COMPREHENSIVE NCLEXPN REVIEW 18TH E

Abdominal aortic aneurysm (AAA) - aorta that becomes abnormally large, ballooning outward *triple A= triple the size* Indications of a rupturing AAA: Sudden and increasing lower abdominal and back pain (indication that the aneurysm is extending down word and pressing on the lumbar sacral nerve roots) Indications of Shock including decreased BP and increased pulse Acarbose (Precose) adverse effects - Sleepiness, headaches, anemia; the most common adverse effects are gastrointestinal - diarrhea, abdominal distention, cramping, flatulence Addison's disease - occurs when the adrenal glands do not produce enough of the hormones cortisol (glucocorticoids) or aldosterone Manifestations: severe fluid and electrolyte imbalances - Hyponatremia, hyperkalemia Tx: (to Prevent addisonian crisis) nurse should do rapid infusion of IV fluids such as .9 percent sodium chloride and IV administration of high-dose corticosteroid such as hydrocortisone to correct deficiency Administration of insulin glargine (Lantus ) and NPH insulin - Do not mix insulin glargine with any other insulin- use separate syringes for administering both types of insulin alopecia - hair loss Rx for body image alteration Bleomycin (Blenoxane) - Antibiotic Antineoplastic Adverse effects/ Rx factors: thrombocytopenia, decreased kidney function which leads to peripheralperipheral edema and weight gain Complications: severe lung injury, including pneumonitis and pulmonary fibrosis --