Med Surg 2 HESI Retake
When experiencing MI, ________ should be given asap & before 6 hours from when symptoms start -
thrombolytics
MONA for MI - morphine, oxygen, nitro, aspirin
Rales during MI indicate - pulmonary edema
What IV drug do you give for PVC and tachycardia - amiodarone
If you give medicine for ST elevation, you know it has been effective if you see a - decrease in ST waves
autoimmune disease marked by diffused thyroid enlargement and excessive thyroid hormone secretion
- graves
treatment of graves - radioactive iodine
causes of graves - uncontrolled thyroid storm
diet for graves - increase calories & protein, decrease caffeine & fiber
clinical manifestations of graves - weight loss, tachycardia, diaphoresis
hyperparathyroidism involves which electrolyte - calcium
increased levels of PTH act directly on kidney causing increase kidney reabsorption of - calcium &
phosphorus
, kidney stones & deposits of calcium ins oft tissue of kidney caused by - high levels PTH
epigastric pain is common if - CA levels are high
hematemesis - bloody vomit
melena - black, tarry stool
hematemesis and melena are common in - bleeding esophageal varices
liver failure affects metabolism of - certain drugs
portal hypertension, coagulation defects, ascites, bleeding varices, and jaundice are complications of -
liver failure
pt teaching before paracentesis - empty bladder
what do you monitor before and after paracentesis - abdominal girth and weight
complication of paracentesis - PERITONITIS or peritoneal bleeding
extreme fatigue; unexplained wgt loss 10 lb in 2 months; unexplained fever for 1 week; recurrent
vaginal infections even after treatment are signs of - HIV
predicts outcome in patient with TBI - Glasgow coma scale
clients with GSC 3-4 have - high mortality rate
, GSC of 8 indicates - good prognosis recovery
what should you encourage to aid in removal of radiation from body - fluid intake
may develop ________ as long-term effect of radiation - HYPOTHYROIDISM
gently pat skin dry after rinsing with water to avoid - abrasions that can become infected
how low should you avoid sun exposure with radiation therapy - during treatment and atleast 1 yr after
what blood tests do you frequently need during radiation therapy - WBC and platelet
TURP used in pt with - BPH
what side effect of TURP should be gone by 4th day - Hematuria
may need muscle relaxer after TURP to treat - spasms
after removing the catheter used in TURP, what is a sign that should be immediately reported - frank
bleeding
burning, red tinged blood, small clots and frequency are ___________ after TURP - normal
abrupt; oliguria; urine output <30 are signs of - acute kidney disease
normal BUN - 10-20
normal creatinine - 0.5-1.2
When experiencing MI, ________ should be given asap & before 6 hours from when symptoms start -
thrombolytics
MONA for MI - morphine, oxygen, nitro, aspirin
Rales during MI indicate - pulmonary edema
What IV drug do you give for PVC and tachycardia - amiodarone
If you give medicine for ST elevation, you know it has been effective if you see a - decrease in ST waves
autoimmune disease marked by diffused thyroid enlargement and excessive thyroid hormone secretion
- graves
treatment of graves - radioactive iodine
causes of graves - uncontrolled thyroid storm
diet for graves - increase calories & protein, decrease caffeine & fiber
clinical manifestations of graves - weight loss, tachycardia, diaphoresis
hyperparathyroidism involves which electrolyte - calcium
increased levels of PTH act directly on kidney causing increase kidney reabsorption of - calcium &
phosphorus
, kidney stones & deposits of calcium ins oft tissue of kidney caused by - high levels PTH
epigastric pain is common if - CA levels are high
hematemesis - bloody vomit
melena - black, tarry stool
hematemesis and melena are common in - bleeding esophageal varices
liver failure affects metabolism of - certain drugs
portal hypertension, coagulation defects, ascites, bleeding varices, and jaundice are complications of -
liver failure
pt teaching before paracentesis - empty bladder
what do you monitor before and after paracentesis - abdominal girth and weight
complication of paracentesis - PERITONITIS or peritoneal bleeding
extreme fatigue; unexplained wgt loss 10 lb in 2 months; unexplained fever for 1 week; recurrent
vaginal infections even after treatment are signs of - HIV
predicts outcome in patient with TBI - Glasgow coma scale
clients with GSC 3-4 have - high mortality rate
, GSC of 8 indicates - good prognosis recovery
what should you encourage to aid in removal of radiation from body - fluid intake
may develop ________ as long-term effect of radiation - HYPOTHYROIDISM
gently pat skin dry after rinsing with water to avoid - abrasions that can become infected
how low should you avoid sun exposure with radiation therapy - during treatment and atleast 1 yr after
what blood tests do you frequently need during radiation therapy - WBC and platelet
TURP used in pt with - BPH
what side effect of TURP should be gone by 4th day - Hematuria
may need muscle relaxer after TURP to treat - spasms
after removing the catheter used in TURP, what is a sign that should be immediately reported - frank
bleeding
burning, red tinged blood, small clots and frequency are ___________ after TURP - normal
abrupt; oliguria; urine output <30 are signs of - acute kidney disease
normal BUN - 10-20
normal creatinine - 0.5-1.2
