Glycopyrrolate correct answers - Induction and intubation medication
- Can cause photosensitivity
Craniotomy Treatment (triple H's) correct answers - hemodilution
- hypertension
- hypervolemia
(this forces constricted blood vessels to dilate and perfuse tissue)
Transverse Colostomy correct answers soft stool
typical stool odor
stool damages the skin
empties several times per day
may or may not be at risk for fluid/electrolytes imbalances
may irrigate
sigmoid colostomy correct answers - formed stool
ileosotomy correct answers - high up
- liquid pasty stool
Roux-en-Y gastric bypass correct answers Small pouch created from stomach
Part of small intestine (DUODENUM) bypassed
Restriction and malabsorption
Post-op Stroke symptoms correct answers - double vision
- headache
- sudden dizziness
Metoclopramide (Reglan) correct answers - controls post-op NV
- can have extrapyrmidal side effects like tardive dyskinesia
Gastrectomy Interventions correct answers - encourage deep breaths
- and position shifts
clonic seizure correct answers repetitive jerking movements
petit mal seizure correct answers Also called absence attack. A seizure that is characterized
by a spike-and-wave EEG and often involves a loss of awareness and inability to recall
events surrounding the seizure.
Tonic seizure correct answers sustained muscle contraction
Emergence excitement safety interventions correct answers ok to use wrist restraints
Shivering first interventions♀️correct answers - anticipate order for demerol
(over warm blankets)
Septic Shock/ Early Respiratory Distress correct answers - Hyperventilation
, - Respiratory Alkalosis
- Elevated Lactate Levels
Interscalene nerve block correct answers anesthetizes the brachial plexus as it passes through
the scalene triangle. It is used to provide anethesia for the shoulder and upper arm. Nearly all
patients will devleop transeint ipsilateral diaphragmatic parylasis due to involvment of the
phrenic nerve roots as tehy pass through the interscalene sheath.
Complication of rapid warming correct answers Hypotension (rapid vasodilation can cause a
drop in blood pressure)
Hetastarch (Hespan) correct answers - Volume expander, colloid
- less expensive than blood
- minimal co-ag effects
- less likely to cause allergic reaction
- metabolizes slowly
Why are neonates not tolerant of fluid overload? correct answers - obligate sodium loss
- slow clearance of fluid
- inability to conserve fluid
Medication used to treat fluid overload/ ascites in patient with Cirrhosis correct answers
Spironolactone
Steal syndrome correct answers - Too much blood going to the fistula, leaving the hand
ischemic. Tx is with surgery or banding to decrease outflow (if high flow)
Infant should void correct answers 5ml/Kg/hr or at least 2-3ml/Kg/hr
Autonomic hyperreflexia (dysreflexia) correct answers - Massive, uncompensated
cardiovascular response to stimulation of the sympathetic nervous system
Stimulation of the sensory receptors below the level of the cord lesion
- Associated with injuries above level T6
TURPs correct answers - risk for water intoxication
- risk for hyponatremia
- s/s include: SOB, hypoxemia, confusion, nausea, vomiting, muscle twitches, tachycardia,
and hypotension
intrarenal failure correct answers - direct damage to the kidneys by inflammation, toxins,
drugs, infection, or reduced blood supply
(ex..glomerulonephritis)
orcheopexy correct answers procedure to correct testicular torsion
Piaget's stages of cognitive development correct answers 1. sensorimotor (18-24 months)
2. preoperational (24 months - 7 years)
3. concrete operational (7 - 12 years)
4. formal operational ( 12 years - adulthood)