2021 NCLEX Notes 1

tx of inflammatory and immunologic conditions. S.E.- hyperglycemia, gastric and duodenal ulcers, muscle wasting, fluid retention, potassium excretion, and moon face. Nursing responsibilities include assessing for diabetes and ulcers, monitoring blood pressure and laboratory values, and checking for infections. Infant dx with PKU offer Lofenalac Lack enzyme to convert phenylalanine to tyrosine, accumulates in tissues, leads to mental retardation Autosomal recessive Therapeutic Serum Lithium Lvl-Less than 1.5 mEq/L Signs of lithium toxicity- diarrhea, over-sedation, ataxia, tinnitus, slurred speech, muscle weakness EARLY SIGN TOXICITY- fine tremors of fingers, wrist, hands, N/V SEVERE SIGNS- ataxia, confusion, seizures Raynaud’s phenomenon - cold temperatures or strong emotions cause blood vessel spasms that block blood flow to the fingers, toes, ears, and nose, tingling numbness Inderal (propanalol) contraindicated in pts with uncompensated Heart Failure and pulmonary edema Proper meds- Digoxin, Lasix, O2 nasal