Common Problems in Acute Care (Part 1)verified to pass 2023/2024

Common Problems in Acute Care (Part 1)Pain - correct answer -Descriptor of a subjective perception of distress -5th vital sign Acute Pain - correct answer -Duration is usually short (<6 months) -Caused by tissue damage -Repairable, needs time What is the most reliable indicator of pain? - correct answer One's own perception Treatment of fever? - correct answer -abx ONLY when a microbe is present -antipyretics -trx underlying condition Causes of non-infectious post-op fever - correct answer 1. post-op atelectasis 2. increased metabolic rate 3. dehydration 4. drug reactions Causes of infectious post-op fever - correct answer -usually accompanied by subjective complaints and WBC elevation w left shift (bandemia) -WBC >30K, usually NOT d/t infx (leukemia) -sx incisions -IV sites -port of entry for ANY catheter -urinary tract -lungs -sinusitis -abscess (intra-abd) Initial trx of post-op fever - correct answer -hydration and measures to expand lung fcn Trx of infectious post-op fever - correct answer -IVF, tylenol -trx underlying source -gram stain, culture/sensitivity for all lines/catheters common migraine - correct answer -migraine WITHOUT aura **most cases classic migraine - correct answer migraine WITH aura Migraine: causes/incidence - correct answer -onset usually in adolescence or early adult years -family hx -FEMALES more often -variety of triggers -nitrate containing foods (cold cuts) -changes in weather Migraine triggers - correct answer -emotional or physical stress -lack or excess sleep -missed meals -specific foods