NUR265 (NUR265)

-decreased LOC(lethargy to coma) -restlessness, irritability, confusion -headache -projectile N&V -change in speech pattern/slurred speech -dilated nonreactive pupils or constructed nonreactive pupils -ataxia -seizure -abnormal posturing -Cushing's triad: severe HTN, widened pulse pressure, bradycardia Key sx of increased ICP - Symptoms of increased ICP -severe HTN, widened pulse pressure, bradycardia What is Cushing's triad - Most at risk during 1st 72 hours after stroke onset Ri...

NUR 265 EXAM 2 QUESTIONS AND ANSWERS Graded A What is ARDS? - Acute Resp. Failure with these features: -Refractory hypoxemia -Decreased pulmonary compliance -Dyspnea What is refractory hypoxemia? - No matter how much oxygen the patient is on, the O2 sats are not getting any better Is ARDS reversible? - Yes, it is reversible but it needs to e caught early. It can progress to Resp. Failure! What are some common causes of an acute lung injury? - Shock Trauma Serious nervous...

- Dyspnea, sudden onset, sharp stabbing chest pain, restlessness, impending doom, cough, Hemoptysis, Tachypnea, crackles, plural friction rub, s2 or s4 heart sound, tachycardia, low-grade fever, diaphoresis, petechiae over the chest and axillae, decreased SaO2 - Signs and sx of pulmonary embolism - High D-Dimer - DVT, PE, DIC labs all have - BNP, D dimer, metabolic panel, troponin - Labs to draw for pulmonary embolus - pulmonary angiography - Diagnostic test for PE - Yes. - Does the ...

- SLE - Chronic, progressive, Inflammation of connective tissue; affects multiple body systems - SLE in kidneys - Leading cause of death, presents with high creatinine, low hematocrit, proteinuria - SLE is most common in ... - women 20yr- 40yr - SLE manifestations - Rash (butterfly rash on the face), Photosensitivity, oral ulcers, polyarthritis, pericarditis, plural effusion, FEVER, fatigue, weakness, anorexia,weight loss, proteinuria, seizures,peripheral neuropathy, psychosis, Raynau...

PULMONARY EMBOLISM - blood clot that gets caught in the lungs PE R/F - DVT immobility estrogen therapy increased age large bone fracture obesity PE TX - heparin coumadin (starting day 2) tPA to dissolve massive clot PE SX - sudden onset dyspnea decreased O2 cyanosis tachycardia respiratory alkalosis sense of impending doom apprehension s3 or s4 sounds petechiae over chest pleural friction rub PE PREVENTION - range of motion exercise ambulate post op ASAP SCD hose compressi...

- AIDS (acquired immune deficiency syndrome) Low CD4 T cell count <200, Opportunistic infections - HIV/AIDS Key Features CNS Signs Confusion Dementia Fever Visual changes Memory loss Personalitychanges Pain Seizures CNS Inflammation causes damage to the brain and CNS - opportunistic infections r/t HIV/AIDS compromised immune system Toxoplasmosis Encephalitis - cat liter glove and mask. Neuro assessment Fungal Infections Candidiasis=Pain can occur while swallowing Bad breath, ...

What is encephalitis? - inflammation or infection of the brain What causes encephalitis? - West Nile Virus Herpes What are the s/s of encephalitis? - High fever, N/V, stiff neck Flu like symptoms change in LOC photophobia pupil changes (dilate & less responsive to light) What is used to dx encephalitis? - lumbar puncture EEG CT (looks for mass) What are N/I for encephalitis? - Neuro checks Monitor for s/s of ICP Suction only resp compromised HOB 30-45 Decrease stimuli What is the...