2022 PN Exit HESI Study Plan
fatigue, muscle weakness, renal calculi, back and joint pain (increased calcium)
give a low calcium high phosphorous diet
Hyper-parathyroid
increased temp, rapid/weak pulse, increase respiration, hypotension, anxiety.
Urine specific gravity >1.030
Hypovolemia
bounding pulse, SOB, dyspnea, rales/crackles, peripheral edema, HTN, urine
specific gravity <1.010. semi fowler's
Hypervolemia
excessive urine output and thirst, dehydration, weakness, administer Pitressin
Diabetes insipidus (decreased ADH)
change in LOC, decreased deep tendon reflexes, tachycardia. N/V HA
administer Declomycin, diuretics
SIADH (increased ADH)
muscle weakness, dysrhythmias, increase K (rasins bananas apricots, oranges,
beans, potatoes, carrots, celery)
hypokalemia
, MURDER Muscle weakness, Urine (olig, anuria) Resp depression, decreased
cardiac contractility, ECG changes, reflexes
Hyperkalemia
nausea, muscle cramps, increased ICP, muscular twitching, convulsions. give
osmotic diuretics (Mannitol) and fluids
Hyponatremia
increased temp, weakness, disorientation, dilusions, hypotension, tachycardia.
give hypotonic solution.
Hypernatremia
CATS Convulsions, Arrythmias, Tetany, spasms and stridor
Hypocalcemia
muscle weakness, lack of coordination, abdominal pain, confusion, absent
tendon reflexes, shallow respirations, emergency!
Hypercalcemia
Tremors, tetany, seizures, dysthythmias, depression, confusion, dysphagia, (dig
toxicity)
Hypo Mg
depresses the CNS. Hypotension, facial flushing, muscle weakness, absent
deep tendon reflexes, shallow respirations. EMERGENCY
Hyper Mg
, Hypo Na, Hyper K, Hypoglycemia, dark pigmentation, decreased resistance to
stress fx, alopecia, weight loss. GI stress.
Addison's
Hyper Na, Hypo K, hyperglycemia, prone to infection, muscle wasting,
weakness, edema, HTN, hirsutism, moonface/buffalo hump
C ushings
N/V confusion, abdominal pain, extreme weakness, hypoglycemia, dehydration,
Addesonian crisis
decreased BP
hypersecretion of epi/norepi. persistent HTN, increased HR, hyperglycemia,
diaphoresis, tremor, pounding HA; avoid stress, frequent bathing and rest
breaks, avoid cold and stimulating foods (surgery to remove tumor)
Pheochromocytoma
DROP -Defect, septal, Right ventricular hypertrophy, Overriding aortas,
Pulmonary stenosis
Tetrology of Fallot
(potentially life threatening emergency!) HOB elevate 90 degrees, loosen
constrictive clothing, assess for full bladder or bowel impaction, (trigger)
administer antihypertensives (may cause stroke, MI, seizure)
Autonomic Dysreflexia
Posterior --heard at sides
Anterior---midline by unbilicus and side
Position of the baby by fetal heart sounds
Breech- high up in the fundus near umbilicus
Vertex- by the symphysis pubis.
fatigue, muscle weakness, renal calculi, back and joint pain (increased calcium)
give a low calcium high phosphorous diet
Hyper-parathyroid
increased temp, rapid/weak pulse, increase respiration, hypotension, anxiety.
Urine specific gravity >1.030
Hypovolemia
bounding pulse, SOB, dyspnea, rales/crackles, peripheral edema, HTN, urine
specific gravity <1.010. semi fowler's
Hypervolemia
excessive urine output and thirst, dehydration, weakness, administer Pitressin
Diabetes insipidus (decreased ADH)
change in LOC, decreased deep tendon reflexes, tachycardia. N/V HA
administer Declomycin, diuretics
SIADH (increased ADH)
muscle weakness, dysrhythmias, increase K (rasins bananas apricots, oranges,
beans, potatoes, carrots, celery)
hypokalemia
, MURDER Muscle weakness, Urine (olig, anuria) Resp depression, decreased
cardiac contractility, ECG changes, reflexes
Hyperkalemia
nausea, muscle cramps, increased ICP, muscular twitching, convulsions. give
osmotic diuretics (Mannitol) and fluids
Hyponatremia
increased temp, weakness, disorientation, dilusions, hypotension, tachycardia.
give hypotonic solution.
Hypernatremia
CATS Convulsions, Arrythmias, Tetany, spasms and stridor
Hypocalcemia
muscle weakness, lack of coordination, abdominal pain, confusion, absent
tendon reflexes, shallow respirations, emergency!
Hypercalcemia
Tremors, tetany, seizures, dysthythmias, depression, confusion, dysphagia, (dig
toxicity)
Hypo Mg
depresses the CNS. Hypotension, facial flushing, muscle weakness, absent
deep tendon reflexes, shallow respirations. EMERGENCY
Hyper Mg
, Hypo Na, Hyper K, Hypoglycemia, dark pigmentation, decreased resistance to
stress fx, alopecia, weight loss. GI stress.
Addison's
Hyper Na, Hypo K, hyperglycemia, prone to infection, muscle wasting,
weakness, edema, HTN, hirsutism, moonface/buffalo hump
C ushings
N/V confusion, abdominal pain, extreme weakness, hypoglycemia, dehydration,
Addesonian crisis
decreased BP
hypersecretion of epi/norepi. persistent HTN, increased HR, hyperglycemia,
diaphoresis, tremor, pounding HA; avoid stress, frequent bathing and rest
breaks, avoid cold and stimulating foods (surgery to remove tumor)
Pheochromocytoma
DROP -Defect, septal, Right ventricular hypertrophy, Overriding aortas,
Pulmonary stenosis
Tetrology of Fallot
(potentially life threatening emergency!) HOB elevate 90 degrees, loosen
constrictive clothing, assess for full bladder or bowel impaction, (trigger)
administer antihypertensives (may cause stroke, MI, seizure)
Autonomic Dysreflexia
Posterior --heard at sides
Anterior---midline by unbilicus and side
Position of the baby by fetal heart sounds
Breech- high up in the fundus near umbilicus
Vertex- by the symphysis pubis.
