ATI MedSurg Comprehensive Review
Study online at https://quizlet.com/_3eg86i
1. Diabetic Ketoaci- - assessment: dehydration, ketosis, metabolic acidosis, hyperglycemia
dosis - admin fast acting insulin that can be effective within 10 min, admin IV
- kussmaul resp
2. Beta blockers - monitor: sore throat, vision changes, blurred vision, dry eyes, dry mouth, abd
(Propanolol) cramping, colitis, acute pancreatitis
- notify provider: night cough
3. Factors that af- - dehydration (UO)
fect wound heal- - infection
ing - BMI <18.5 or >25
- malnutrition (low protein, vita C)
- age
- decreased hgb, tissue perfusion
- wound stress
4. HIV/AIDS - positive response to treatment monitored by viral load
- risk for infection: do not drink fluids left out for longer than 60 min, clean
toothbrush in dishwasher weekly, avoid fresh produce, check temp daily
- dx test: ELISA confirmed by western blot/IFA, viral load
5. Fluid replace- - monitor BUN
ment
6. Cerebrovascular - right sided: visual, spatial, proprioception; poor impulse control/judgment; uni-
accident lateral neglect
- left sided: language, math, analytical skills
7. Preventing UTIs - wipe from front to back
- void after intercourse
- avoid baths
- drink 2-3 L of fluid daily
, ATI MedSurg Comprehensive Review
Study online at https://quizlet.com/_3eg86i
- cotton underwear
- urinate Q2-4h
8. Radiation thera- - do not remove ink markings
py - wash area gently with warm water and mild soap
- avoid sun esposure for 1 year
- dispose body fluids in lead container
- limit visits to 30 min a day
- staff should wear dosimeter badge to monitor exposure
- keep all soiled linens in room until implant is removed
9. Kidney trans- - hemodialysis sometimes needed following surgery because kidneys from de-
plants ceased donors may not function immediately
- requires lifelong immunosuppressive therapy
- complications: cardiovascular disease
10. Hemodialysis - expected: weight loss, decrease BP, increase temp
- complications: hypocalcemia, bleeding, infection, hypovolemia, anemia
- disequilibrium syndrome: nausea, restlessness, dysrhythmias, seizures,
headache
- notify: headache, nausea, dizziness during dialysis
- do not eat during dialysis
11. Inotropic medica- - dopamine, digoxin, dobutamine, milirinone
tions - increase contractility and improve CO
- monitor HR (apical), hold if <60 min
12. Diabetes in- - deficiency in ADH
spidus - inability to concentrate urine, 1.001-1.005
- assessment: hypotension, weak peripheral pulses, polydipsia, polyuria
(4-30L/day), nocturia, dehydration
- DILUTE urine chemistry, CONCENTRATED serum chemestry
Study online at https://quizlet.com/_3eg86i
1. Diabetic Ketoaci- - assessment: dehydration, ketosis, metabolic acidosis, hyperglycemia
dosis - admin fast acting insulin that can be effective within 10 min, admin IV
- kussmaul resp
2. Beta blockers - monitor: sore throat, vision changes, blurred vision, dry eyes, dry mouth, abd
(Propanolol) cramping, colitis, acute pancreatitis
- notify provider: night cough
3. Factors that af- - dehydration (UO)
fect wound heal- - infection
ing - BMI <18.5 or >25
- malnutrition (low protein, vita C)
- age
- decreased hgb, tissue perfusion
- wound stress
4. HIV/AIDS - positive response to treatment monitored by viral load
- risk for infection: do not drink fluids left out for longer than 60 min, clean
toothbrush in dishwasher weekly, avoid fresh produce, check temp daily
- dx test: ELISA confirmed by western blot/IFA, viral load
5. Fluid replace- - monitor BUN
ment
6. Cerebrovascular - right sided: visual, spatial, proprioception; poor impulse control/judgment; uni-
accident lateral neglect
- left sided: language, math, analytical skills
7. Preventing UTIs - wipe from front to back
- void after intercourse
- avoid baths
- drink 2-3 L of fluid daily
, ATI MedSurg Comprehensive Review
Study online at https://quizlet.com/_3eg86i
- cotton underwear
- urinate Q2-4h
8. Radiation thera- - do not remove ink markings
py - wash area gently with warm water and mild soap
- avoid sun esposure for 1 year
- dispose body fluids in lead container
- limit visits to 30 min a day
- staff should wear dosimeter badge to monitor exposure
- keep all soiled linens in room until implant is removed
9. Kidney trans- - hemodialysis sometimes needed following surgery because kidneys from de-
plants ceased donors may not function immediately
- requires lifelong immunosuppressive therapy
- complications: cardiovascular disease
10. Hemodialysis - expected: weight loss, decrease BP, increase temp
- complications: hypocalcemia, bleeding, infection, hypovolemia, anemia
- disequilibrium syndrome: nausea, restlessness, dysrhythmias, seizures,
headache
- notify: headache, nausea, dizziness during dialysis
- do not eat during dialysis
11. Inotropic medica- - dopamine, digoxin, dobutamine, milirinone
tions - increase contractility and improve CO
- monitor HR (apical), hold if <60 min
12. Diabetes in- - deficiency in ADH
spidus - inability to concentrate urine, 1.001-1.005
- assessment: hypotension, weak peripheral pulses, polydipsia, polyuria
(4-30L/day), nocturia, dehydration
- DILUTE urine chemistry, CONCENTRATED serum chemestry
