NUR
250 final study guides
72-hr following CVA/action- elevate HOB 25-30 degrees, neutral midline
position
ABC’s/head injury at work/priority- immobilize cervical spine
Acute alcohol withdrawal/med- lorazepam
Acute pulm edema/rx for furosemide/adm meds by- undiluted over 2
minutes
Alcohol/detoxification/rx for acamprosate- cause episodes of diarrhea
Alcohol use disorder/lower ext.fracture/develops restlessness & tremors/ant
meds- chlordiazepoxide
Alcohol use disorder/undergoing detox- admin substitution therapy meds
Alcohol withdrawal/meds- benzodiazepines (diazepam & chlordiazepoxide),
carbamazepine, valproic acid, thiamine
Alcohol withdrawal/administered lorazepam- give w/increased BP
Alcohol withdrawal/expected finding- headache, insomnia
Alcohol withdrawal/maintenance med- Disulfiram
Alcohol withdrawal/severe findings- hallucinations
Anaphylactic shock- bronchospasms, wheezing, SOB, severe hypotension,
resp or cardiac arrest
Antibiotic/intermittent IV infusion/reports SOB, wheezing- O2, Rapid
response team
Blood transfusion/ IV solution- NaCL or NS
Child/head injury/clear drainage from nose- test for glucose
Clopidogrel/findings in med hx- recent myocardial infarction
Closed head injury/mannitol/ICP/therapeutic effect- serum osmolarity is
310, increased urine output
Closed head injury/priority/neurological status- LOC
Closed traumatic brain injury/ICP- ridged skull containing cranial contents
COPD & malnourished- high calorie foods first
, NUR
250 final study guides
COPD & pneumonia/acid-base imbalances- Respiratory acidosis
COPD & SOB/action- upright position
COPD/findings- pallor, barrel chest, clubbing fingers, productive cough,
rapid shallow breathing
COPD/ improve nutritional intake- add grated cheese to sauces & veggies
COPD/tiotropium/AE- mouth feels dry all the time
Cushing’s triad/ICP- widened pulse pressure, bradycardia, irregular
breathing
DI/indications for desmopressin- decrease urine output, stimulate
vasopressin receptors
DI/ desmopressin/AE- headache
DI/interventions- monitor for neurological changes, agitation/restlessness,
thirst, dehydration
DI/manifestations- increased serum osmolality, decreased urine osmolality
& urinary sodium, hypernatremia
DKA/expected findings- tachycardia & hypotension, Kussmaul respirations,
decreased LOC, N&V, abdominal pain, fruity breath, blurred vision,
headache, fatigue, tachypnea
DKA/ blood glucose greater than 250, acidosis pH less than 7.3, polyuria,
ketosis- metabolic acidosis
DKA/interventions- assess hypokalemia, cardiac dysrhythmias, VS
frequently, education, treat w/insulin
Emphysema & chronic resp acidosis/monitor for- hyperkalemia
Encephalitis/West Nile virus- VS q 2 hr, assess neurological status q 4hr,
dark room
Extravasation- swelling, darkening or redness of skin, pain at iv site
Fluid overload- SOB, increased BP HR RR, crackles in lungs, edema, neck
vein distention
Fluid overload w/SIADH/manifestations- low sodium level, decreased urine
output, mental status, headaches
Fluid overload/cont IV infusion 200mL/hr- reduce IV fluid rate
250 final study guides
72-hr following CVA/action- elevate HOB 25-30 degrees, neutral midline
position
ABC’s/head injury at work/priority- immobilize cervical spine
Acute alcohol withdrawal/med- lorazepam
Acute pulm edema/rx for furosemide/adm meds by- undiluted over 2
minutes
Alcohol/detoxification/rx for acamprosate- cause episodes of diarrhea
Alcohol use disorder/lower ext.fracture/develops restlessness & tremors/ant
meds- chlordiazepoxide
Alcohol use disorder/undergoing detox- admin substitution therapy meds
Alcohol withdrawal/meds- benzodiazepines (diazepam & chlordiazepoxide),
carbamazepine, valproic acid, thiamine
Alcohol withdrawal/administered lorazepam- give w/increased BP
Alcohol withdrawal/expected finding- headache, insomnia
Alcohol withdrawal/maintenance med- Disulfiram
Alcohol withdrawal/severe findings- hallucinations
Anaphylactic shock- bronchospasms, wheezing, SOB, severe hypotension,
resp or cardiac arrest
Antibiotic/intermittent IV infusion/reports SOB, wheezing- O2, Rapid
response team
Blood transfusion/ IV solution- NaCL or NS
Child/head injury/clear drainage from nose- test for glucose
Clopidogrel/findings in med hx- recent myocardial infarction
Closed head injury/mannitol/ICP/therapeutic effect- serum osmolarity is
310, increased urine output
Closed head injury/priority/neurological status- LOC
Closed traumatic brain injury/ICP- ridged skull containing cranial contents
COPD & malnourished- high calorie foods first
, NUR
250 final study guides
COPD & pneumonia/acid-base imbalances- Respiratory acidosis
COPD & SOB/action- upright position
COPD/findings- pallor, barrel chest, clubbing fingers, productive cough,
rapid shallow breathing
COPD/ improve nutritional intake- add grated cheese to sauces & veggies
COPD/tiotropium/AE- mouth feels dry all the time
Cushing’s triad/ICP- widened pulse pressure, bradycardia, irregular
breathing
DI/indications for desmopressin- decrease urine output, stimulate
vasopressin receptors
DI/ desmopressin/AE- headache
DI/interventions- monitor for neurological changes, agitation/restlessness,
thirst, dehydration
DI/manifestations- increased serum osmolality, decreased urine osmolality
& urinary sodium, hypernatremia
DKA/expected findings- tachycardia & hypotension, Kussmaul respirations,
decreased LOC, N&V, abdominal pain, fruity breath, blurred vision,
headache, fatigue, tachypnea
DKA/ blood glucose greater than 250, acidosis pH less than 7.3, polyuria,
ketosis- metabolic acidosis
DKA/interventions- assess hypokalemia, cardiac dysrhythmias, VS
frequently, education, treat w/insulin
Emphysema & chronic resp acidosis/monitor for- hyperkalemia
Encephalitis/West Nile virus- VS q 2 hr, assess neurological status q 4hr,
dark room
Extravasation- swelling, darkening or redness of skin, pain at iv site
Fluid overload- SOB, increased BP HR RR, crackles in lungs, edema, neck
vein distention
Fluid overload w/SIADH/manifestations- low sodium level, decreased urine
output, mental status, headaches
Fluid overload/cont IV infusion 200mL/hr- reduce IV fluid rate
