Glycopyrrolate - ANS- Induction and intubation medicine
- Can cause photosensitivity
Craniotomy Treatment (triple H's) - ANS- hemodilution
- high blood pressure
- hypervolemia
(this forces constricted blood vessels to dilate and perfuse tissue)
Transverse Colostomy - ANSsoft stool
ordinary stool odor
stool damages the skin
empties several instances per day
can also or may not be at danger for fluid/electrolytes imbalances
may also irrigate
sigmoid colostomy - ANS- shaped stool
ileosotomy - ANS- high up
- liquid pasty stool
Roux-en-Y gastric pass - ANSSmall pouch created from stomach
Part of small intestine (DUODENUM) bypassed
Restriction and malabsorption
Post-op Stroke signs - ANS- double imaginative and prescient
- headache
- surprising dizziness
Metoclopramide (Reglan) - ANS- controls post-op NV
- will have extrapyrmidal facet effects like tardive dyskinesia
Gastrectomy Interventions - ANS- inspire deep breaths
- and role shifts
clonic seizure - ANSrepetitive jerking actions
petit mal seizure - ANSAlso referred to as absence assault. A seizure that is characterized by
means of a spike-and-wave EEG and often involves a loss of cognizance and incapacity to don't
forget activities surrounding the seizure.
, Tonic seizure - ANSsustained muscle contraction
Emergence pleasure safety interventions - ANSok to use wrist restraints
Shivering first interventions♀️ - ANS- assume order for demerol
(over warm blankets)
Septic Shock/ Early Respiratory Distress - ANS- Hyperventilation
- Respiratory Alkalosis
- Elevated Lactate Levels
Interscalene nerve block - ANSanesthetizes the brachial plexus as it passes through the
scalene triangle. It is used to offer anethesia for the shoulder and higher arm. Nearly all
sufferers will devleop transeint ipsilateral diaphragmatic parylasis due to involvment of the
phrenic nerve roots as tehy skip via the interscalene sheath.
Complication of speedy warming - ANSHypotension (rapid vasodilation can motive a drop in
blood pressure)
Hetastarch (Hespan) - ANS- Volume expander, colloid
- less costly than blood
- minimal co-ag effects
- less in all likelihood to cause hypersensitivity
- metabolizes slowly
Why are neonates no longer tolerant of fluid overload? - ANS- obligate sodium loss
- sluggish clearance of fluid
- incapability to conserve fluid
Medication used to deal with fluid overload/ ascites in affected person with Cirrhosis -
ANSSpironolactone
Steal syndrome - ANS- Too a whole lot blood going to the fistula, leaving the hand ischemic. Tx
is with surgery or banding to decrease outflow (if excessive float)
Infant should void - ANS5ml/Kg/hr or at least 2-3ml/Kg/hr
Autonomic hyperreflexia (dysreflexia) - ANS- Massive, uncompensated cardiovascular reaction
to stimulation of the sympathetic fearful system
Stimulation of the sensory receptors beneath the extent of the twine lesion
- Associated with injuries above degree T6
TURPs - ANS- hazard for water intoxication
- risk for hyponatremia