Nur 176 Exam 2 Questions And Correct Answers
Symptomatic diverticular disease
includes hemorrhage, inflammation (diverticulitis), or complications of diverticulitis
such as abscess, fistula, obstruction, or free perforation.
Clinical Presentation of Diverticulitis
Acute onset of left lower quadrant pain, intermittent, varying in intensity
Constipation, diarrhea and/or nausea and vomiting
Other symptoms may include: fever, anorexia, hematochezia
what would you find assessing a patient for diverticulitis
exam reveals pain LLQ, possible rebound or guarding
Labs/imaging for diverticulitis
Labs to consider:
CBC
Workup
CMP, UA, stool studies if suspicious of other etiology
Imaging to consider:
CT ( scanning of the abdomen with IV and oral contrast is the diagnostic test of choice in
patients suspected of having acute diverticulitis)
A BARIUM ENEMA IS CONTRAINDICATED IN PATIENTS WITH
ACUTE DIVERTICULITIS DUE TO THE POSSIBILITY OF PERFORATION OF THE
DIVERTICULUM.
,barium enema can
diagnosis but if acute beware
MORPHINE IS NOT GIVE TO THESE PATIENTS DUE TO
INTRALUMENAL PRESSURE.
What is hemodialysis?
most common renal replacement therapy used in ESKD and renal failure
Where can hemodialysis be preformed?
-in-patient procedure on critically ill patients
-out-patient for more stable patients
What occurs during hemodialysis?
-blood and dialysate run in different directions
-toxins are diffused into the dialysate, leaving the patient's blood free from toxins/at
least reduced toxins
What is a subclavian dialysis catheter?
-a radiopaque tube that can be used for hemodialysis
-Y-shaped tubing allows arterial outflow and venous return through a single catheter
-used for several weeks
Possible complications of hemodialysis?
-disequilibrium syndrome
, -muscle cramps
-hemorrhage
-air embolus
-hemodynamic changes (hypotension, anemia)
-cardiac dysrhythmias
-infection
What do you have to do to access the AV fistula?
-two needles are used
-one toward venous blood flow (clean blood is returned to the body)
-other toward arterial blood flow (blood comes out to be cleaned)
What vessels are used to form an AV fistula?
-radial/brachial artery and a cephalic vein of nondominant arm
What complications can arise from vascular access?
-thrombosis (most common)
-stenosis
-infections
-aneurysms
-ischemia
-heart failure
Symptomatic diverticular disease
includes hemorrhage, inflammation (diverticulitis), or complications of diverticulitis
such as abscess, fistula, obstruction, or free perforation.
Clinical Presentation of Diverticulitis
Acute onset of left lower quadrant pain, intermittent, varying in intensity
Constipation, diarrhea and/or nausea and vomiting
Other symptoms may include: fever, anorexia, hematochezia
what would you find assessing a patient for diverticulitis
exam reveals pain LLQ, possible rebound or guarding
Labs/imaging for diverticulitis
Labs to consider:
CBC
Workup
CMP, UA, stool studies if suspicious of other etiology
Imaging to consider:
CT ( scanning of the abdomen with IV and oral contrast is the diagnostic test of choice in
patients suspected of having acute diverticulitis)
A BARIUM ENEMA IS CONTRAINDICATED IN PATIENTS WITH
ACUTE DIVERTICULITIS DUE TO THE POSSIBILITY OF PERFORATION OF THE
DIVERTICULUM.
,barium enema can
diagnosis but if acute beware
MORPHINE IS NOT GIVE TO THESE PATIENTS DUE TO
INTRALUMENAL PRESSURE.
What is hemodialysis?
most common renal replacement therapy used in ESKD and renal failure
Where can hemodialysis be preformed?
-in-patient procedure on critically ill patients
-out-patient for more stable patients
What occurs during hemodialysis?
-blood and dialysate run in different directions
-toxins are diffused into the dialysate, leaving the patient's blood free from toxins/at
least reduced toxins
What is a subclavian dialysis catheter?
-a radiopaque tube that can be used for hemodialysis
-Y-shaped tubing allows arterial outflow and venous return through a single catheter
-used for several weeks
Possible complications of hemodialysis?
-disequilibrium syndrome
, -muscle cramps
-hemorrhage
-air embolus
-hemodynamic changes (hypotension, anemia)
-cardiac dysrhythmias
-infection
What do you have to do to access the AV fistula?
-two needles are used
-one toward venous blood flow (clean blood is returned to the body)
-other toward arterial blood flow (blood comes out to be cleaned)
What vessels are used to form an AV fistula?
-radial/brachial artery and a cephalic vein of nondominant arm
What complications can arise from vascular access?
-thrombosis (most common)
-stenosis
-infections
-aneurysms
-ischemia
-heart failure
