patients with hallucinations
patients with delusions
redirect them
distract them
Thorazine and Haldol
can cause EPS
Alzheimer's
60% of all dementias, chronic, progressive degenerative cognitive disorde
...
patients with hallucinations
patients with delusions
redirect them
distract them
Thorazine and Haldol
can cause EPS
Alzheimer's
60% of all dementias, chronic, progressive degenerative cognitive disorder.
draw up regular and NHP?
Air into NHP, air into Regular. Draw regular, then NHP
Hypernatremia
S (Skin flushed)
A (agitation)
L (low grade fever )
T (thirst)
Developmental
2-3 months: turns head side to side
4-5 months: grasps, switch and roll
6-7 months: sit at 6 and waves bye bye
8-9 months: stands straight at 8
10-11 months: belly to butt
12-13 months: 12 and up, drink from a cup
Hepatitis A
Ends in a vowel, comes from the bowel
Hepatitis b
B= blood and body fluids (hep c is the same)
Apgar measures
HR RR Muscle tone, reflexes, skin color.
Each 0-2 points. 8-10 ok, 0-3 resuscitate
Glasgow coma scale
eyes, verbal, motor
Max- 15 pts, below 8= coma
S/S of hypoxia
restlessness, anxious, cyanotic tachycardia, increased respirations, also monitor AGBs
Addison's disease:
Cushing's syndrome:
need to "add" hormone
have extra "cushion" of hormone
Dumping syndrome
increase fat and protein, small frequent meals, lie down after meal to decrease peristalsis. Wait 1 hr after meals to drink
Disseminated herpes zoster
localized herpes zoster
Disseminated herpes=airborne precautions
Localized herpes= contact precautions. A nurse with localized may take care of patients as long as pts are not immunosuppressed and the lesions must be covered!
Isoniazid
causes peripheral neuritis
Weighted NI (naso intestinal tubes)
Must float from stomach to intestine. Don't tape right away after placement. May leave coiled next to pt on HOB. Position pt on RIGHT to facilitate movement through pyloris
Cushings ulcers
r/t brain injury
Cushing's triad
r/t ICP (HTN, bradycardia, irritability, sleep, widening pulse pressure)
Myxedema coma
COLD (hypothermia)
Glaucoma
intraocular pressures greater than the normal (22 mmHg) give miotics to constrict. No atropine
Non Dairy calcium
Rhubarb, sardines,and collard greens
Koplick's spots
prodomal stage of measles. Red spots with blue center, in the mouth--think kopLICK in the mouth
INH can cause peripheral neuritis
Take vitamin B6 to prevent. Hepatotoxic
pancreatitis pts
put them in fetal position, NPO, gut rest, Prepare anticubital site for PICC, they are probably going to get TPN/Lipids
Murphy's sign
Pain with palplation of gall bladder (seen with cholecystitis)
Cullen's sign
ecchymosis in umbilical area, seen with pancreatitis
Turner's sign
Flank--greyish blue. (turn around to see your flanks) Seen with pancreatitis
McBurney's point
Pain in RLQ with appendicitis
Diverticulitis
Pain in the LLQ
Appendictitis
Pain in the RLQ watch for peritonitis
Guthrie test
Tests for PKU. Baby should have eaten protein first
Shilling test
Test for pernicious anemia
Peritoneal dialysis
Its ok to have abd cramps, blood tinged outflow and leaking around site if the cath (tenkoff) was placed in the last 1-2 weeks. Cloudy outflow is never ok
Hyper reflexes
absent reflexes
upper motor neuron issue (your reflexes are over the top)
Lower motor neuron issue
Latex allergies
assess for allergies to bananas, apricots, cherries, grapes, kiwis, passion fruit, avocados, chestnuts, tomatoes and peaches
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