoglycemia Gi symptoms: nausea, vomiting,diarrhea pancreatitis renal insufficiency.
Diabetes type 2 Meglitinides (Glinides) Nateglinide, Repaglinide
(Actions) promote insulin secretion by the pancreas (Major adverse effects) hypoglycemia weight gain
Diabetes type 2 second-Generation Sulfonylureas (Glimpiride, Glipizide,Glyburide
(Actions) promote insulin secretion by the pancreas; may also increase tissue response to insulin (Major Adverse effects) Hypoglycemia Weight Gain
Diabetes type 2 Dopamine Agonist (Bromocriptine)
(Actions)Activates dopamine receptors in the central nervous system; how it improves glycemic control is unknown (Major Adverse Effects) Orthostatic hypotension exacerbation of psychosis
Drip rate formula
(Total volume x drop factor) Times(in minutes) = DRIPS PER MIN
Serum creatinine
0.6-1.35
Specific gravity
1.010-1.030
Magnesium
1.6-2.6
The nurmal serum ammonia levels is
10 to 80mcg
LDH
100-190
Hemoglobin
12-16 g/dL Women; 14-18 g/dL Men
Totalcholesterol
130-200
Sodium
135-145
Phosphorus
2.5-4.5
Platlets:
200,000-400,000
CPK
21-232
Arterial Blood Gases HCO3
24-26
Albumin
3.4-5.0
Potassium
3.5-5.1
Uric acid
3.5-7.5
Arterial Blood Gases pCO2
35-45
Hematocrit
37 - 48% Women; 45 - 52% Men
RBC
4.5-5.0million
Triglyceride
40-50
WBC
5,000-10,000
Protein
6.2-8.1
BUN
7-22
Arterial Blood Gases PH
7.35-7.45
Pre-mixed insulin combinations
70%NPH insulin/30%regular insulin Onset 30-60(min), peak1.5-1.6(hr), duration 10-16(hr) 50%NPH insulin/50% regular insulin onset 30-60(min) peak 2-12(hr) duration 10-16(hr) 70% insulin aspart protamine/30% insulin apart Onset 10-20(min) peak1-4(hr) duration 15-18(hr) 75%insulin lispro protamine/25% insulin lispro Onset 15-30(min) 1-6.5 peak (hr) 10-16 duration (hr) 50% insulin lispro protamine/50% insulin lispro Onset 15-30 (min) peak 0.8-4.8(hr) duration 10-16(hr)
Glucose
70-110
Calcium
8.5-10.9 mg/L
Arterial Blood Gases pO2
80-100%
Chloride
98-107
Bilirubin
<1.0
High Bun
A BUN test is done to see how well your kidneys are working. If your kidneys are not able to remove urea from the blood normally, your BUN level rises. Heart failure, dehydration, or a diet high in protein can also make your BUN level higher. Liver disease or damage can lower your BUN level
What can confirm if a client has acute lyphocytic leukemia (ALL).
A bone marrow biopsy
Agoraphobia
A fear of leaving the house
The nurse is monitoring a client receiving glipizide. Which outcome indicates an ineffective response from the medication?
A glycosylated hemoglobin level of %12 Glipizide is an oral hypoglycemic agent administered to decrease the serum glucose level and the signs and symptoms of hyperglycemia. Therefore, a decrease in both polyuria and polyphagia would indicate a therapeutic response. Laboratory values are also used to monitor a client's response to treatment. A fasting blood glucose level of 100mg is within normal limits. However,glycosylated hemoglobin of 12% indicates poor glycemic control
High Hematocrit
A high hematocrit with a high RBC count and high hemoglobin indicates polycythemia. ... Dehydration—this is the most common cause of a high hematocrit. As the volume of fluid in the blood drops, the RBCs per volume of fluid artificially rises; with adequate fluid intake, the hematocrit returns to normal
High Platlets
A high platelet count may be referred to as thrombocytosis. This is usually the result of an existing condition (also called secondary or reactive thrombocytosis) such as: Cancer, most commonly lung, gastrointestinal, ovarian, breast or lymphoma. Anemia, in particular iron-deficiency anemia and hemolytic anemia.
high WBC
A high white blood cell count usually indicates: An increased production of white blood cells to fight an infection. A reaction to a drug that increases white blood cell production. A disease of bone marrow, causing abnormally high production of white blood cells.
Low BUN
A low BUN value may be caused by a diet very low in protein, malnutrition, or severe liver damage. Drinking excessive amounts of liquid may cause overhydration and cause a low BUN value. Women and children may have lower BUN levels than men because of how their bodies break down protein.
Low Hematocrit
A low hematocrit means the percentage of red blood cells is below the lower limits of normal (see above) for that person's age, sex, or specific condition (for example, pregnancy or high-altitude living). ... Causes of low hematocrit, or anemia, include: Bleeding (ulcers, trauma, colon cancer, internal bleeding)
Low RBC
A low red blood count or anemia can cause feelings of fatigue and weakness. When people have a lower red blood count than normal, their body has to work overtime to get enough oxygen to the cells. This can leave a person feeling drained. ... Red blood cells are continuously produced in the bone marrow.
Low WBC
A low white blood cell count usually is caused by: Viral infections that temporarily disrupt the work of bone marrow. Certain disorders present at birth (congenital) that involve diminished bone marrow function. ... Autoimmune disorders that destroy white blood cells or bone marrow cells.
Arterial Blood Gases PH High
A lower blood pH may indicate that your blood is more acidic and has higher carbon dioxide levels. A higher blood pH may indicate that your blood is more basic and has a higher bicarbonate level
Myasthenia gravis
A weakness and rapid fatigue of muscles under voluntary control.
ethambutol
Antibiotics It can treat tuberculosis (TB).
Arterial Blood Gases PH low
Arterial blood pH, which indicates the amount of hydrogen ions in blood. A pH of less than 7.0 is called acidic, and a pH greater than 7.0 is called basic, or alkaline. A lower blood pH may indicate that your blood is more acidic and has higher carbon dioxide levels.
signs of hyperglycemia
Blurred vision Fatigue Confusion Increased thirst Frequent urination Headache Weakness Nausea and Vomiting Fruity-scented breath
Seizure percautions should be implemented for any child with a
Brain tumor, both preoperatively and postoperatively.
common blood pressure medications
Calcium channel blocker Beta blocker ACE Inhibitors Angiotensin II receptor blocker Alpha blocker Lopressor Benazepril Carvedilol Diovan Lisinopril Chlorthalidone Hydrochlorothiazide Methyldopa Norvasc Fosinopril Renin inhibitor Maxzide Perindopril
The nurse is assisting with caring for a client who has a placenta pervia. The nurse understands that a cervical examination should not be performed on the client primarily because it could have which consequence?
Cause hemorrhage.
Client is brought to the emergency department by the ambulance team after a collapse at home. Cardiopulmonary resuscitation is attempted but is unsuccessful. The wife of the client tells the nurse that the client is an organ donor and that thier eyes are to be donated.
Close the eyes, elevate the head of the bed, and place a small ice pack on the eyes. Antibiotic eyedrops may be prescribed and installed. The eyes are closed and small ice packs is placed on the closed eyes.the head of the bed is rasied to 30 degrees to prevent edema.within 2 to 4 hours, the eyes are enucleated. The cornea is usually transplanted within 24 to48 hours
Pertussis is associated with
Coughing spells
specific gravity LOW
Decreased specific gravity (hyposthenuria, i.e. decreased concentration of solutes in urine) may be associated with renal failure, pyelonephritis, diabetes insipidus, acute tubular necrosis, interstitial nephritis, and excessive fluid intake (e.g., psychogenic polydipsia).
The nurse reinforces client instructions about ethambutol. The nurse determines that the client understands the instructions if the client indicates.
Difficulty discriminating the color red from green
Pertussis precautions
Droplet and contact
The nurse prepares to administer a prescription dose of scopolamine. The nurse should monitor for which side effect of this medication?
Dry mouth Scopolamine is an anticholinergic medication that causes the frequent side effects of dry mouth, urinary retention, decreased sweating, and dilation of the pupils. The other options describe the opposite effects of cholinergic-blocking agents and therefore are incorrect An anticholinergic agent is a substance that blocks the action of the neurotransmitter acetylcholine at synapses in the central and the peripheral nervous system. These agents inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells.Anticholinergics can treat a variety of conditions, including: urinary incontinenceoveractive bladder (OAB)chronic obstructive pulmonary disorder (COPD) They also help block involuntary muscle movements associated with certain diseases such as Parkinson's disease. Sometimes, they're used before surgery to help maintain body functions while a person is treated with anesthesia.
Sulfisoxazole
Each does of sulfisoxazole should be administered with a full glass of water, and the client should maintain a high fluid intake. The medication is more soluble in alkaline urine. The cient should not be instructed to taper or discontinue the dose. Some forms of sulfisoxazole cause tye urine to turn dark brown or red. This does not indicate the need to notify the primary health care provider.
The nurse is assisting with preparing a plan od care for a 4 year old child hospitalized with nephrotic syndrome. Which interve is most appropriate
Encourage the child to eat in the playroom. Mealtimes should center on pleasurable socialization. The child should be encouraged to eat meals with other children on the unit. A diet that is normal in protein for child with sodium restriction is normally prescribed for a child with nephrotic syndrome. Patents or other family members should be encouraged to be present ar mealtimes with a hospitalized child
In Planning activities for depressed clients, especially during the early stages of hospitalization which action is best?
Encourage the client to participate in a structured daily program of activities.
Polyphagia
Excessive eating from excess hunger or increased appetite
claustrophobia
Fear of closed spaces
Social phobia
Fear of public speaking
When a client is nauseated it is best to offer
Frequent intake of cool, clear liquids in small amounts because small portions are usually better tolerated. Cool,clear fluids are also soothing and better tolerated when a client is nauseated.it is best not to offer favorite foods when clients is nauseated because foods eaten during times of nausea will be associated with being sick.
High Serum creatinine
Generally, a high serum creatinine level means that your kidneys aren't working well. Your creatinine level may temporarily increase if you're dehydrated, have a low blood volume, eat a large amount of meat or take certain medications. The dietary supplement creatine can have the same effect
Airborne precautions
Gloves, gown, aprons, mask, respirators, goggles & face shiled
high Phosphorus
Having a high level of phosphate — or phosphorus — in your blood is known as hyperphosphatemia. ... Yet in larger-than-normal amounts, phosphate can cause bone and muscle problems and increase your risk for heart attacks and strokes. A high phosphate level is often a sign of kidney damage
low Hemoglobin
Hemoglobin (Hb or Hgb) is a protein in red blood cells that carries oxygen throughout the body. In many cases, a low hemoglobin count is only slightly lower than normal and doesn't affect how you feel. If it gets more severe and causes symptoms, your low hemoglobin count may indicate you have anemia.
High Hemoglobin
High hemoglobin levels could be indicative of the rare blood disease, polycythemia. It causes the body to make too many red blood cells, causing the blood to be thicker than usual. This can lead to clots, heart attacks, and strokes. It is a serious lifelong condition that can be fatal if it is not treated.
Protein high
High levels of total protein can mean that either albumin and globulin are high. ... High levels of albumin are usually because a person is dehydrated. High globulin levels can be from blood diseases such as multiple myeloma or autoimmune diseases such as lupus, kidney disease, or liver disease.
specific gravity high
High specific gravity suggests that the urine is too concentrated. Conditions that cause high specific gravity include: dehydration. diarrhea or vomiting resulting in dehydration
albumin high
Higher than normal levels of albumin may indicate dehydration or severe diarrhea. If your albumin levels are not in the normal range, it doesn't necessarily mean you have a medical condition needing treatment. Certain drugs, including steroids, insulin, and hormones, can raise albumin levels.
glucose high
Hyperglycemia means high (hyper) glucose (gly) in the blood (emia). ... Hyperglycemia is a defining characteristic of diabetes—when the blood glucose level is too high because the body isn't properly using or doesn't make the hormone insulin. Eating too many processed foods may cause your blood sugar to rise.
high Magnesium
Hypermagnesemia refers to an excess amount of magnesium in the bloodstream. It is rare and is usually caused by renal failure or poor kidney function. Magnesium is a mineral the body uses as an electrolyte, meaning it carries electric charges around the body when dissolved in the blood.
Lactulose is administered for
Hyperosmotic laxative effects, thus removing ammonia from the colon. The client should also be monitored for hypokalemia resulting from the severe purging lactulose causes.
low calcium
Hypocalcemia also know as calcium deficiency disease, occurs when calcium levels in the blood are low. A long-term deficiency can lead to dental changes, cataracts, alterations in the brain & osteoporosis, which causes the bones to become brittle
Low chloride
Hypochloremia occurs when there's a low level of chloride in your body. It can be caused by fluid loss through nausea or vomiting or by existing conditions, diseases or medications. Your doctor may use a blood test to comfirm hypochloremia. In mild cases, replenishing the chloride is your body can treat hypochloremia
Calcitoininhuman. Which outcome has the highest priority regarding this medication
Hypoglycemia can occur in clients with hypothyroidism,and calcitonin is used to lower plasma calcium levels. The high-priority outcome in this client situation would be a reduction in serum calcium levels.
The nurse reinforces home care instructions to the mother of a child recovering from reye's syndrome. Which statement by the mother indicates a need for further teaching
I need to give frequent small nutritious meals if my child starts to vomit. Is wrong The vomiting that occurs in reye's syndrome is caused by cerebral edema and is a symptom of increased intracranial pressure. Small, frequent meals will not affect the amount of vomiting and the PHCP is notified if vomiting occurs.
High Sodium
In hypernatremia, the level of sodium in blood is too high. Hypernatremia involves dehydration, which can have many causes, including not drinking enough fluids, diarrhea, kidney dysfunction, and diuretics. ... Usually, fluids are given intravenously to slowly reduce the sodium level in the blood.
low potassium
In hypokalemia, the level of potassium in blood is too low. A low potassium level has many causes but usually results from vomiting, diarrhea, adrenal gland disorders, or use of diuretics. A low potassium level can make muscles feel weak, cramp, twitch, or even become paralyzed, and abnormal heart rhythms may develop.
Short duration rapid rapid acting insulin
Insulin lispro onset 15-30min, peak 0.5-2.5 hr, duration 3-6 hr. Insulin aspart onset 10-20min, peak1-3hr, duration 3-5hr. Insulin glulisine onset 10-15min, peak 1-1.5 , duration 3-5hr
Correct whay to suction a tracheostomy
Intermittent suction is applied while rotating the catheter for up to 10 seconds The nurse should hyperoxygenate the client with a resuscitator bag/Ambu-bag connected to an oxygen source before suctioning because suction depletes the client's oxygen supply The catheter should be inserted gently until resistance is met or the client coughs, then pulled back 1cm or 1/2inch. Intermediate suctioning is applied while rotating and withdrawing the catheter. Wall suctioning should be set to 80mm hg to 120mm hg. Pressure set at a higher level can cause trauma to respiratory tract tissues. Strict asepsis needs to be maintained, and the nurse would wear sterile gloves to perform this because it will deplete oxygen and can traumatize tissues.
Simethicome
Is a antiflatulent used in the relief of pain caused by excessive gas in the gastrointestinal tract.
Acetaminophen
Is a nonopiod analgesic
magnesium hydroxide
Is an antacid and laxative
Convalescents period
Is the gradual recovery of health and strength after illness or injury. It is referred to as the later stage of an infectious disease or illness when the pt recovers and returns to previous health, but may continue to be a source of infection to others even if feel better.
Ondansetron
Is used to treat postoperative nausea and vomiting
What causes hemophilia A
It Results from deficiency of factor viii
The client with myasthenia gravis should be taught that timing of anticholinesterase medication is critical
It is important to instruct the client to administer the medication on time to maintain a chemical balance at the neuromuscular junction. If not given on time, the client may become too weak to swallow.
diabetes insulin names
Lantus Regular insulin Levemir Insulin aspart Insulin lispro Apidra NPH insulin Insulin degludec
Low albumin
Low albumin levels can also be seen in inflammation, shock, and malnutrition. They may be seen with conditions in which the body does not properly absorb and digest protein, such as Crohn disease or celiac disease, or in which large volumes of protein are lost from the intestines
Low Serum creatinine
Low blood creatinine levels can mean lower muscle mass caused by a disease, such as muscular dystrophy, or by aging. Low levels can also mean some types of severe liver disease or a diet very low in protein. Pregnancy can also cause low blood creatinine levels
low Sodium
Low blood sodium (hyponatremia) occurs when you have an abnormally low amount of sodium in your blood or when you have too much water in your blood. ... Signs and symptoms of hyponatremia can include altered personality, lethargy and confusion. Severe hyponatremia can cause seizures, coma and even death.
low Uric acid
Low levels of uric acid in the blood may suggest: Wilson's disease, which is an inherited disorder that causes copper to build up in your body tissues. Fanconi syndrome, which is a kidney disorder most commonly caused by cystinosis. alcoholism
In the orthodox Jewish tradition members avoid
Meat from carnivores,prok products, and certain fish. The nures should not deliver the food tray to the client and should ask the dietary department to deliver a different meal. Meat and dairy are served separately, thus the dairy-meat combination is not acceptable.
Down syndrome is a form of
Mental retardation. It is a congenital condition that results in moderate to severe mental retardation. The syndrome has been linked to an extra group g chromosome, chromosome 21(trisomy 21).
High Uric acid
Most of the time, a high uric acid level occurs when your kidneys don't eliminate uric acid efficiently. Things that may cause this slow-down in the removal of uric acid include rich foods, being overweight, having diabetes, taking certain diuretics (sometimes called water pills) and drinking too much alcohol.
Intermediate duration
NPH insulin onset 60-120(min), peak 6-14(hr), duration 16-24(hr)
The nurse assists with developing a plan of care for the child with meningitis. Which would be the priority client problem for a child with meningitis diagnosis.
Neurological dysfunction
Bilirubin low
Normal results for direct bilirubin are generally 0.3 mg/dL. ... Lower than normal bilirubin levels are usually not a concern. Elevated levels may indicate liver damage or disease. Higher than normal levels of direct bilirubin in your blood may indicate your liver isn't clearing bilirubin properly.
Which data would indicate a potential complication associated with age related changes in the musculoskeletal system
Overall sclerotic leasions
signs of hypoglycemia
People may experience: Whole body: excess sweating, excessive hunger, fainting, fatigue, lightheadedness, or shakiness Gastrointestinal: nausea or vomiting Cognitive: mental confusion or unresponsiveness Mouth: dryness or tingling lips Also common: anxiety, blurred vision, headache, irritability, pallor, palpitations, sensation of pins and needles, sleepiness, slurred speech, tremor, or unsteadiness
A mother is breast-feeding her newborn. The mother complains to the nurse that she is experiencing severe nipple soreness. The nurse should provide which suggestions to the client?
Position the newborn infant with the ear, shoulder,and hip in straight alignment and with the baby's stomach against the mother's Sever nipple soreness most often occurs as a result of poor positioning, incorrect latch-on, improper suck, or monilial infection.
Short duration slower acting insulin
Regular insulin onset 30-60min, peak 1-5(hr),duration 6-10(hr)
Reye's syndrome
Reye's syndrome usually occurs in children who have had a recent viral infection, such as chickenpox or the flu. Taking aspirin to treat such an infection greatly increases the risk of Reye's. Both chickenpox and the flu can cause headaches. That is why it is important to not use aspirin to treat a child's headache
Protein low
Share on Pinterest Hypoproteinemia is a condition where there is an abnormally low amount of protein in the blood. Hypoproteinemia can be related directly to a person's diet. This is especially so if calorie consumption is too low or certain food groups are eliminated.
High RBC
Some causes of a high RBC count (polycythemia) include: Dehydration—as the volume of fluid in the blood drops, the count of RBCs per volume of fluid artificially rises. ... The body tries to compensate by producing more red blood cells. Kidney tumor that produces excess erythropoietin High red blood cell count may be caused by low oxygen levels, kidney disease or other problems. ... Your body may increase red blood cell production to compensate for any condition that results in low oxygen levels, including: ... Dehydration
A postoperative client who has been NPO and the primary health care provider has prescribed a clear liquid diet. Which priority item should the nurse place at the client's bedside
Suction equipment
oral diabetes medications
Sulfonylurea Thiazolidinedione Alpha-glucosidase inhibitor Meglitinide Biguanide Metformin Exenatide SGLT2 inhibitor Glipizide Amaryl Bile acid sequestrant Dapagliflozin Avandia Canagliflozin
low Phosphorus
Symptoms of hypophosphatemia occur only when the phosphate level in blood becomes very low. Muscle weakness develops, followed by stupor, coma, and death. In mild chronic hypophosphatemia, the bones can weaken, resulting in bone pain and fractures. People may become weak and lose their appetite.
During a seizure
The child is placed on his of her side in a lateral position. Positioning on the side will prevent aspiration because saliva will drain out of the corner of the child's mouth. The child is not restrained because this could cause injury to the child . The nurse would loosen clothing around the child's neck and ensure a patent airway. Nothing is placed into the child's mouth, gums or teeth. The nurse would stay with the child to reduce the risk of injury and allow for obstruction and timing of the seizure.
A client with diagnosis of major depression becomes more anxious, reports sleeping poorly, and seems to display increased anger. The nurse should make which interpretation about the clients behavior
The client is at increased risk for suicide
high potassium
The extra potassium that your body does not need is removed from your blood by your kidneys. ... When you have too much potassium in your blood, it is called high potassium, or hyperkalemia. Having too much potassium in your blood can be dangerous. High potassium can even cause a heart attack or death!
The nurse reinforces medication instructions to a client with peptic ulcer disease. Which statement by the client indicates the best understanding of the medication therapy.
The nizatidine will cause me to produce less stomach acid Nizatidine a histamine H2-receptor blocker, is frequently used in the management of peptic ulcer disease. Histamine h2-receptor blockers decrease the secretion of gastric acid (HCL). Antacids are used as adjunct therapy and neutralize acid in the stomach. Omeprazole is a proton pump inhibitor. Sucralfate promotes healing by covering the ulcer, thus protecting it from erosion caused by gastric acid
low Magnesium
The symptoms of magnesium deficiency are usually subtle unless your levels become severely low. Deficiency may cause fatigue, muscle cramps, mental problems, irregular heartbeat and osteoporosis. ... Whatever the outcome, try to regularly eat plenty of magnesium-rich whole foods, such as nuts, seeds, grains or beans.
Long lasting insulin
They keep working in the background to keep your blood sugar under control throughout your daily routine. There are currently four different long-acting insulin products available: insulin glargine (Lantus), lasts up to 24 hours. insulin detemir (Levemir), lasts 18 to 23 hours.
Triglyceride high
Triglycerides are a type of fat found in your blood. ... But high triglycerides might raise your risk of heart disease and may be a sign of metabolic syndrome. Metabolic syndrome is the combination of high blood pressure, high blood sugar, too much fat around the waist, low HDL ("good") cholesterol, and high triglycerides.
Which electrocardiogram changes would the nurse note on the cardio monitor with a client whose potassium (k+) level is 2.7meq
U waves Cardiac changes with hypokalemia Peaked p waves, flattened T waves, depressed ST segment, and the presence of u waves.
The nurse reinforces home care instructions to the parents of a child hospitalized with pertussis. The child is in the convalescent stage and is being prepared for discharge. Which statement by the parents indicates a need for further teaching.
We need to maintain respiratory percautions and quiet environment for at least 2 weeks Pertussis is transmitted by direct contact or respiratory droplets from coughing. The communicable period occurs primarily durinf the catharrhal stage. Respiratory percautions are not required during the convalescents of hime care instructions.
Droplet percautions
Wear a mask gown and gloves
Low Platlets
When you don't have enough platelets in your blood, your body can't form clots. A low platelet count may also be called thrombocytopenia. This condition can range from mild to severe, depending on its underlying cause. For some, the symptoms can include severe bleeding and are possibly fatal if they're not treated. Low platelet level can have causes that aren't due to underlying disease. Examples include pregnancy, altitude, or medication side effects.
Contact percautions
Workera should wear gown& gloves while entering a pt's room
Polyuria
frequent urination
High calcium
hypercalcemia is a condition in which the calcium level in your blood is above normal. Too much calcium in your blood can weaken your bones, create kidney stones, and interfere with how your heart and brain work. Hypercalcemia is usually a result of overactive parathyroid glands
high chloride
hyperchloremia usually indicates dehydration, but can also occur whith other problems that cause high sodium, such as cushing syndrome or kidney disease
Long duration
insulin glargine onset 70min, peak (none), duration 18-24(hr) Insulin detemir onset 60-120 (min), peak 12-24(hr), duration hr varies.
What is pertussis?
whooping cough, highly contagious respiratory tract infection that is esaily prevented by vaccine
