Quiz review 5 - Study prep for the final
exam in nr325. personal note based on
chapters of the
Adult Health II (Chamberlain University)
, Know how to care for a patient that have bacterial meningitis- Brudzinski and kernig
Cultures
Antibiotic
Pain relief
Fever control-may be resistant to acetaminophen or Asa.
Fluid replacement
Seizure control
Positioning- Elevate the head of the bed 30 degrees and avoid neck flexion and extreme hip
flexion. Environment- Lighting, Isolation- calm/relaxing
-Supportive measures such as bedrest and temperature control with antipyretics or hypothermia limit
oxygen consumption. Gradual treatment of hyperthermia is required to prevent shivering.
-Other strategies to manage increased ICP include osmotic diuretics, such as mannitol, or
intraventricular CSF drainage and ICP pressure monitoring.
Symptoms with early Parkinson’s disease
- Stage I: unilateral limb involvement, minimal weakness, hand and arm trembling.
- Stage II: bilateral limb involvement, masklike facies, slow, shuffling
gait TRAP
-Tremor
-Rigidity
-Bradykinesia- Akinesia
-Postural instability
Advanced cirrhosis and lactulose therapy
-Liver can no longer convert ammonia to urea to be excreted. Lactulose pulls ammonia into the
bowels to be excreted in stool. Diarrhea or frequent stools expected. Ammonia levels decreasing
confirms.
Patients with cirrhosis and esophageal varices prescriptions with propranolol why is it used for
diagnosis? when is it effective?
- preventing hemorrhage in cirrhotic patients with esophageal varices
-no internal bleeding indicated such as occult blood stool sample or hematemesis, melena
(medical emergency)
- Betablockers ↓ portal pressure
exam in nr325. personal note based on
chapters of the
Adult Health II (Chamberlain University)
, Know how to care for a patient that have bacterial meningitis- Brudzinski and kernig
Cultures
Antibiotic
Pain relief
Fever control-may be resistant to acetaminophen or Asa.
Fluid replacement
Seizure control
Positioning- Elevate the head of the bed 30 degrees and avoid neck flexion and extreme hip
flexion. Environment- Lighting, Isolation- calm/relaxing
-Supportive measures such as bedrest and temperature control with antipyretics or hypothermia limit
oxygen consumption. Gradual treatment of hyperthermia is required to prevent shivering.
-Other strategies to manage increased ICP include osmotic diuretics, such as mannitol, or
intraventricular CSF drainage and ICP pressure monitoring.
Symptoms with early Parkinson’s disease
- Stage I: unilateral limb involvement, minimal weakness, hand and arm trembling.
- Stage II: bilateral limb involvement, masklike facies, slow, shuffling
gait TRAP
-Tremor
-Rigidity
-Bradykinesia- Akinesia
-Postural instability
Advanced cirrhosis and lactulose therapy
-Liver can no longer convert ammonia to urea to be excreted. Lactulose pulls ammonia into the
bowels to be excreted in stool. Diarrhea or frequent stools expected. Ammonia levels decreasing
confirms.
Patients with cirrhosis and esophageal varices prescriptions with propranolol why is it used for
diagnosis? when is it effective?
- preventing hemorrhage in cirrhotic patients with esophageal varices
-no internal bleeding indicated such as occult blood stool sample or hematemesis, melena
(medical emergency)
- Betablockers ↓ portal pressure
