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NSG 223 med Surg exam 3 Already Graded A+

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What are some symptoms of diabetes insipidus Polydipsia Polyuria Remember no polyphagia! What is a fluid deprivation test? A water deprivation test, also known as a fluid deprivation test, measures how well the kidneys work and helps diagnose diabetes insipidus. This would cause Unchange urine osmalarity What is Guillain-Barre Syndrome (GBS)? Its a rapid ascending paralysis starting in thenlegs and eventually reaching the respiratory system, which killsnthe client withing a few hours to few days.The most concerning complication is impaired gas exchange What medication is use in myasthenia Gravis? Neostigmine ( anticholinesterase). Think neostigmine adds secretions. Give to treat the dry. Improve skeletal muscle tone Increase tone of GI muscle Relaxes bronchial muscle Give anticholinesterase first before you feed a patient. - this will help to prevent choking What are the symptoms of myasthenia grave Ptosis = drooping eye Dysphagia = before meals adm an anticholinesterase!! This will prevet choking DyspneaSigh and symptoms of myasthenia Travis. SATA QUESTION Vision change Muscle weakness Dysphagia Ptosis (drooping eye ) Remember these sign and symptoms would indicate MG. SATA QUESTION Signs and symptoms of multiple sclerosis. SATA QUESTION Ataxia ( impaired coordination) Muscle spasticity ( give Baclofen) Fatigue Pain NumbnessWeakness Double vision but no glaucoma! SATA QUESTION What would you recommend to a patient with muscle spasticity 1- Do stretching exercise Stretching can help relax muscles and relieve contractions. The best stretch depends on the location of the spasm. For example, you can try a calf wall stretch for a calf cramp, or the child's pose for back cramps 2- Baclofen What type of patient is not indicate to have PCA patient control analgesia ? A patient with chronic pain because it can cause addiction also its only for short time for surgery, injury and illness.Example patient with arthritis is not candidate to have PCA A patient with a broken clavicle what intervention the nurse would do Place arm in a shoulder immobilizer Mayesthenia gravis crisis A complication of MG Crisis is respiratory failure causing the patient to be on ventilatory support. avoid any tranquilizer medication or sedated patient. It will cause to drop in oxygenation sat A myasthenic crisis is a life-threatening complication of myasthenia gravis that occurs when the muscles used for breathing become too weakWhat type of amputation would be performed for a distal tibia traumatic injury Below the knee A below-the-knee amputation (BKA) is a surgical procedure that removes the foot, ankle, fibula, distal tibia, and soft tissue structures below the knee. What are some sign and symptoms of Cushing syndrome? Bufallo hump Gain weight Moon face Osteoporosis ( recommend increase calcium intake and vitamin D ) Hirsutism: Excessive body hair growth, particularly in womenFood high in calcium • milk • cheese • yogurt • green leafy vegetables Patient who are high risk of osteoporosis such as Cushing disease should consume food with high calcium What would you expected to see in a patient with Addison diseases? SATA QUESTION 1-Muscle weakness 2-Potassium levels ⬆️high 3-Dark pigmentation skin MPDLow sodium levels = causing a craving for salt

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NSG 223 med Surg exam 3
What are some symptoms of diabetes insipidus
Polydipsia
Polyuria

Remember no polyphagia!




What is a fluid deprivation test?
A water deprivation test, also known as a fluid deprivation test, measures how well the
kidneys work and helps diagnose diabetes insipidus.

This would cause Unchange urine osmalarity




What is Guillain-Barre Syndrome (GBS)?
Its a rapid ascending paralysis starting in thenlegs and eventually reaching the
respiratory system, which killsnthe client withing a few hours to few days.

,The most concerning complication is impaired gas exchange




What medication is use in myasthenia Gravis?
Neostigmine ( anticholinesterase). Think neostigmine adds secretions. Give to treat
the dry.

Improve skeletal muscle tone

Increase tone of GI muscle

Relaxes bronchial muscle

Give anticholinesterase first before you feed a patient. - this will help to prevent choking




What are the symptoms of myasthenia grave
Ptosis = drooping eye

Dysphagia = before meals adm an anticholinesterase!! This will prevet choking

Dyspnea

, Sigh and symptoms of myasthenia Travis. SATA QUESTION
Vision change

Muscle weakness

Dysphagia

Ptosis (drooping eye )

Remember these sign and symptoms would indicate MG. SATA QUESTION




Signs and symptoms of multiple sclerosis. SATA QUESTION
Ataxia ( impaired coordination)

Muscle spasticity ( give Baclofen)

Fatigue

Pain

Numbness

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