March 26, 2018 | Author: Justa Victorin | Category: Coma, Chronic Obstructive Pulmonary Disease, Amyotrophic Lateral Sclerosis, Heart, Rtt



ATI RN EXITStudy online at 1. 2. 3. 4. 5. 6. 7. 8. 9. 1 cup= how many oz?: 1 cup= 8 oz 1 g = how many mg?: 1 gram = 1000 mg 1 gr= how many mg?: 1 gr (grain)= 60 mg 1 kg= how many pounds?: 2.2 1 lb = how many ozs?: one pound equals 16 0z 1 pint = how many cups?: 1 pint= 2 cups 1 quart = how many pints?: 1 quart = 2 pints 1 tablespoon = how many ml?: 1 T(tablespoon)= 3 t = 15 ml 1 tsp= how many ml ?: 1 t (teaspoon)= 5 ml 4 options for cancer?: chemo, radiation, surgery, allow to die with dignity. 4 year olds?: 4 year old kids cannot interpret TIME. Need to explain time in relationship to a known COMMON EVENT (eg: "Mom will be back after supper"). A child with a ventriculoperitoneal shunt: A child with a ventriculoperitoneal shunt will have a small upper-abdominal incision. This is where the shunt is guided into the abdominal cavity, and tunneled under the skin up to the ventricles. You should watch for abdominal distention, since fluid from the ventricles will be redirected to the peritoneum. You should also watch for signs of increasing intracranial pressure, such as irritability, bulging fontanels, and high-pitched cry in an infant. In a toddler watch lack of appetite and headache. Careful on a bed position question! Bed-position after shunt placement is flat, so fluid doesn't reduce too rapidly. If you see s/s of increasing icp, then raise the hob to 15-30 degrees. 10. 11. 12. 13. 14. A patient with vertical c- section will likely have?: another c section with any more kids A preggo in a minus station?: If your laboring mom's water breaks and she is any minus station you better know there is a risk of prolapsed cord. ABG drawin?: When drawing an ABG, you need to put the blood in a heparinized tube, make sure there are no bubbles, put on ice immediately after drawing, with a lable indicating if the pt was on room air or how many liters of O2. Remember to preform the Allen's Test prior to doing an ABG to check for sufficient blood flow 15. 16. Above the knee amputation?: elevate for first 24 hours on pillow, position prone daily to provide for hip extension. ACID ash diet?: Acid Ash diet - cheese, corn, cranberries, plums, prunes, meat, poultry, pastry, bread Acid/ ASH diet?: The acid ash diet has nothing to do with weight loss. It is a diet intended for health and may be prescribed by your physician to control illness or disease. Once your liver has metabolized the food you ingest, it leaves a mineral deposit, known as ash, which can be acidic or alkaline depending on its effect on the pH of your urine. Eating foods that create an acid ash may help to balance your system or create a hostile environment to inhibit bacterial growth. .... Acid/ ash diet is used to BALANCE the acid/alkaline ash in the body... Ash wiill affect the urinary system and even the nervous system. Imbalance will be diet modified 17. 18. 19. Addisonian Crisis?: n/v, confusion, abdominal pain, extreme weakness, hypoglycemia, dehydration, decreased BP Addisons?: hypoNa, hyperK, hypoglycemia, dark pigmentation, decreased resistance to stress, fractures, alopecia, weight loss, GI distress After appendectomy?: position on the RIGHT side with legs flexed After Cataract surgery?: pt will sleep on unaffected side with a night shield for 1-4 weeks. After Endoscopy?: after endoscopy check gag reflex. After Gtube placement?: After g-tube placement the stomach contents are drained by gravity for 24 hours before it can be used for feedings. 20. 21. 22. 23. 24. 25. After Infratentorial Surgery?: (incision at nape of neck)--> position pt flat and lateral on either side. After lumbar puncture?: e (and also oil-based Myelogram)--> pt lies in flat supine (to prevent headache and leaking of CSF) After Myringotomy?: Position on the side of the AFFECTED EAR after surgery to allow drainage of secretions After removal of the pituitary gland what should you watch for?: After removal of the pituitary gland you must watch for hypocortisolism and temporary diabetes insipidus. 26. 27. 28. 29. 30. 31. After Supratentorial Surgery?: (incision behind hairline) --> elevate HOB 30-45 degrees After Thyroidectomy?: low or semi-Fowler's, support head, neck and shoulders. After Total Hip Replacement?: don't sleep on operated side, don't flex hip more than 4560 degrees, don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows. 32. 33. Age 4=5 year shots?: Age 4 to 5 yrs child needs DPT/MMR/OPV Airborne Transmission?: My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB 34. 35. Alkaline Ash diet?: Alk Ash diet- milk, veggies, rhubarb, salmon Allen's test?: Allen's test - occlude both ulnar and radial artery until hand blanches then release ulnar. If the hand pinks up, ulnar artery is good and you can carry on with ABG/radial stick as planned. ABGS must be put on ice and whisked to the lab. 36. ALS?: Amyotrophic lateral sclerosis ( ALS ) is a condition in which there is a degeneration of motor neurons in both the upper & lower motor neuron systems. Alzheimers?: Alzheimer's disease is a chronic, progressive, degenerative cognitive disorder that accounts for more than 60% of all dementias Amniocentesis is performed? and why?: perform amniocentesis before 20 weeks gestation to check for cardiac and pulmonary abnormalities. Anorexia sucks because?: Absence of menstruation leads to osteoporosis in the anorexic. Apgar scores/scoring?: Apgar measures HR,RR,Muscle tone, Reflexes,Skin color each 0-2 point. 8-10 OK. 0-3 RESUSCITATE. Apgar Scoring?: A= appearance (color all pink, pink and blue, blue [pale]) P= pulse (>100, < 100, absent) G= grimace (cough, grimace, no response) A= activity (flexed, flaccid, limp) R= respirations (strong cry, weak cry, absent) 37. 38. 39. 40. 41. 42. Appendicitis: Appendicitis (inflammation of the appendix) pain is in RL quadrant with rebound tenderness. Asthma and arthritis best excercise?: swimming Asthmas and wheezers?: Coughing w/o other s/s is suggestive of asthma. Speaking of asthma, watch out if your wheezer stops wheezing. It could mean he is worsening. autonomic dysreflexia: autonomic dysreflexia ( life threatening inhibited sympathetic response of nervous system to a noxious stimulus- patients with spinal cord injuries at T-7 or above) is usually caused by a full bladder. 43. 44. 45. 46. Autonomic Dysreflexia?: Autonomic dysreflexia: potentially life threatening emergency - elevate head of bed to 90 degree - loosen constrictive clothing - assess for bladder distention and bowel impaction (triger) - Administer antihypertensive meds (may cause stroke, MI, seisure ) 57. 48. Med for lung expansion.. I had to look it up cuz I heard it was important ah hem ah hem 63. early adolescence12-14yrs:learn independence and how to relate to opposite sex 6. Infancy 0-18 months others will satisy needs 2. Birth control. 52. Below the knee amputation?: foot of bed elevated for first 24 hours.. which leads to reduced preload (volume in the left ventricle at the end of diastole). Found a cool link about its use in peds pt with strabismus. but hey. Brachial Pulse?: Pulse area cpr on infant Brudzinski's sign?: One of the physically demonstrable symptoms of meningitis is Brudzinski's sign. what can lead to decreased preload ?: Sepsis and anaphylaxis (along with the obvious hemorrhaging) reduce circulating volume by way of increased capillary permeability. bradycardia.Diaphram?: Diaphragm must stay in place 6 hours after intercourse. preadolescence 9-12 yrs learns to relate to friends of of opposite sex 5. Autonomic Dysreflexia/ Hyperreflexia?: (S&S: pounding headache. Babinski sign?: toes curl= GREAT Toes fan = BAD Before a pft?: Before going for Pulmonary Fuction Tests (PFT's). profuse sweating. 56. 53.. water also follows?: Glucose Best indicator of dehydration?: weight Best way to tube feed or feed kids?: small frequent is better than large Best way to warm a newborn?: skin to skin contact on mom with a blanket Bethamethasone?: bethamethasone (celestone)=surfactant.. a pt's bronchodilators will be with-held and they are not allowed to smoke for 4 hrs prior Before Epidural?: Hydration is a big priority! Before giving MMR>?: ** Ask for anaphylactic rxn to eggs or neomycin before MMR Behavior/Developmental-Peds: Behavior motivated by need to avoid anxiety and satisfy needs 1.. late adolecence 14-21yrs: develop intimate relationship with person of opposite sex is this not about communication?. 65. 62. 55. childhood >6yrs learn to delay need gratification 3. nasal congestion. position prone daily to provide for hip extension. 51. 50. Besides sodium.. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed ( The kid knees will fly up and he lift his bum off the table cause it hurts his neck) . it sticks Sensory=S Motor=M Both=B Oh (Olfactory I) Some Oh (Optic II) Say Oh (Oculomotor III) Marry To (Trochlear IV) Money Touch (Trigeminal V) But And (Abducens VI) My Feel (Facial VII) Brother A (Auditory VIII) Says Girls (Glossopharyngeal IX) Big Vagina (Vagus X) Bras And (Accessory XI) Matter Hymen (Hypoglassal XII) More 49. 58. Patch the GOOD eye so that the weaker eye can get stronger.think about it.47. 54. Bence Jones protein in urine?: confirms multiple myeloma Besides meds and congenital problems . 64. goose flesh. 59. 60. Awesome remembering for cranial nerves?: Cranial Nerves: *I am sorry if this vulgar for some. 61. This is a toughie. hypertension) --> place client in sitting position (elevate HOB) first before any other implementation. They are also fitted so must be refitted if you lose or gain a significant amount of weight. 66. Blood typing?: For blood types: "O" is the universal donor (remember "o" in donor) "AB" is the universal receipient Botox?: ** BOTOX for strabismus. juvenile 6-9 years learn to relate to peers 4. This is the type of edema that crosses the suture lines. 72. pulses. 75. Carbon dioxide narcosis?: High potassium is expected with carbon dioxide narcosis (hydrogen floods the cell forcing potassium out). 79.Red and Painful 2nd Degree . pulses marked post. tell pt may feel heat palpitations or desire to cough with dye injection.67. Cerebral palsy?: poor muscle control due to birth injuries and/or decrease oxygen to brain tissues Change in color is ?: a LATE sign! Always~! Charcots sign?: A. CABG?: for a CABG operation when the great saphenous vein is taken it is turned inside out due to the valves that are inside. 84. c02 builds up and causes?: Co2 causes vasoconstriction. Chief concern in CF: Respiratory problems! Chvostek and Trosseaus sign: Chvostek= Tapping on the face above the cheek bone will cause spams! Trosseaus= using a BP cuff and inflating it. 70. actively bleeding. 68. check site.well hydrated. see first Yellow---stable. and it will cause spasms of the wrist Cmmon S/S Fibrin Hyalin?: Expiratory grunt-. <35 lbs with femur fx Buck's Traction?: (skin traction) --> elevate foot of bed for counter-traction Bucks traction =: knee immobility Burn Degrees?: 1st Degree . Swelling reabsorbs within 1 to 3 days. Bryant's traction=: Children <3yoa. COAL (cane walking): C . see second Green---stable. Intention tremor 3. Cardinal signs of ARDS?: Cardinal sign of ARDS is hypoxemia (low oxygen level in tissues). 91. 80. Post. 90. "walking wounded" Black--unstable clients that will probably not make it. 89. 87. 76. Nystagmus 2.opposite A .Causes Infant respiratory distress! coarctation of the aaorta causes?: Coarctation of the aorta causes increased blood flow and bounding pulses in the arms Cold stress in a newborn?: The biggest concern with cold stress and the newborn is respiratory distress. Carbon dioxide narcosis causes increased intracranial pressure.No Pain because of blocked and burned nerves 71. ie.force fluids. Cephalhematoma (caput succinidanium)?: Cephalhematoma (caput succinidanium) resolves on its own in a few days. 77. Cane walking?: 1.S of Retino Blastoma?: Cat's eye reflex (grayish discoloration of the pupil) Common S/S Acromegaly?: Coarse facial features Common S/S Duchennes Muscular Dystrophy?: Gower's sign (use of the hands to push ones self from the floor_) Looks EXACTLY like the Pilates Downward dog!!!!!!! . Charcot's triad for multiple sclerosis 1. 82. Cause of Ascites?: portal hypotension + albuminemia= Ascites. 74. lie flat.Vital signs keep leg straight bedrest 6-8hr. Common S. Color codes?: Red--unstable. empty bladder. 78.keep flat 12-14hr. caput succedaneum=: caput succedaneum= diffuse edema of the fetal scalp that crosses the suture lines. 92. 85. 69. Cath lab?: Cardiac cath. ie burns. can wait up to an hour for treatment. Cerebral angio prep?: cerebral angio prep. pulses. 83. need comfort measures DOA---dead on arrival 86. occluded airway. Scanning or staccato speech 81. can wait even longer to be seen. 88.npo 8-12hr.affected L . sire shaved.Blisters 3rd Degree .leg 73.cane O . 121.93. 125. 110. Dysphonia. 120. 94. 109. Tinnitus Common S/S of addisions?: bronze like skin pigmentation Common S/S of appendicitis: rebound tenderness Common S/S of asthma: Wheezing on EXPIRATION Common S/S of Basilar Fracture?: Ottorhea Common S/S of Bladder Cancer?: painless hematuria. 108.. 106. 124.. dont confuse with MG Common S/S of Hodgkins Disease/Lymphoma?: Painless. 112.Varices can be in stomach.. BRADYpnea. LTB = croup!!!! Common S/S of Lyme's disease: Bull's eye rash Common S/S of Malaria?: Stepladder like fever with chills Common S/S of measles?: Kopliks spots Common S/S of Meningitis?: Kernigs Sign (leg flex then leg pain on extension) Brudinzski sign (neck flex= lower leg flex) Common S/S of MG?: Descending muscle weakness Common S/S of MS>?: Charcot's Triad (IAN) Common S/S of orbital fracture?: Battles Sign and Racoon's eyes Common S/S of pancreatitis?: Cullens sign ( ecchymosis of umbilicus) (+) Grey Turner spots Common S/S of parkinsons?: Pilling rolling tremors Common s/s of PDA: Machine like murmur 100. tunnel/gun barrel/ halo vision (peripheral vision loss) Common S/S of guillian Barre Syndrome: Ascending muscle paralysis.. BRADYcardia (cushings triad)! Common S/S of Infectious Mononucleosis?: Hallmark= Sore throat. 104. progressive englargement of spleen and lymph tissues. 128. cervical lymph adenopathy. 101. 107. 111. 129. 127. 130. Dysphagia Common S/S of GERD?: Barrets Esophagus (erosion of the lower portion of the esophageal mucosa) Common S/S of glaucoma?: Painful vision loss. 135. 119. 103. 98. blurring of the vision Common S/S of chicken pox?: Vesicular rash (central to distal) dew drop on rose petal Common S/S of Cholera?: Rice watery stool Common S/S of Cushings syndrome?: Moon face appearance and buffalo hump Common S/S of cystic fibrosis?: Salty skin Common S/S of Cystitis?: Burning on urination Common S/S of Dengue: petechiae or + Herman's sign Common S/S of Diptheria?: Psuedo membrane formation Common S/S of DKA: Kussmauls breathing (deep rapid RR) Common S/S of down syndrome: protruding tongue Common S/S of emphysema?: Barrel chest Common S/S of epiglottitis?: 3 D'S --Drooling. opacity of lens. 99. 102. 116. 113. 117. esophagus or the skin! They are just spider/varicose veins! Ithcy on the skin Common S/S of LTB?: inspiratory stridor. 97. 118. 132. 114. 95. 115. . and Reedstenberg cells! Common S/S of Hydrocephalosis?: Bossing Sign (prominent forehead) Common S/S of hypocalcemia?: Chvostek and Trosseaus sign! Also hypomag! Common S/S of Increased ICP?: HYPERTENSION. fever Common S/S of Intusseption?: Sausage shaped mass . 133. Dance sign (empty portion of RLQ) Common S/S of Kawasaki syndrome?: Strawberry tongue Common S/S of leprosy?: Lioning face Common S/S of Liver cirrhoisis?: Spider like varices. 123. 126. 122. 136. 131. 134. 96. 105. CA=Cancer ! Duhh Common S/S of BPH?: reduced size and force of urine Common S/S of Bulimia?: chipmunk face Common S/S of Cataract?: PainLESS vision loss. Common S/S Hepatic Encephalopathy ?: Flapping tremors Common S/S Meniere's Disease?: Vertigo. 6 Crutch use?: Remember the phrase "step up" when picturing a person going up stairs with crutches.low-grade afternoon fever. Neuromuscular damage is irreversible 4-6 hours after onset. bone. don't need to give Rhogam cuz she has antibody only give if negative coombs COPD and Pneumonia?: COPD is chronic.) CPR in a five year old?: In a five-year old breathe once for every 5 compressions doing cpr. 143.ecchymosis in umbilical area. 152. resp) . infections * W . 139. . followed by the crutches and the bad leg.respiratory infection S . which would manifest itself as mental confusion.137. 149. 140. in COPD patients the baroreceptors that detect the CO2 level are destroyed. followed by the good leg. Cyanosis and continuous droolings Common S/S of Tetany?: Risus Sardonicus Common S/S of Thypohiod: Rose spots on abdomen Common S/S of Ulcerative Colitis?: Recurrent bloody diarrhea Common sites for metastatsis?: liver. 145. pneumonia is acute. 158. bradycard. Cranial nerves for Assessing extraocular eye movements?: 3. 161. seen with pancreatitis Cushing ulcers and cushings triad?: Cushings ulcers r/t BRAIN injury *Cushings triad r/t ICP in BRAIN (htn. Complications of mechanical ventilation?: Complications of Mechanical Ventilation: Pneumothorax. 159. Cor Pulmonae?: right sided heart failure caused by left ventricular failure (so pick edema. Common S/S of pyloric stenosis?: olive like mass Common S/S of retinal detachment?: Visual floaters. 151. Start teaching boys testicular self exam around 12. brain. Coomb's test?: Also if indirect Coomb's test is positive. jvd. lung.. 141. PTB .conjunctivitis 153. COPD patients?: ** COPD patients REMEMBER: 2LNC or less (hypoxic NOT hypercapnic drive). 157. 162. O2 level must be low because high O2 concentration blows the patient's stimulus for breathing. 154. irr. 150. 160.. curtain vision Common S/S of Shock?: HYPERtension TACHYpnea and TACHYcardia Common S/S of SLE?: Butterfly rashes Common S/S of TEF?: 4 C'S. flashes of light. 144. Cryptoorchidism?: Undescended testis or cryptorchidism is a known risk factor for testicular cancer later in life. 155. 138. Pa02 of 60ish and Sa02 90% is normal for them b/c they are chronic CO2 retainers. and lymph Compartment syndrome?: Remember compartment syndrome is an emergency situation. which is likely to be accompanied by hypoxia. 156. The crutches go first.4.Coughing.multidrug resistant organism R . 146. Emphysema and bronchitis are both COPD. 142. because most cases occur during adolescence. Common S/S of Pemphigus Vulgaris?: Nilosky's sign (seperation of epidermis caused by rubbibng of the skin) Common S/S of pernicious anemia: red beefy tongue Common S/S of pneumonia?: Rusty sputum Common S/S of PTB?: Common Signs and Symptoms 01. Crackles most likely are?: Crackles suggest pneumonia. etc. Choking.wound infxn E . The good leg goes up first. 147. Therefore. Cullens sign?: Cullen's sign . Paresthesias and increased pain are classic symptoms. if it is a choice.eye infxn . The opposite happens going down.clostridium difficile E .WEE M . Ulcers Contact transmission precautions: CONTACT PRECAUTION MRS. 148.enteric infxn . Dig rule for kids?: if HR is <100 do not give dig to children. moonface/buffalo hump Cute way to remember glascow coma?: GLASGOW COMA SCALE. VERBAL. regular measles (rubeola). dehydration. gi complaints. Decerebrate in response to pain = Cerebellar.. switch & roll 6-7 months: sit at 6 and waves bye-bye 8-9 months: stands straight at eight 10-11 months: belly to butt (phrase has 10 letters) 12-13 months: twelve and up. 167. edema. high sodium. HTN.max 15 points -one can do it if below 8 you are in Coma. 170. weakness. 166. so remember: -never get pregnant with a German (rubella) 168. 175. But if she has to scream on you to make you open them it is only 3. Disease precautions?: ** Hepatitis A is contact precautions ** Tetanus.evaluate A . try not to RESPOND WITH INCOMPREHENSIBLE SOUNDS (2). Diff between placenta previa and placenta abrupto?: placenta previa = there is no pain.. and of cause do not use INAPPROPRIATE WORDS (3). if you get good EYE contact (4 points) then move to VERBAL.MOTOR! It is similar to measuring dating skills. So. CVA?: CVA (cerebrovascular accident) is with dead brain tissue. to start dating you gotta open your EYES first. mucolytics and pancreatic enzymes.. Cushings?: hyperNa.teach 171. 174. Dance Sign?: Dance's sign: RUQ mass (intussusception) with RLQ empty space (movement of cecum out of normal position). 178. hirsutism. brain stem involvement Delegation Rule of Thumb?: DO NOT delegate what you can EAT! E . weakness. Detached Retina?: area of detachment should be in the dependent position-. Diabetes Insipidus?: (decreased ADH): excessive urine output and thirst.. talk to her/ him! if you can do that You are really ORIENTED in situation she/he uncontiously gives you 4 points! if you like her try not to be CONFUSED (3). Aerosal bronchodilators. 176.dependent meaning supported by something Developmental milestones?: Developmental 2-3 months: turns head side to side 4-5 months: grasps. muscle wasting. if you albe to do that spontaneously and use them correctly to SEE whom you dating you earn 4. if you do not like herjust show no VERBAL RESPONSE(1) Since you've got EYE and VERBAL contact you can MOVE now using your Motor Response Points. 172. fat soluble vitamins ADEK. and pain. drink from a cup 173. THis is VERY important since Good moves give you 6! 165. administer Pitressin Diff between angina and MI?: angina (low oxygen to heart tissues) = no dead heart tissues. but no bleeding.assess T .. Dengue hemorrhagic fever?: Hermans sign= flushes and redness of skin with lighter color at the center of the rash. Decorticate and Decerebrate?: Decorticate positioning in response to pain = Cortex involvement. such as psychomotor retardation. hypoK.164. there is bleeding. 179. Hepatitis B. MI= dead heart tissue present. HIV are STANDARD precautions 177. . EYES. It is a disease that comes from tropical and subtropical areas that are spread by misquotos Depression manifests itself?: Depression often manifests itself in somatic ways. Dangerous thing to get during pregnancy?: I kept forgetting which was dangerous when you're pregnant. 169.and 1 you dont care to open even if she tries to hurt you. hyperglycemia... or German measles (rubella). she will not like it)). Placenta abruption = pain. 180.. prone to infection. Cystic fibrosis?: Cystic Fibrosis give diet low fat. both eyes OS. 196.left eye OD. Facts about hemophilia?: It is X-linked. Eyes?: OU. During epidural puncture?: Side lying During internal radiation?: on bedrest while implant in place Dystocia?: Just means a difficult or abnormal delivery or birth.epiglottitis R . shoulder dystocia Dystocia?: dystocia= baby cannot make it down to canal Eclampsia is a ?: seizure> Emphysema?: In emphysema the stimulus to breathe is low PO2. 193.rubella M . and he will have the option to sign or not. Enema positioning?: position pt in left side-lying (Sim's) with knee flexed Every new admission needs?: You will ask every new admission if he has an advance directive. DKA?: Diabetic ketoacidosis (DKA)= when body is breaking down fat instead of sugar for energy. wait 1 hr after meals to drink. 192. high-fowlers and leaning forward. and if not you will explain it.sepsis S . 182. 186.. small frequent meals.Adenovirus 184. 191. No other positioning restrictions. 197. Diverticulitis?: diverticulitis (inflammation of the diverticulum in the colon) pain is around LL quadrant.181. 71.influenza D .diptheria (pharyngeal) E .just a tip to remember) 195. Dunlap traction=: Skeletal or skin During CBI (continuous bladder irrigation): (CBI) --> catheter is taped to thigh so leg should be kept straight. Droplet Precautions Transmission?: DROPLET think of SPIDERMAN! S . Mother passes the disease to her son Fetal alcohol sydrome?: Fetal alcohol syndrome -upturned nose -flat nasal bridge -thin upper lip -SGA . 189. 187.mycoplasma or meningeal pneumonia An . lie down after meal to decrease peristalsis. 188..streptococcal pharyngitis P . Encourage pursed-lip breathing which promotes CO2 elimination.parvovirus B19 P .meningitis M .pneumonia P . 185. 190. Fats leave ketones (acids) that cause pH to decrease.scarlet fever S . DKA is rare in diabetes mellitus type II because there is enough insulin to prevent breakdown of fats.pertussis I . not increased PCO2 like the rest of us.right eye ( dominent Right eye. example. 194. Dumping syndrome?: Dumping syndrome: increase fat and protein.mumps M .. encourage up to 3000mL/day fluids. 183. so don't slam them with oxygen. can't fill 199. For PVD remember?: For PVD remember DAVE (Legs are Dependent forArterial & for Venous Elevated) From the ass? From the Mouth?: From the a** (diarrhea)= metabolic acidosis From the mouth (vomitus)=metabolic alkalosis G tube and J tubes are usually?: Other than initially to test tolerance. pt must stay awake night before exam. 219. after EEG. 204. and potassium. sterile dressing. and may spit up after feedings. not passing meconium. 212. Gastric ulcer pain: *Gastric Ulcer pain occurs 30 minutes to 90 minutes after eating. 210. place the mother in the TRENDELENBERG position because this removes pressure of the presenting part off the cord.. 211. (If her head is down. First sign of pe?: First sign of PE is sudden chest pain. For cord compression in OB?: For cord compression. FHR patterns in ob?: Have trouble remembering fhr patterns in OB? Think VEAL CHOP VC EH AO LP V = variable decels. Pancreatitis! 217. First sign of cystic fibrosis?: first sign of cystic fibrosis may be meconium ileus at birth. not at night. assess pt for seizures. 214. Posterior 6 to 8 weeks. no caffine or cigarettes for 24 hrs prior. C = cord compression caused E = early decels. sodium. Dietary restrictions you can expect include fluids. protein. Treated with meds Glomerulonephritis considerations: With glomerulonephritis you should consider blood pressure to be your most important assessment parameter. keep pt flat for 2-3 hrs afterwards. pt's will be at increased risk 207. fine/soft hair Greeks?: Greek heritage . Glaucoma patients loose?: glaucoma patients lose peripheral vision. For a lumbar puncture?: For a lumbar puncture. the baby is no longer being pulled out of hte body by gravity) If the cord is prolapsed. 208. have pt hold breath in midexpiration. sterile dressing applied 205. H = head compression caused A = accels. 202. sensitivity to heat. . hold meds for 24-48 hrs prior. cover it with sterile saline gauze to prevent drying of the cord and to minimize infection. ) ! Fontanelles?: anterior fontanelle closes by 18 months. chest x-ray done immediately afterwards to check for complication of pneumothorax. 216. 209. followed by dyspnea and tachypnea. 201. 206.they put an amulet or any other use of protective charms around their baby's neck to avoid "evil eye" or envy of others Greenstick fracture?: Greenstick fractures. G-tube and J-tube feedings are usually given as continuous feedings. Flu shot always ask?: allergic to eggs??? (Tristan D. For an EEG test?: EEG. usually seen in kids bone breaks on one side and bends on the other Grey Turners sign?: Purple bruises around the belly button. Glomerulonephritis?: Glomerulonephritis: take vs q 4 hrs + daily weights Graves disease/ Hyperthyroidism?: accelerated physical and mental function.198. position pt lying on side of bed or with arms raised up on pillows over bedside table. pt may be asked to hyperventilate and watch a bright flashing light. pt is positioned in lateral recumbent fetal position. do not eat. not a problem! L = late decels = placental insufficiency. 218. First sign of pyloric stenosis in a baby?: The first sign of pyloric stenosis in a baby is mild vomiting that progresses to projectile vomiting. 203. the baby will seem hungry often. 213. and doesn't go away with food Gerd again?: Patients with GERD should lay on their left side with the HOB elevated 30 degrees. O = okay. Later you may be able to palpate a mass. 200.. Baby is inconsolable. 215. pt can eat. frequent neuro assessments For a lung biopsy?: For a lung biopsy. and poor sucking HHNS Vs DKA: · Diabetic ketoacidosis (DKA) is a condition of DKA=insulin deficiency resulting in acidemia due to altered metabolism. GTT for preggos?: Glucose Tolerance Test for preggies result of 140 or highter needs further evaluation. If the baby is vertex. place on flat surface. Hightest priority for RA?: Pain is usually the highest priority with RA . A nurse with a localized herpes zoster CAN care for patients as long as the patients are NOT immunosuppressed and the lesions must be covered! 221. If problem does not fix or cannot be corrected surgically.test to assess how well blood sugars have been controlled over the past 90-120 days.) and it embarrasses kids. the sounds are heard at the sides. 235. remember blood pressure is the most important assessment parameter. comes from the BOWEL (Hep A) Hepatitis B=Blood and Bodily fluids Hepatitis C is just like B 234. 7 is ideal for a diabetic and corresponds to a blood sugar of 130. Guthrie test?: Guthrie Test . Watch for elevated antistreptolysin O to be elevated. 226. Keep eye on respiratory system. between teh umbilicus and where you would listen to a posterior presentation. have a screwdriver nearby. Prevent blood from going to heart. Chorea is part of this sickness (grimacing. as to Localized Herpes Zoster is CONTACT PRECAUTIONS. Truncys arteriosus. Heart problems?: with R side cardiac cath=look for valve problems with L side in adults look for coronary complications Hemovac?: Hemovac. 237. · Hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is primarily a disorder of dehydration due to hyperglycemia 238. remove plug. the sounds are heard closer to midline. 230. In the convalescent stage it is no longer contagious. release plug. Hba1c?: HbA1c . 240. Remember for cyanotic -3T's( Tof. Heroin withdrawl in a neonate?: Irritable. Head Injury?: elevate HOB 30 degrees to decrease intracranial pressure Hearing the baby in OB?: If the baby is a posterior presentation. 229. 236. 46 corresponds to a blood sugar of 70-110. 232. the sounds are high up in the fundus near the umbilicus. compress evacuator completely to remove air. Transposition of the great vessels).220. Guided imagery is great for?: CHRONIC pain Guillian Barre?: Guillain-Barre syndrome= ascending paralysis. CHF will occur following by death. Hepatitis?: Hepatitis Hepatitis: -ends in a VOWEL. Hep A precautions?: During the acute stage of Hep-A gown and gloves are required. 223. check system for operation. 228. 225. Hep B vaccine always ask?: Anaphylactic reaction to baker's yeast is contraindication for Hep B vaccine. sudden body movements. Heart Defects?: heart defects. 239. etc. as it causes severe hypotension. Highest priortiy in status elipticus?: Level of consciousness is the most important assessment parameter with status epilepticus.used after mastectomy. Group-A strep?: Group-a strep precedes rheumatic fever. 233. cleanse opening and plug with alcohol sponge. baby should have eaten source of protein first Halo?: Questions about a halo? Remember safety first. they are a little bit above the symphysis pubis. Penicillin! 222. Gross things to remember about nurses with herpes!!!!: Disseminated Herpes Zoster is AIRBORNE PRECAUTIONS. They have joint pain. If the baby is breech. High priority in Addisons?: Managing stress in a patient with adrenal insufficiency (Addison's) is paramount. If the baby is anterior. empty contents. While we're on Addison's. 224. empty when full or q8hr. because if the adrenal glands are stressed further it could result in Addisonian crisis. 227. with R side cardiac 231. 94.Tests for PKU. 267. Huntington's Chorea?: Huntington's Chorea: 50% genetic. just palliative care 250. emergency Hypernatremia?: increased temp. increase K (raisins. no bile is upper obstruction. bend knees to relieve How do you treat a small bowel obstruction?: Don't fall for 'reestablishing a normal bowel pattern' as a priority with small bowel obstruction. SOB. NEVER use qtip or anything to scratch area How to put on traction?: Place the apparatus first then place the weight (der) How to treat phobic disorders?: systematic desensitization How will CSF look in meningitis?: CSF in meningitis will have high protein. 253. . decreased cardiac contractility. 264. arrhythmias. dysrhythmias. Up all night. confusion. high Ca. heart beating fast Hypervolemia?: bounding pulse. 265. reflexes HyperMg?: depresses the CNS.241. 251. ECG changes. tetany. sedative effect on CNS HyperKalemia?: MURDER . 260. bananas. 254. rares/crackles. 243. 255.15 minutes. hypotonic solution Hypernatremia? SALT?: Hyper natremia (greater than 145) SALT! Skin flushed Agitation Low grade fever Thirst 256. Hyperparathyroid?: fatigue. dyspnea. weakness. Hodgkins disease?: Hodgkin's disease= cancer of lymph is very curable in early stage. seizures.muscle weakness. spasms. lack of coordination. potatoes. disorientation/delusions. tetany. Hyper reflexive? Absent reflexsive?: oHyper reflexes (upper motor neuron issue "your reflexes are over the top") oAbsent reflexes (lower motor neuron issue) Hypercalemia?: muscle air via blow dryer. muscle ewakness. muscle weakness. carrots.convulsions. spasms and stridor HypoKalemia?: muscle ewakness. renal calculi. Because the patient can't take in oral fluids 'maintaining fluid balance' comes first. absent deep tendon reflexes. low Ca. Hirschsprungs is dx how?: Hirschsprung's diagnosed with rectal biopsy looking for absence of ganglionic cells. confusion. How many oz in a ml?: 30 ml = 1 oz How to Dx a AAA?: Definitive diagnosis for abd. high phosphorus diet Hyperthyroidism?: HYPERthyroidism think of MICHAEL JACKSON in THRILLER! SKINNY. depression. twisting. Hirschsprungs?: -Hirschsprung's --> bile is lower obstruction. and later the classic ribbon-like and foul smelling stools.010. 245. Cardinal sign in infants is failure to pass meconium. tachycardia. tetany. ribbon like stools. aortic aneurysm (AAA) --> CT scan How to itch under a cast?: Itching under cast area. 247. urine (oliguria/anuria). because they are obligatory nasal breathers. absent tendon reflexes. 244. BULDGING EYES. urine specific gravity <1. apricots. abdominal pain. How do children less than one breathe?: It is essential to maintain nasal patency with children < 1 yr. 261. back and joint pain (increased calcium). HTN. autosomal dominant disorder S/S: chorea --> writhing. and low glucose. 258. respiratory depression. 246.convulsions. beans. 242. limbs and body -gait deteriorates to no ambulation -no cure. shallow respirations. Semi-Fowler's Hypo-parathyroid?: CATS . hypotension. low phosphorus diet Hypocalemia?: CATS . oranges. How do you teach someone to reduce back aches?: With low back aches. 249. movements of face. stridor (decreased calcium). dysphagia. Hydrocele?: After a hydrocele repair provide ice bags and scrotal support. 257. 248. facial flushing. 252. celery) HypoMg?: tremors. 259. peripheral edema. ice pack for 10. 263. dyrshythmias. 266. NERVOUS. hypotension. dig toxicity 262. arrhythmias. 268. If you THINK a patient has new HTN?: A newly diagnosed hypertension patient should have BP assessed in both arms If your patient starts seeing bugs?: If your normally lucid patient starts seeing bugs you better check his respiratory status first. increased pulse. 274. decreased resp. decreased pulse. Incentive Spirometry steps?: Incentive Spirometry steps:1) Sit upright 2) Exhale 3) Insert mouthpiece 4) Inhale for 3 seconds. urine specific gravity >1. spinal cord injuries. (just to expand on it a little. Ex: Stable abd wounds without evidence of hemorrhage. hallucinations. 280. comfort measures if possible. Infant with Spina Bifida?: position prone (on abdomen) so that sac does not rupture IVP requires?: ** IVP requires bowel prep so they can visualize the bladder better Jews?: No meat and milk together Kawasaki disease causes?: We know Kawasaki disease causes a heart problem. woulds with anatomical organs. muscular twitching. then take it higher.Immediate: Injuries are life threatening but survivable with minimal intervention. While feeding. etc. If the situation persists. shock. The first sign of hypoxia is restlessness.030 ICP and Shock have?: ICP AND SHOCK HAVE OPPOSITE V/S ICP-increased BP.Delayed: Injuries are significant and require medical care. If kid has a cold?: **If kid has cold. Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees. sm. 279. 273. unstable chest and abdominal wounds. and get abg's if possible. debridement. but can wait hrs without threat to life or limb. 284. ICP?: ICP (intracranial pressure) should be <2. but what specifically? Coronary artery aneurysms d/t the inflammation of blood vessels.Expectant: Injuries are extensive and chances of survival are unlikely. Yellow. Kidneys and ears?: Did you know there is an association between low-set ears and renal anomalies? Now you know what to look for if down's isn't there to choose. seizures. if the nurse notices low set or asymmetrical ears. 281. 282. they're shaped similarly. Ex: upper extremity fx. followed by agitation. external fixation. 270. the kidneys and ears develop around the same time in utero. and coma. and 2nd/3rd degree burn with 15%-40% of total body surface. osmotic diuretics. fx requiring open reduction. convulsion. . Hyponatremia?: nausea. Give Tylenol. 272. 271.decreased BP. Ex: Unresponsive. In depth. sprains. and things go downhill from there all the way to delirium. 285. increase respiration. increased ICP. there is good reason to investigate renal functioning. can still give immunizations If you see a nurse make a mistake? Chain of command?: If one nurse discovers another nurse has made a mistake it is always appropriate to speak to her before going to management. 283. So check the o2 stat. fluids Hypovolemia?: incrased temp. Seperate but dont abandoned. etc. Ex: hemothrax. measure head circonference. Which is why when doing an assessment of a neonate. 269. Immunizations rules?: vastus lateralis is IM administration site for 6month infants For toddlers above 18 months ventrogluteal The deltoid and gluteus maximus are appropriate sites for children` 277. and also no nsaids such as ibuprofen. b. increased resp. 286. hypotension. most eye and CNS injuries. lacerations. and then HOLD for 10 seconds Infant with Cleft lip?: position on back or in infant seat to prevent trauma to suture line. Hence. pupils fixed or dilated. minor burns.p. Individuals in this group should be moved away from the main triage area. rapid/weak pulse. OPEN fx's of long bones. 2nd/3rd degree burn with 60% of body surface area . profound shock with multipe injuries. Kernigs sign?: One of the physically demonstrable symptoms of meningitis is Kernig's sign. 276. INCOMPLETE amputations. no pulse. 275. tension pneumothorax. muscle cramps. behavior disorders. Knowing that the kidneys and ears are similar shapes helped me remember this). hold in upright position.Color codes??: Red.Minimal: Injuries are minor and tx can be delayed to hrs or days . Kids pain relief in NCLEX land?: No aspirin with kids b/c it is associated with Reye's Syndrome. Green. 278. Black. anxiety. 295. Koplick's spots?: * Koplick's spots are red spots with blue center characteristic of PRODROMAL stage of Measles. so get fluids going first. with potassium replacement. but give Pneumococcal and influenza. 300. Parents should wear gloves for care. With HHNS there is no ketosis. lateral with upper arms elevated. general anesthesia. positive Brudzinski + Kernig signs and PHOTOPHOBIA too! MG and Guillian Barre?: Opposites! Nursing connection! Think about it! Milk for kids?: Watch out for questions suggesting a child drinks more than 3-4 cups of milk each day. 297. 303.287.Admin diuretics to decrease endolymph in the cochlea. right?) Too much milk reduces intake of other essential nutrients. 290. (Saunders 3rd ed p. Usually in mouth. report severe ab pain stat.walk patient to decrease CO2 build up used for procedure. tent. watch for peritonitis Meconium stained protocol?: oAmniotic fluid yellow with particles = meconium stained` Med that can't be infused Intra osseously?: One medication that cannot be administered by intraosseous infusion is isoproterenol. grapes. Kids with RSV?>: Kids with RSV. 310. especially iron. foley. kiwis.appendicitis. Mcburney's point?: McBurney's Point . and rbc count. 308. Watch for anemia with milk-aholics. passion fruit. and no acidosis. so be ready. to allow more blood flow to the placenta. 304. 302. restrict Na. Fluids are the most important intervention with HHNS as well as DKA.pain in RLQ indicative of appendicitis--RLQ . 289. As you treat the acidosis and dehydration expect the potassium to drop rapidly. . Maslow for a guy who lost his house in a fire?: .postion on right side.CO2 used to enhances visual. before assisting with feelings about the tremendous loss. Potassium is low in HHNS (d/t diuresis). such as dark stools. etc. give sedative.. the client should be placed in the supine position for 4 to 12 hrs as prescribed. lay on affected ear when in bed. 309. apricots. Menieres's disease?: *Meniere's Disease . Meningeal irriatation>?: Meningeal irritation S/s nuchal rigidity. not kiss kids on the mouth. no heavy lifting 1wk. Low crit/hemoglobin?: A patient with a low hemoglobin and/or hematocrit should be evaluated for signs of bleeding. 307. 305. avocados. 229) LVN/LPN cant?: Handle any blood Lymes mostly found in: Lymes is found mostly in Conneticuts Main hypersensitivity for antiplatelet drugs?: broncospasm (anaphylaxis) Major risks of epidural?: Hypotension and bradypnea / bradycardia are major risks and emergencies. 291. Kids with HIV?: For HIV kids avoid OPV and Varicella vaccinations (live). frequent v. 306. Knee replacement?: for knee replacement use continuous passive motion machine. npo morning of exam 6hr. Low Residue diet?: low residue diet means low fiver Lumbar Puncture?: AFTER the procedure. Laparoscopy?: Laparoscopy. a beta agonist. MMR is avoided only if the kid is severely immunocompromised. 294. 293. 311. Latex allergies?: Latex allergies => Assess for allergies to bananas. Labs for congenital heart disease?: Remember yesterday when I mentioned how congenital cardiac defects result in hypoxia which the body attempts to compensate for (influx of immature rbc's)? Labs supporting this would show increased hematocrit. Juice or milk will rott that kids teeth right out of his head. no contact lenses or pregnant nurses in rooms where ribavirin is being administered by hoot. Late Decels?: For late decels. Liver biopsy?: Liver biopsy. cherries. Priority is using community resources to find shelter. 298. turn the mother to her left side. supine postion. (Maslow). Labs in DKA>?: Serum acetone and serum ketones rise in DKA. 292. hemoglobin.s. 288. (Milks good.Adm vit k . Teach pt that he will be asked to hold breath for 5-10sec. 296. chestnuts. Post. Triad: 1)Vertigo 2)Tinnitus 3)N/V 299. tomatoes.A guy loses his house in a fire. peaches Likely cause of cardiac arrest in child?: Prolonged hypoxemia is a likely cause of cardiac arrest in a child. And don't let that mother put anything but water in that kid's bottle during naps/over-night. Post. and not share eating utensils. 301. 312. door closed. bringing the glucose down too far and too fast can result in increased intracranial pressure d/t water being pulled into the CSF. streptococcal pharyngitis. pnuemonia. PPD is positive if area of induration is: >5 mm in an immunocompromised patient >10 mm in a normal patient >15 mm in a patient who lives in an area where TB is very rare. 331.313. 316. negative pressure) MS?: -Multiple Sclerosis is a chronic. cns depressants. in order to receive medical care or hospitalization.neuro q2-4.Contact precaution ONLY *VRSA . More info on lumbar puncture?: Lumbar puncture. 3 ft distance. allergy hx. diptheria.fetal postion. 330. an individual. dysarthria 326. More info on EEG?: EEG. Polyuria is common with the hypercalcemia caused by hyperparathyroidism. post.nuero assess q15-30 until stable. paralysis. influenza. MORE info on DKA? ugh!: While treating DKA.claustrophobia. ataxia. 327. with onset of bowel movements. 322. In a variation of the disorder. expect fatigue and weakness in eye. 320. mastication. encourage fluids. More labs suggestive of renal failure?: Low magnesium and high creatinine signal renal failure. Murphy's sign?: Murphy's sign . Corticosteroids are the mainstay. 321. progressive disease with demyelinating lesions in the CNS which affect the white matter of the brain and spinal cord. parovirus B19. mumps. Generalized edema common. assess for distended bladder. no metal. scarlet fever.Contact AND airborne precaution (Private room. 325. encourage po fluids. Turn and reposition (risk for impaired skin integrity) Nepphrotic syndrome?: Nephrotic syndrome is characterized by massive proteinuria (looks dark and frothy) caused by glomerular damage. tingling. More info on intussception?: Intussusception common in kids with CF. . meningitis. flat2-3hr. Since smallest concentration of ACTH receptors are in cranial nerves. dry skin and hair Nephrotic syndrome?: Nephrotic syndrome s/s edema + hypotension. phenothiazines. pharyngeal muscles. inspect site. but apparently not) 324. may be asked to hyperventilate 3-4min and watch a bright flashing light. Munchhausen Syndrome?: -Munchausen Syndrome is a psychiatric disorder that causes an individual to self-inflict injury or illness or to fabricate symptoms of physical or mental illness. 318. sensitivity to cold. Obstruction may cause fecal emesis. Motor S/S: limb weakness. tranquilizer/stimulant meds held 24-48hr before. Munchausen by proxy (MSBP). mask 317. currant jellylike stools (blood and mucus). 319. tinnitus Cerebral S/S: nystagmus. assess pacemaker MRSA and VRSA precautions?: *MRSA . epiglottis. water soluble HOB sleep the night before.Npo 4-6hr. Door open.. 332. MRI?: MRI. MMR SHot?: The MMR vaccine is given SQ not IM. pertusis. oil soluble HOB down. Myxedema/ hypothroidism?: slowed physical and mental function. 314. private room or cohort. dysphagia. observe dressing More info on TB testing a positive result?: speaking of TB. no stimulants for 24hr before. A barium enema may be used to hydrostatically reduce the telescoping. intentionally causes or fabricates illness in a child or other person under her care. slow speech Sensory S/S: numbness. MMR and Varicella?: Just know the MMR and Varicella immunizations come later (15 months). oral analgesics for h/a. and stimulants withheld 48hr prior. Most accurate way to test kids for medication accuracy?: BSA is considered the most accurate method for medication dosing with kids. More IVP info?: A laxative is given the night before an IVP in order to better visualize the organs. Myelogram?: Myelogram.pain with palpation of gall bladder area seen with cholecystitis Myasthenia gravis?: myasthenia gravis= decrease in receptor sites for acetylcholine. meals not withheld. Post.. rubella. 328. table will be moved to various postions during test. More info on droplet precautions?: Droplet Precautions:sepsis. 333. 329. Resolution is obvious. mycoplasma and adenovirus. 323. (I though it was weight. oral anlgesics for headache. 315. typically a mother. because of fluid pushing up in the diaphragm. 339. 346. report elevated temp. I finally realize why a person shouldn't have cantaloupe before a occult stool test. observe for signs of hypovolemia. Orange tag in pysch: Orange tag in triage is non emergent Psych Order of assessment?: Order of assessment: Inspection. and turn it pink. SARDINES. Always assess the patient first. thick bones. -you get hot (hyperpyrexia) -stiff (increased muscle tone) -sweaty (diaphoresis) -BP. peas Pancreatitis prioritys?: After pain relief. 349.. Omphalocele?: With omphalocele and gastroschisis (herniation of abdominal contents) dress with loose saline dressing covered with plastic wrap. Orthostatis= orthostatic hypotension Osteomyeltitis?: Osteomyletitis is an infectious bone dz.tinnitus. for exmaple listen to the fetal heart tones with a stethoscope in NCLEX land.. Parkisons?: parkinson's = RAT: rigidity. 347.. it's usually easy to tell the right answer if the mother or baby involves a machine. OB secret?: NEVER check the monitor or a machine as a first action.5 341. vision changes. empty bladder. because cantaloupe is high in vit c and vit c causes a false + for occult blood. 355.4-15. fatigue and spasticity are all symptoms of MS Paget's disease?: Paget's Disease .s. Sometimes it's hard to tell who to check on first. 337. 352.7-15. no seeds. and keep eye on temp. COLLARD GREENS Nonfat milk?: Nonfat milk reduces reflux by increasing lower esophageal sphincter pressure Normal Hemoglobin?: Hemoglobin Neonates 18-27 3 mos 10. 354. . I suppose since you wanna go from least invasive to most invasive sine they will cry BLOOD MURDER ! Gotta love them kids !) 344. NPO. 345. and respirations go up & -you start to drool 335.semi fowlers or upright on edge of bed. Kid can lose heat quickly. 336. cough and deep breathe is important in pancreatitis. 342. Give blood cultures and antibiotics. Nuetropenic patients?: no live vaccines. low residue. Urine and normal vaginal discharge are acidic. the mother or the baby. 338. tremors. Percussion and Ausculation. and turns nitrazine paper blue. then if necessary surgery to drain abscess. nuts. EXCEPT with abdomen cuz you don't wanna mess with the bowels and their sounds so you Inspect. 343. pulse. Physiological jaundice occurs after 24 hours.v. 350.5 3 yrs 9. NMS?: -NMS is like S&M. Percuss then Palpate (same with kids. enlargement of bone.diverticulitis . bone pain. akinesia (loss of muscle mvt). NG tube rules?: An NG tube can be irrigated with cola. Orthostatis is verfied by?: a drop in presssure with increasing heart rate.6-16. Post. Other S/S of MS?: Hyperactive deep tendon reflexes. Auscultate. Palpation. Now I just need to figure out why they can't have fish. no fresh fruits.334.5 10 yrs 10. no flowers should be used for neutropenic patients. 340. and one of the choices involves the machine. 351. Treat with levodopa. 348. that's the wrong answer. No Cantalope?: Thank you. and should be taught to family when a client is going home with an NG tube. Pathological jaundice?: pathological jaundice= occurs before 24hrs and last7 days. Nondairy sources of calcium?: Non dairy sources of calcium include RHUBARB. 353. Nitrazine paper?: Amniotic fluid is alkaline. If you're not sure who to check first. Pancreatitis pts>?: * Pancreatitis patients but them in fetal position. Pain in the LLQ indicative of?: LLQ . gut rest. prepare antecubital site for PICC cuz they'll probably be getting TPN/Lipids Paracentesis?: Paracentesis. surgery to remove tumor 365. 364. because values outside of normal can be life threatening. For the elderly confusion is often present. PCWP: Normal PCWP (pulm capillary wedge pressure) is 8-13. into the abdominal. 379.5-5. Post Thyroidectomy?: semi-Fowler's. 357. 373. 376. 367. 363. and you lay with the stuff side up and it clears?) 368. fever and chills are usually present.. 370. Positioning with pneaumonia?: Positioning with pneumonia . then sit with legs elevated to try to mobilize the edema. (Ever had a stuffy nose. 369. prevent ncek flexion/hyperextension. 377. Instead. Peritoneal Dialysis when outflow is inadequate?: turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan) Peritoneal dialysis?: On the other hand. diaphoresis. which is a membrane that allows waste products to pass through it. 375. Penis Problems?: Hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the penis anywhere from the corona to the perineum (remember hypo. In almost every other case.negative pressure with 6-12 air exchanges/hr Mask. though. Even a bun of 50 doesn't override a potassium of 3. If potassium is there you can bet it is a problem they want you to identify. low (for lower side or under side) Epispadias: opening of the urethra on the dorsal (front) surface of the penis Priapism: painful erection lasting longer than 6 hrs. A Tenkhoff catheter is usually used in peritoneal dialysis 362. It just looks like a whiteish yellow capsule around the tonisils 374. 360. 358. Peds weight ?: Birth weight doubles by 6 month and triple by 1 year of age. PKU ?: No phenylalanine with a kid positive for PKU (no meat no dairy no aspartme Placement of a wheelchair?: Place a wheelchair parallel to the bed on the side of weakness Pneumonia?: pneumonia. Normal potassium is 3.0 in a renal patient in priority. frequent bating and rest breaks. It is characterized by sore throat. hyperglycemia. Preload and Afterload?: Preload affects amount of blood that goes to the R ventricle. trach at bedside Potassium and acid base balance?: A little trick regarding potassium: ALKALOSIS: K is LOW Acidosis is just the opposite: K is High The vital sign you should check first with high potassium is pulse (due to dysrhythmias). peritoneal dialysis does not require that the patient's blood be pumped outside of his body. Prior to liver biopsy?: Its important to be aware of the lab result for prothrombin time Prolapsed Cord?: knee-chest position or Trendelenburg Protocol for Airborne Transmission?: Private Room . 378. But if you are trying to reduce congestion the sick lung goes up. 361. Afterload is the resistance the blood has to overcome when leaving the heart. pounding HA. . 371. a sugar solution with some salts. cavity. Readings of 18-20 are considered high. the blood is cleaned while still inside the body. or peritoneal.356. persistent HTN. It is found in food only and is also found in aspartame Pheochromocytoma?: hypersecretion of epi/norepi. This allows the patient's blood to be filtered without pumping it through a dialysis machine. N95 for TB Protocol for Droplet Precautions?: Private Room or cohort mask Psuedomembrane in DIptheria?: Diptheria is an upper respiratory tract infection. PDA?: patent ductuous arteriousus in infants! Valve doesn't close! Peds positioning for GERD?: Position prone w hob elevated with gerd.0. The organs in the abdomen are surrounded by the peritoneum. Post spleenectomy?: Pneumovax 23 gets administered post splenectomy to prevent pneumococcal sepsis. avoid stress.. low fever and the psuedomembrane! Which is just a capsule around the tonsils that you can see with your penlight. avoid cold and stimulating foods. tremor. you better lay that kid on his back (Back To Sleep . increased HR.lay on the affected side to splint and reduce pain. Potassium lab importance?: Let's say every answer in front of you is an abnormal value. 366.SIDS). Pt with edema and walking?: A patient with liver cirrhosis and edema may ambulate. Peritoneal dialysis uses a Tenckhoff catheter to run the dialysis fluid. Phenalalanine?: It is an amino acid that is BAD for people with PKU. 372. 359. 390. 397.increased serum lipids. 399. rate.The key word here is flush. Side effects of thyroid hormones?: Insomnia is a side effect of thyroid hormones. Sengstaken blakemore tube ?: Sengstaken blakemore tube used for tx of esophageal varices.test for pernicious anemia/ how well one absorbs Vit b12 Shock?: bedrest with extremities elevated 20 degrees. 395. hypocalcemia. NOT normal in an MI patient SARS?: **SARS (severe acute resp syndrome) airborne + contact (just like varicella) School aged kids and five year olds?: School-age kids (5 and up) are old enough. 387. 405. decreased deep tendon reflexes.Sarcidosis is basically scar tissue build up Radioactive iodine?: Radioactive iodine . and should have an explanation of what will happen a week before surgery such as tonsillectomy. tachycardia. Treated with heparin. No pregnant visitors/nurses. 407. s3 heart sound is normal? not?: Normal in CHF from the squishin'. Compulsion is to action Russel Traction =: femur or lower leg instability S/S of a fat embolism?: Fat Embolism: Blood tinged sputum (r/t inflammation). 403. inc ESR. n/v/a. and flush the toilet twice after using for 2 days. 408. "snow storm" effect on CXR. diuretics Sickle cell crisis?: During sickle cell crisis there are two interventions to prioritize: fluids and pain relief. 382. 398. 402. keep scissors at bedside. head slightly elevated (modified Trendelenburg) SIADH?: (increased ADH): change in LOC.380. Flush substance out of body w/3-4 liters/day for 2 days. 385. Megan! Nightmares! Room air is?: Ambient air (room air) contains 21 % o2 Rule of nines?: Rule of NINES for burns Head and Neck= 9% Each upper ext= 9% Each lower ext= 18% Front trunk= 18% Back trunk= 18% Genitalia= 1% 386. Rule of thumb for assisting pysch patients?: if patients have hallucinations redirect them. 401... citrus fruits STD= gonnorrhea?: Gonorrhea is a reportable disease . wheels locked. respiratory alkalosis (not acidosis r/t tachypnea). (Lupus) Sources of potassium?: Bananas. Makes sense though!Increased met. ADDUCTION Signs to look for in meningitis?: for Meningitis check for Kernig's/ Brudzinski's signs. 384. your body is "too busy to sleep" as opposed to the folks with hypothyroidism who may report somnolence (dec. 393. Limit contact w/patient to 30 minutes/day. Risus Sardonicus?: Risus sardonicus is a highly characteristic. PTB means?: Pumonary tuberculosis Pulmonary sarcoidosis?: Pulmonary sarcoidosis leads to right sided heart failure. In delusions distract them.From Tetany! Sad and scary looking! Never Google image it again. HA. abnormal. met rate. Rule of thumb for obsessions/distractions?: Osession is to thought. 391. body is slow and sleepy). 392. 389. Signs observed in hypocalemia?: Trousseau and Tchovoski signs observed in hypocalcemia Signs of a hip fracture?: SIGNS of a Fractured hip: EXTERNAL ROTATION. potatoes. SHORTENING. Renal impairment labs?: Renal impairment: serum creatinine elevated and urine clearance decreased Rh?: mothers receive rhogam to protect next baby. lowest position. s/s of a fat embolism?: petechiae. and no kids. 406. Saunders confirms it. 404. 400. 388. keep lower rails down. 409. and one side of bed against the wall. 394. 383. Shift to the left means?: WBC shift to the left in a patient with pyelonephritis (neutrophils kick in to fight infection) Shilling test?: Shilling Test . 381. sustained spasm of the facial muscles that appears to produce grinning--. Side rail rules?: Four side-rails up can be considered a form of restraint. Even in LTC facility when a client is a fall risk.. knees straight.. 396. administer Declomycin.. SLE?: Systemic Lupus Ethramoutus. Cloudy outflow NEVER NORMAL. air hunger. The precise mechanism of these episodes is in doubt. 420. Thoracentesis?: Thoracentesis prep.listen for bilateral breath sounds.410. but presumably results from a transient increase in resistance to blood flow to the lungs with increased preferential flow of desaturated blood to the body.s. marked increase in cyanosis followed by syncope.10ml / kg 427. Temp conversion?: * To convert Centigrade to F. 429. 412. A sputum test will confirm active disease.. retractions. Older children will often squat during a tet spell. TEF?: Transesophageal Fistula (TEF) . Myasthenia Crisis: a positive reaction to Tensilon--will improve symptoms Cholinergic Crisis: caused by excessive medication-stop med-giving Tensilon will make it worse 422. Therapies?: milieu therapy= taking care of patient/environment cognitive therapy= counseling crisis intervention=short term. sterile dressing.Take v. multiply 5/9 and substract 40. cyanosis. Separation anxiety peaks in toddlerhood Suctioning is good--except: No nasotracheal suctioning with head injury or skull fracture. 419. 411.s. Tetraology of Fallot?: Tetralogy of fallot. 416. Tension Pneumothorax?: Trachea shifts to the opposite side Tet spells?: Children with tetralogy of Fallot may develop "tet spells". 413. Tenkhoff cath?: oIt's ok to have abdominal craps. v. 415. sharp pain + rigidity means peritonitis. Stomas?: Stomas dusky stoma means poor blood supply. and Cholinergic Crisis?: Myasthenia Gravis: worsens with exercise and improves with rest. position patient with arms on pillow on over bed table or lying on side. 418. multiply 9/5 and substract 40 * To convert Fahrenheit to C. . F= C+40.9 months. protruding means prolapsed. TB is a public health risk. 424.esophagus doesn't fully develop (this is a surgical emergency) The 3 C's of TEF in the newborn: 1) Choking 2) Coughing 3) Cyanosis 414. remember HOPS Think DROP(child drops to floor or squats) or POSH Defect. Later comes dyspnea. septal Right Ventricular hypertrophy Overriding aorts Pulmonary stenosis 421. pulse and HTN TIA?: TIA (transient ischemic attack) mini stroke with no dead brain tissue Tidal volume?: ** TIDAL VOLUME is 7 . no more than 1000cc at a one time. douche) 426. C= F+40. Myastenia Crisis. check leakage. 428.bleeding precautions: *Thrombocytopenia -Bleeding precautions! 1)Soft bristled toothbrush 2)No insertion of anything! (c/i suppositories. 423. 425. Thrombocyopenia. Post. 417. shave area around needle insertion. TB test confirmation?: A positive ppd confirms infection. The first s/s of ards?: The first sign of ARDS is increased respirations. not just exposure. and may result in hypoxic brain injury and death. The difference between Myasthenia Gravis. Tet spells are characterized by a sudden. blood tinged outflow and leaking around site if the Peritoneal Dialysis cath (tenkhoff) was placed in the last 1-2 wks. Stranger Danger>?!?: Stranger anxiety is greatest 7 . Thyroid storm and myxedema?: Thyroid storm is HOT (hyperthermia) *Myxedema coma is COLD (hypothermia) Thyroid storm?: increased temp. mucus in ileal conduit is expected. TB health risk?: If a TB patient is unable/unwilling to comply with tx they may need supervision (direct observation). which increases systemic vascular resistance and allows for a temporary reversal of the shunt.. 450. 445. or other conditions that cause inflammation or scarring. 448. 432. What can also cause an s3 heart sound?: Fluid volume overload caused by IVC fluids infusing too quickly (or whatever reason) and CHF can cause an S3 447. Vertical C section?: Used in plus sized women or risky or emergency c sections.liver failure possible for about 4 days. pneumonia. because to a toddler it is another episode. secretions. lie down after meals for 20-30 minutes (also restrict fluids during meals. 451. kink. What is obtained before starting any iv antibiotic?: Cultures What to check children for at age 12 months?: always check lead posioning levels . Premature newborns with immature lungs are ventilated and over time it damages the lungs. you should leave the room and come back in five minutes. and the lower extremity is in a boot cast. Next time. as well as tx with Mucomyst. A pin is placed in the distal part of the broken bone. if airway and breathing are accounted for. 441. gag or bites Low press alarm. Other causes could be infection. coughs. 437. To remember blood sugar?: hot and dry-sugar high (hyperglycemia) cold and clammy-need some candy (hypoglycemia) TPN is given in ?: TPN(total parenteral nutrition) given in subclavian line. 442. 443. The rest is the normal pulleys and ropes you're used to visualizing with balanced suspension. 438. What is a bad sign in asthma?: intercostal retractions=bad! What is bleeding considered in ADPIE?: Bleeding is part of the 'circulation' assessment of the ABCD's in an emergent situation. 435. If they fill proximally = varicosity. Uremic Fetor?: Uremic fetor --> smell urine on the breath Use of cold and hot?: Use cold for acute pain (sprained ankle) and heat for chronic pain (arthritis) Ventilator Alarms?: HOLD High alarm. Therefore. What disease leads to cardiac valve malfunctions?: Rhematic fever What happens when phenylalanine increases?: brain problems occur What if a toddler says no to medication?: If you gave a toddler a choice about taking medicine and he says no. stops spontaneous breathing 439. don't ask. To prevent dumping syndrome?: Unusual positional tip . Limit fluids while eating.Obstruction due to incr. 446.flank grayish blue (turn around to see your flanks) pancreatitis Tylenol poisioining ?: Tylenol poisoning . The p24 can be used at any age. Mechanical ventilation can cause it.dont give to immunosuppressed pt What could cause bronchopulmonary dysplasia?: What could cause bronchopulmonary dysplasia? Dysplasia means abnormality or alteration. Turner's sign?: Turner's sign . a kid's hinder should clear the bed when in Bryant's traction (also used for femurs and congenial hip for young kids). To prevent dumping syndrome?: (post-operative ulcer/stomach surgeries) --> eat in reclining position. 452. 453. Traction in kids?: What traction is used in a school-age kid with a femur or tibial fracture with extensive skin damage? Ninety. small frequent meals) 431. 440. pt. Two or more positive p24 antigen tests will confirm HIV in kids <18 months. less chance of harm for the baby VRSA?: Staph infection that is resistant to Vancomycin treatement! Worse than MRSA VV and AA?: EleVate Veins. The name refers to the angles of the joints. Close observation required during this time-frame. 434. 436. 455. What can't you give to immunosupressed pts?: Yogurt has live cultures. While we're talking about traction. airway cuff.Disconnection or leak in ventilatior or in pt. 449. low CHO and fiber diet.Low-fowlers recommended during meals to prevent dumping syndrome. dAngle Arteries for better perfusion Western blot test?: A positive Western blot in a child <18 months (presence of HIV antibodies) indicates only that the mother is infected. 444. pt. Traction rule?: Never release traction unless you have an order from an MD to do so Trendelenberg's test?: Trendelenburg test . ninety.430. a compound fracture requires assessment before Glasgow coma scale and a neuro check (D=disability.for varicose veins. or neuro check) 454. 433. Huh? I never heard of it either. difficulty breathing. pale/cyanotic. If you can't. 467. stop Pitocin. pineapple and strawberries. With lower amputations?: place in prone position Yeast infection in a babys mouth?: If you can remove the white patches from the mouth of a baby it is just formula. . Cross reactions differ from one person to another. and a tension pneumothorax is worse situation. sense of impending doom) --> turn pt to left side and lower the head of the bed. When is Rhogam given and how?: oRhogam : given at 28 weeks. 479. 481.Semi Fowlers with knees flexed (inc. bananas. 476. melons. What to in the case of.A woman in labor with Un-Reassuring FHR?: (late decels. avocados and tomatoes. figs. 464. 465. which could convert the wound from open pneumo to closed one. What will alter the accuracy of o2 sats?: Hypotension and vasoconstricting meds Whats petaling?: You can petal the rough edges of a plaster cast with tape to avoid skin irritation. pears. 469. 480. This is called a cross reaction. Only given to Rh NEGATIVE mother. 458. What to do in the case of tube feeding with decreased LOC?: position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration) What to do in the case of. Willam's position?: ** William's position . raw potatoes. 474. 72 hours post partum. as well. increase IV fluids) What to do in the case of. passion fruit. IM. etc) --> turn on left side (and give O2. 473. Wilms tumor?: Wilm's tumor is usually encapsulated above the kidneys causing flank pain. nectarines. iv. What to do for addisons/cushings?: Addison's disease (need to "add" hormone) Cushing's syndrome (have extra "cushion" of hormones) What to do if your patients chest tube accidently getes removed?: An occulsive dressing is used What to do in a sucking stab wound?: The immediate intervention after a sucking stab wound is to dress the wound and tape it on three sides which allows air to escape. your body responds with the same allergic symptoms that you would have if you were exposed to Air/Pulmonary Embolism?: (S&S: chest pain. 477. Likewise. celery. you may also be allergic to latex: •apples. 475. grapes. labs. 471. if you are allergic to any of these foods. 463. fetal bradycardia.Pt with heat stroke?: Lie flat with legs elevated What treats tet spells?: Tet spells treated with morphine. tachycardia. •wheat and rye. 459. Someone may have a reaction to all the foods noted to cause cross reaction while another may have no reaction at all. 461. papaya.456. When patient is in distress?: Med administration is rarely a good choice When to test urine for ketones and glucose?: Second voided urine most accurate when testing for ketones and glucose. 466. plums. cherries. when instilling eardrops. decreased variability. kiwi. Where are most spinal cord injuries?: most spinal cord injuries are at the cervical or lumbar regions Where should placenta be?: Upper part of the uterus Who produces insulin?: beta cells of pancreas produce insulin Why would a pt with leukemia have epistaxis?: b/c of low platelets Why would somone who is allergic to latex be allergic to food too?: CROSS REACTION! People who have a latex allergy may be allergic to some foods. 457. peaches. When you see coffee brown emesis think?>: Peptic ulcer Where are chest tubes placed?: chest tubes are placed in the pleural space. 478. 470. 460. its candidiasis. Do not use an occlusive dressing. When this happens. 468. 462. After that get your chest tube tray. When a pt comes in and she is in active labor?: nurses FIRST action is to listen to fetal rate/tone When instilling eardrops?: Pull pinna down and back for kids < 3 yrs. •chestnuts and hazelnuts. knee gatch) to relieve lower back pain. 472. •carrots.
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