Med Surg Exam 2 Review

Medical Surgical Nursing Exam 2 – Review Look at pics for: Endocrine, Integumentary, and STDs Essay Marika-Evisceration Marika-Differences in Sprain and strain<- Know nursing assessments and interventions and S/S Marika or Steph E-Compartment Syndrome: Collaborative care, S/S, Treatment, Nursing Assessment/ intervention Steph E-Embolus thrombus(venous thromboembioli?)care,prevention, assessment pg 778 Steph E-Crystalloid solution, Know all solutions Hyper/ Hypo tonic NW5 ….etc Steph-Hyper/Hypo Kalemia: Everything Hyperkalemia = serum potassium > 5.0 High serum potassium caused by – Massive intake; Impaired renal excretion; Shift from ICF to ECF Most common in renal failure, Also common in patients with massive cell destruction; Ex: – burn or crush injury, tumor lysis – rapid transfusion of stored, hemolyzed blood – catabolic states (e.g., severe infections) Causes: Certain drugs such as potassium-sparing diuretics nolactone [Aldactone],triamterene [Dyrenium], angiotensin-converting enzyme (ACE) inhibitors (e.g., enalapril [Vasotec], lisinopril [Prinivil]), may contribute to the hyperkalemia. Manifestations: cardiac dysrhythmias, bradycardia, hypotension, may produce cardiac arrest; ECG: peaked T waves; hyperactive bowel sounds, diarrhea, paresthesias, muscle weakness