NSG 4100 EXAM 1
Oral cancer risk factor
-smoking, HPV, ETOH consumption, obesity, GERD;
-previous head, neck, thyroid cancer;
Esophagus surgery diet
-soft mechanical diet
-mashed potatoes, pudding, oatmeal, apple sauce, diced peaches, canned fruit
What oral symptom might a patient with ESRD and dialysis experience? (uremia)
Metabolic taste in their mouth with nausea and vomiting
uremic factor (urine smelling breath)
Peritonitis sign and symptoms that need immediate attention
hypovolemia, rigid board-like abdomen, paralytic ileus, n/v, fever increased pulse,
pain aggravated by movement
,tx for peritonitis
LR fluids- isotonic
Phenergan for vomiting
ax for infection
Emergent assessment findings for gastrectomy
infection
bleeding
What muscular symptoms are associated with ESRD and dialysis? (uremia)
Wasting and cramping
weakness
What skin symptoms can occur in a patient with ESRD and dialysis? (uremia)
Bruising and pruritus
What are the vital sign changes in a patient with ESRD and dialysis? (uremia)
High blood pressure, high heart rate, high respiratory rate, but decreased urine
output
, Signs and Symptoms uremia
fluid overload, confusion, thin hair and nails, ulcer formation, hiccups, cardiac
tamponade, pericarditis, hyperkalemia(peaked t waves widened grs intervals
Complication post hemodialysis (priority)
Hypotension
Increased heart rate could indicate dehydration
What should you have after dialysis?
Lower hr and lower bp but not abnormally low
What you should assess after hemodialysis
Fistula , bleeding, thrill, bruit
Emergent CM of fluid over load in ESRD
Pericarditis, pleural friction rub, pericardial effusion, tamponade
Oral cancer risk factor
-smoking, HPV, ETOH consumption, obesity, GERD;
-previous head, neck, thyroid cancer;
Esophagus surgery diet
-soft mechanical diet
-mashed potatoes, pudding, oatmeal, apple sauce, diced peaches, canned fruit
What oral symptom might a patient with ESRD and dialysis experience? (uremia)
Metabolic taste in their mouth with nausea and vomiting
uremic factor (urine smelling breath)
Peritonitis sign and symptoms that need immediate attention
hypovolemia, rigid board-like abdomen, paralytic ileus, n/v, fever increased pulse,
pain aggravated by movement
,tx for peritonitis
LR fluids- isotonic
Phenergan for vomiting
ax for infection
Emergent assessment findings for gastrectomy
infection
bleeding
What muscular symptoms are associated with ESRD and dialysis? (uremia)
Wasting and cramping
weakness
What skin symptoms can occur in a patient with ESRD and dialysis? (uremia)
Bruising and pruritus
What are the vital sign changes in a patient with ESRD and dialysis? (uremia)
High blood pressure, high heart rate, high respiratory rate, but decreased urine
output
, Signs and Symptoms uremia
fluid overload, confusion, thin hair and nails, ulcer formation, hiccups, cardiac
tamponade, pericarditis, hyperkalemia(peaked t waves widened grs intervals
Complication post hemodialysis (priority)
Hypotension
Increased heart rate could indicate dehydration
What should you have after dialysis?
Lower hr and lower bp but not abnormally low
What you should assess after hemodialysis
Fistula , bleeding, thrill, bruit
Emergent CM of fluid over load in ESRD
Pericarditis, pleural friction rub, pericardial effusion, tamponade
