[font=verdana-bold]do not delegate what you can eat!
[font=verdana-bold]e - evaluate
[font=verdana-bold]a - assess
[font=verdana-bold]t - teach
addisons= down, down down up down
cushings= up up up down up
addisons= hyponatremia, hypotension, decreased blood vol,hyperkalemia, hypoglycemia
cushings= hypernatremia, [color=#008100]hypertension, incrased blood vol, hypokalemia, hyperglycemia
no pee, no k (do not give [color=#008100]potassiumwithout adequate urine output)
rteries for better perfusion
[font=verdana-bold]a= appearance (color all pink, pink and blue, blue [pale])
[font=verdana-bold]p= pulse (>100, < 100, absent)
[font=verdana-bold]g= grimace (cough, grimace, no response)
[font=verdana-bold]a= activity (flexed, flaccid, limp)
[color=#008100]respirations [font=verdana-bold](strong cry, weak cry, absent)
[font=verdana-bold]my - measles
[font=verdana-bold]chicken - chicken pox/varicella
[font=verdana-bold]hez - herpez zoster/shingles
[font=verdana-bold]varicella-chicken pox/herpes zoster-shingles
[font=verdana-bold]private room - negative pressure with 6-12 air exchanges/hr
[font=verdana-bold]mask, n95 for tb
[font=verdana-bold]think of spiderman!
[font=verdana-bold]s - sepsis
[font=verdana-bold]s - scarlet fever
[font=verdana-bold]s - streptococcal pharyngitis
[font=verdana-bold]p - parvovirus b19
[font=verdana-bold]p - pneumonia
[font=verdana-bold]p - pertussis
[font=verdana-bold]i - influenza
[font=verdana-bold]d - diptheria (pharyngeal)
[font=verdana-bold]e - epiglottitis
[font=verdana-bold]r - rubella
[font=verdana-bold]m - mumps
[font=verdana-bold]m - meningitis
[font=verdana-bold]m - mycoplasma or meningeal pneumonia
[font=verdana-bold]an - adenovirus
[font=verdana-bold]private room or cohort
[font=verdana-bold]m - multidrug resistant organism
[font=verdana-bold]r - respiratory infection
[font=verdana-bold]s - skin infections *
[font=verdana-bold]w - wound infxn
[font=verdana-bold]e - enteric infxn - clostridium difficile
[font=verdana-bold]e - eye infxn - conjunctivitis
[font=verdana-bold]v - varicella zoster
[font=verdana-bold]c - cutaneous diphtheria
[font=verdana-bold]h - herpez simplex
[font=verdana-bold]i - impetigo
[font=verdana-bold]p - pediculosis
[font=verdana-bold]s - scabies
1. [font=verdana-bold]air/pulmonary embolism
(s&s: chest pain, difficulty breathing, tachycardia,pale/cyanotic,
sense of impending doom) --> turn pt to [font=verdana-bold]left
side and [font=verdana-bold]lower
the head of the bed.
2. [font=verdana-bold]woman in labor w/ un-reassuringfhr
(late decels, decreased variability,fetal
bradycardia, etc) --> turn on [font=verdana-bold]left
side (and give o2, stop pitocin,increase iv fluids)
3. [font=verdana-bold]tube feeding w/ decreased loc
--> position pt on [font=verdana-bold]right
side (promotes emptying of the
stomach) with the [font=verdana-bold]hobelevated
(to prevent aspiration)
4. [font=verdana-bold]during epidural puncture
5. [font=verdana-bold]after lumbar puncture
(and also oil-based myelogram)--> pt lies in [font=verdana-bold]flat supine
headache and leaking of csf)
6. [font=verdana-bold]pt w/ heat stroke
--> lie [font=verdana-bold]flat
w/ [font=verdana-bold]legs elevated
7. [font=verdana-bold]during continuous bladderirrigation
(cbi) --> catheter is taped tothigh so leg should be
kept straight. no other positioning restrictions.
8. [font=verdana-bold]after myringotomy
--> position on side of [font=verdana-bold]affected ear
after surgery(allows drainage of
9. [font=verdana-bold]after cataract surgery
--> pt will sleep on [font=verdana-bold]unaffectedside
with a night shield for 1-4
10. [font=verdana-bold]after thyroidectomy
--> low or semi-fowler's, support head, neck andshoulders.
11. [font=verdana-bold]infant w/ spina bifida
--> position [font=verdana-bold]prone
(on abdomen) so that sac does not rupture
12. [font=verdana-bold]buck's traction
(skin traction) --> elevate foot of bed forcounter-traction
13. [font=verdana-bold]after total hip replacement
--> don't sleep on operated side, don't flex hip morethan 45-
60 degrees, don't elevate hob more than 45 degrees. maintain hipabduction by separating
thighs with pillows.
14. [font=verdana-bold]prolapsed cord
--> knee-chest position or trendelenburg
15. [font=verdana-bold]infant w/ cleft lip
--> position on back or in infant seat to preventtrauma to suture line.
while feeding, hold in upright position.
16. [font=verdana-bold]to prevent dumping syndrome
(post-operative ulcer/stomach surgeries) --> eat in
reclining position, lie down after meals for 20-30 minutes (alsorestrict fluids during meals, low
cho and [color=#008100]fiber diet, small frequent meals)
17. [font=verdana-bold]above knee amputation
--> elevate for first 24 hours on pillow, positionprone daily to
provide for hip extension.
18. [font=verdana-bold]below knee amputation
--> foot of bed elevated for first 24 hours, positionprone daily to
provide for hip extension.
19. [font=verdana-bold]detached retina
--> area of detachment should be in the dependentposition
20. [font=verdana-bold]administration of enema
--> position pt in [font=verdana-bold]leftside-lying
(sim's) with knee flexed
21. [font=verdana-bold]after supratentorial surgery
(incision behind hairline) --> elevate hob 30-45degrees
22. [font=verdana-bold]after infratentorial surgery
(incision at nape of neck)--> position pt [font=verdana-bold]flat
and lateral on
23. [font=verdana-bold]during internal radiation
--> on [font=verdana-bold]bedrest
while implant in place
ounding headache, profuse sweating, nasal
congestion, goose flesh, bradycardia, [color=#008100]hypertension)--> place client in [font=verdana-bold]sitting position(elevate
[font=verdana-bold]hob) first before any other implementation.
--> bedrest with extremities elevated 20 degrees, kneesstraight, head slightly
elevated (modified trendelenburg)
26. [font=verdana-bold]head injury
--> elevate hob 30 degrees to decrease intracranialpressure
27. [font=verdana-bold]peritoneal dialysis when outflowis inadequate
--> turn pt from side to side before
checking for kinks in tubing (according to kaplan)
28. [font=verdana-bold]lumbar puncture
=> after the procedure, the client should be placed inthe supine
position for 4 to 12 hrs as prescribed. (saunders 3rd ed p. 229)
demorol for pancreatitis, not morphine sulfate
[color=#4b0083]myasthenia gravis: worsens with exercise and improves with rest.
[color=#4b0083]myasthenia crisis: a positive reaction to tensilon--will improve[color=#008100]symptoms
[color=#4b0083]cholinergic crisis: caused by excessive medication-stopmed-giving tensilon will make it worse
[color=#008100]head injury [color=#4b0083]medication:mannitol (osmotic diuretic)-crystallizes at room temp so always use
[color=#4b0083]prior to a liver biospy its important to be aware of the labresult for prothrombin time
from the a** (diarrhea)= metabolic acidosis
from the mouth (vomitus)=metabolic alkalosis
:slowed physical and mental function, sensitivity to cold, dry skin
accelerated physical and mental function; sensitivity to
heat, fine/soft hair
increasedtemp, pulse and htn
semi-fowler’s,prevent ncek flexion/hyperextension, trach at bedside
cats– convulsions, arrhythmias, tetany, spasms, stridor (decreased
calcium), high ca, low phosphorus diet
:fatigue, muscle weakness, renal calculi, back and [color=#008100]joint pain (increased
calcium), low ca, high phosphorus diet
– incrasedtemp, rapid/weak pulse, increase [color=#008100]respiration, hypotension, anxiety,
urine specific gravity >1.030
– boundingpulse, sob, dyspnea, rares/crackles, peripheral [color=#008100]edema, htn, urine
specific gravity <1.010; semi-fowler’s
[font=verdana-bold]diabetes insipidus (decreased adh):
excessive urine output and thirst, dehydration,
weakness, administer pitressin
[font=verdana-bold]siadh (increased adh):
changein loc, decreased deep tendon reflexes, tachycardia, n/v/a,
ha; administer declomycin, diuretics
: muscleewakness, dysrhythmias, increase k (raisins, bananas, apricots, oranges,
beans, potatoes, carrots, celery)
murder –muscle weakness, urine (oliguria/anuria), respiratory depression,
decreased cardiac contractility, ecg changes, reflexes
: nausea,muscle cramps, increased icp, muscular twitching, convulsion; osmotic
increasedtemp, weakness, disorientation/delusions, hypotension, tachycardia;
cats –convulsions, arrhythmias, tetany, spasms and stridor
: muscleweakness, lack of coordination, abdominal pain, confusion, absent
tendon reflexes, sedative effect on cns
: tremors, tetany, seizures,dyrshythmias, depression, confusion, dysphagia; dig toxicity
depresses thecns, hypotension, facial flushing, muscle ewakness, absent deep
tendon reflexes, shallow respirations, emergency
: hypona,hyperk, hypoglycemia, dark pigmentation, decreased resistance to stress,
fractures, alopecia, [color=#008100]weightloss, gi distress
hyperna,hypok, hyperglycemia, prone to infection, muscle wasting, weakness,
edema, htn, hirsutism, moonface/buffalo hump
n/v,confusion, abdominal pain, extreme weakness, hypoglycemia,
dehydration, decreased bp
:hypersecretion of epi/norepi, persistent htn, increased hr,
hyperglycemia, diaphoresis, tremor, pounding ha; avoid stress,frequent bating and rest breaks,
avoid cold and stimulating foods, surgery to remove tumor
1. neuroleptic malignant [color=#008100]syndrome(nms):
-nms is like s&m;
-you get hot (hyperpyrexia)
-stiff (increased [color=#008100]muscle tone)
-bp, pulse, and [color=#008100]respirationsgo up &
-you start to drool
2. i kept forgetting which was dangerous when you're [color=#008100]pregnant; regularmeasles (rubeola), or
german measles (rubella), so remember:
-never get pregnant with a german (rubella)
3. when drawing up [color=#008100]regularinsulin & nph together, remember:
-rn (regular comes before nph)
4. tetralogy of fallot; remember hops
think drop(child drops to floor or squats) or posh
right ventricular hypertrophy
5. maoi's that are used as antidepressants:
weird way to remember, i know. pirates say arrrr, so think;pirates take maoi's when they're
- explanation; maoi's used for depression all have an arrr soundin the middle (parnate, marplan,
autonomic dysreflexia: potentially life threatening emergency
- elevate head of bed to 90 degree
- loosen constrictive clothing
- assess for bladder distention and bowel impaction (triger)
- administer antihypertensive meds (may cause stroke, mi, seisure)
[font=verdana-bold]easy way to remember maoi's!
[font=verdana-bold]think of panama!
[font=verdana-bold]pa - parnate
[font=verdana-bold]na - nardil
[font=verdana-bold]ma - marplan
metallic bitter taste.
digoxin-check pulse, less than 60 hold, check dig levels andpotassium levels.
amphojel: tx of gerd and kidney stones....watch out forcontipation.
vistaril: tx of anxiety and also itching...watch for dry mouth.given preop commonly
versed: given for conscious sedation...watch for resp depressionand hypotension
ptu and tapazole- prevention of thyroid storm
sinemet: tx of parkinson...sweat, saliva, urine may turn reddishbrown occassionally...causes
artane: tx of parkinson..sedative effect also
cogentin: tx of parkinson and extrapyramidal effects of otherdrugs
tigan: tx of postop n/v and for nausea associated withgastroenteritis
timolol (timoptic)-tx of gluacoma
bactrim: antibiotic..dont take if allergic to sulfadrugs...diarrhea common side effect...drink plenty
gout meds: probenecid (benemid), colchicine, allopurinol(zyloprim)
apresoline(hydralazine)-tx of htn or chf, report flu-like [color=#008100]symptoms, rise slowlyfrom sitting/lying
position; take with meals.
bentyl: tx of irritable bowel....assess for anticholinergic sideeffects.
calan (verapamil): calcium channel blocker: tx of htn,angina...assess for constipation
carafate: tx of duodenal ulcers..coats the ulcer...so take beforemeals.
theophylline: tx of asthma or [color=#008100]copd..therap drug level: 10-20
mucomyst is the antedote to tylenol and is administered orally
diamox: tx of glaucoma, high altitude sickness...dont take ifallergic to sulfa drugs
indocin: (nsaid) tx of [color=#008100]arthritis(osteo, rhematoid, gouty), bursitis,and tendonitis.
synthroid: tx of [color=#008100]hypothyroidism..may take several weeks to take effect...notify doctor ofchest
pain..take in the am on empty stomach..could causehyperthyroidism.
librium: tx of alcohol w/d...dont take alchol with this...very badnausea and vomiting can occur.
oncovin (vincristine): tx of leukemia..given iv only
kwell: tx of [color=#008100]scabies and lice...(scabies)apply lotion once and leave on for8-12 hours...(lice) use
the shampoo and leave on for 4 minutes with hair uncovered thenrinse with warm water and
comb with a fine tooth comb
premarin:tx after menopause estrogen replacement
dilantin: tx of seizures. thera drug level: 10-20
navane: tx of schizophrenia..assess for eps
ritalin: tx of adhd..assess for heart related side effects reportimmediately...child may need a
drug holiday b/c it stunts growth.
dopamine (intropine): tx of hypotension, shock, low cardiacoutput, poor perfusion to vital
organs...monitor ekg for arrhythmias, monitor bp
have trouble remembering fhr patterns in ob? think veal chop
v = variable decels; c = cord compression caused
e = early decels; h = head compression caused
a = accels; o = okay, not a problem!
l = late decels = placental insufficiency, can't fill
for cord compression, place the mother in the trendelenbergposition because this removes
pressure of the presenting part off the cord. (if her head isdown, the baby is no longer being
pulled out of hte body by gravity)
if the cord is prolapsed, cover it with sterile saline gauze toprevent drying of the cord and to
for late decels, turn the mother to her left side, to allow moreblood flow to the placenta.
for any kind of bad fetal [color=#008100]heartrate pattern, you give o2, often bymask...
when doing an epidural anesthesia hydration before hand is apriority.
hypotension and bradypnea / bradycardia are major risks andemergencies.
never check the monitor or a machine as a first action. alwaysassess the patient first; for
exmaple listen to the [color=#008100]fetalheart tones with a stethoscope innclex land. sometimes it's hard to
tell who to check on first, the mother or the baby; it's usuallyeasy to tell the right answer if the
mother or baby involves a machine. if you're not sure who to checkfirst, and one of the choices
involves the machine, that's the wrong answer.
if the baby is a posterior presentation, the sounds are heard atthe sides.
if the baby is anterior, the sounds are heard closer to midline,between teh umbilicus and where
you would listen to a posterior presentation.
if the baby is breech, the sounds are high up in the fundus nearthe umbilicus. if the baby is
vertex, they are a little bit above the symphysis pubis.
also for ventilator alarms
igh alarm- [font=verdana-bold]o
bstruction due to incr. secretions,kink, pt. coughs, gag or bites
ow press alarm- [font=verdana-bold]d
isconnection or leak in ventilatioror in pt. airway cuff, pt. stops spontaneous
1. to remember blood sugar:
hot and dry-sugar high (hyperglycemia)
cold and clammy-need some candy (hypoglycemia)
2. icp and shock have opposite v/s
icp-increased bp, decreased pulse, decreased resp.
shock- decreased bp, increased pulse, increased resp.
3. cor pulmonae: right sided heart failure caused by leftventricular failure (so pick [color=#008100]edema, jvd, if
it is a choice.)
4. herion withdrawal neonate: irratable poor sucking
5. jews: no meat and milk together
6. brachial pulse: pulse area cpr on an infant.
7. test child for lead poisioning around 12 months of age
8. bananas, potatoes, citrus fruits source of [color=#008100]potassium
11. cultures are obtained before starting iv antibiotics
12. a pt with leukemia may have epitaxis b/c of low platelets
13. best way to warm a newborn: skin to skin contact coveredwith a blanket on mom.
14. when a pt comes in and she is in active labor...nursefirst action is to listen to fetal heart
15. phobic disorders...use systematic desensitiztion.
1. when getting down to two answers, choose the assessment answer(assess,
collect, auscultate, monitor, palpate) over the interventionexcept in an
emergency or distress situation. if one answer has an absolute,discard it.
give priority to answers that deal directly to the patient’s body,not the
2. key words are very important. avoid answers with absolutes forexample:
always, never, must, etc.
3. with lower amputations patient is placed in prone position.
4. small frequent feedings are better than larger ones.
5. assessment, teaching, meds, evaluation, unstable patient cannotbe
delegated to an unlicensed assistive personnel.
6. lvn/lpn cannot handle blood.
7. amynoglycosides (like vancomycin) cause nephrotoxicity andototoxicity.
8. iv push should go over at least 2 minutes.
9. if the patient is not a child an answer with family option canbe ruled
10. in an emergency, patients with greater chance to live aretreated first
11. ards (fluids in alveoli), dic (disseminated intravascularcoagulaton)
are always secondary to something else (another disease process).
12. cardinal sign of ards is hypoxemia (low oxygen level intissues).
13. in ph regulation the 2 organs of concern are lungs/kidneys.
14. edema is in the interstitial space not in the cardiovascularspace.
15. weight is the best indicator of dehydration
16. wherever there is sugar (glucose) water follows.
17. aspirin can cause reye’s syndrome (encephalopathy) when givento
18. when aspirin is given once a day it acts as an antiplatelet.
19. use cold for acute pain (eg. sprain ankle) and heat forchronic (
20. guided imagery is great for chronic pain.
21. when patient is in distress, medication administration israrely a good
22. with pneumonia, fever and chills are usually present. for theelderly
confusion is often present.
23. always check for allergies before administering antibiotics(especially
pcn). make sure culture and sensitivity has been done before adm.first dose
24. cor pulmonale (s/s fluid overload) is right sided heart failurecaused
by pulmonary disease, occurs with bronchitis or emphysema.
25. copd is chronic, pneumonia is acute. emphysema and bronchitisare
26. in copd patients the baroreceptors that detect the co2 levelare
destroyed. therefore, o2 level must be low because high o2concentration
blows the patient’s stimulus for breathing.
27. exacerbation: acute, distress.
28. epi always given in tb syringe.
29. prednisone toxicity: cushing’s syndrome= buffalo hump, moonface, high
30. 4 options for cancer management: chemo, radiation, surgery,allow to
die with dignity.
31. no live vaccines, no fresh fruits, no flowers should be usedfor
32. chest tubes are placed in the pleural space.
33. angina (low oxygen to heart tissues) = no dead heart tissues.mi=
dead heart tissue present.
34. mevacor (anticholesterol med) must be given with evening mealif it is
qd (per day).
35. nitroglycerine is administered up to 3 times (every 5minutes). if
chest pain does not stop go to hospital. do not give when bp is< 90/60.
36. preload affects amount of blood that goes to the r ventricle.
afterload is the resistance the blood has to overcome when leavingthe heart.
37. calcium channel blocker affects the afterload.
38. for a cabg operation when the great saphenous vein is taken itis
turned inside out due to the valves that are inside.
39. unstable angina is not relieved by nitro.
40. dead tissues cannot have pvc’s(premature ventricularcontraction. if
left untreated pvc’s can lead to vf (ventricular fibrillation).
41. 1 t (teaspoon)= 5 ml
1 t(tablespoon)= 3 t = 15 ml
1 oz= 30 ml
1 cup= 8 oz
1 quart= 2 pints
1 pint= 2 cups
1 gr (grain)= 60 mg
1 g (gram)= 1000 mg
1 kg= 2.2 lbs
1 lb= 16 oz
* to convert centigrade to f. f= c+40, multiply 9/5 and substract40
* to convert fahrenheit to c. c= f+40, multiply 5/9 and substract40.
42. angiotensin ii in the lungs= potent vasodialator. aldosteroneattracts
43. reverse agents for toxicity
heparin= protamine sulfate
coumadin= vitamin k
digitoxin, digoxin= digibind.
alcohol withdraw= librium.
- methadone is an opioid analgesic used to detoxify/treat pain in
- [color=#008100]potassium potentiates dig toxicity.
44. heparin prevents platelet aggregation.
45. pt/ptt are elevated when patient is on coumadin
46. cardiac output decreases with dysrythmias. dopamine increasesbp.
47. med of choice for vtach is lidocaine
48. med of choice for svt is adenosine or adenocard
49. med of choice for asystole (no heart beat) is atropine
50. med of choice for chf is ace inhibitor.
51. med of choice for anaphylactic shock is epinephrine
52. med of choice for status epilepticus is valium.
53. med of choice for bipolar is lithium.
54. amiodorone is effective in both ventricular and atrialcomplications.
55. s3 sound is normal in chf, not normal in mi.
56. give carafate (gi med) before meals to coat stomach
57. protonix is given prophylactically to prevent stress ulcers.
58. after endoscopy check gag reflex.
59. tpn(total parenteral nutrition) given in subclavian line.
60. low residue diet means low fiver
61. diverticulitis (inflammation of the diverticulum in the colon)pain is
around ll quadrant.
62. appendicitis (inflammation of the appendix) pain is in rlquadrant with
63. portal hypotension + albuminemia= ascites.
64. beta cells of pancreas produce insulin
65. morphine is contraindicated in pancreatitis. it causes spasmof the
sphincter of oddi. therefore demerol should be given.
66. trousseau and tchovoski signs observed in hypocalcemia
67. with chronic pancreatitis, pancreatic enzymes are given withmeals.
68. never give k+ in iv push.
69. mineral corticoids are give in addison’s disease.
70. diabetic ketoacidosis (dka)= when body is breaking down fatinstead of
sugar for energy. fats leave ketones (acids) that cause ph todecrease.
71. dka is rare in diabetes mellitus type ii because there isenough
insulin to prevent breakdown of fats.
72. sign of fat embolism is petechiae. treated with heparin.
73. for knee replacement use continuous passive motion machine.
74. give prophylactic antibiotic therapy before any invasiveprocedure.
75. glaucoma patients lose peripheral vision. treated with meds
76. cataract= cloudy, blurry vision. treated by lensremoval-surgery
77. co2 causes vasoconstriction.
78. most [color=#008100]spinal cord injuries are at the cervical or lumbar regions
79. autonomic dysreflexia ( life threatening inhibited sympatheticresponse
of nervous system to a noxious stimulus- patients with spinal cordinjuries
at t-7 or above) is usually caused by a full bladder.
80. spinal shock occurs immediately after spinal injury
81. multiple sclerosis= myelin sheat destruction, disruption innerve
82. myasthenia gravis= decrease in receptor sites foracetylcholine. since
smallest concentration of acth receptors are in cranial nerves,expect fatigue
and weakness in eye, mastication, pharyngeal muscles.
83. tensilon test given if muscle is tense in myasthenia gravis.
84. guillain-barre syndrome= ascending paralysis. keep eye onrespiratory
85. parkinson’s = rat: rigidity, akinesia (loss of muscle mvt),tremors.
treat with levodopa.
86. tia (transient ischemic attack) mini stroke with no dead braintissue
87. cva (cerebrovascular accident) is with dead brain tissue.
88. hodgkin’s disease= cancer of lymph is very curable in earlystage.
89. rule of nines for burns
head and neck= 9%
each upper ext= 9%
each lower ext= 18%
front trunk= 18%
back trunk= 18%
genitalia= 1% ?
90. birth weight doubles by 6 month and triple by 1 year of age.
91. if hr is <100 do not give dig to children.
92. first sign of cystic fibrosis may be meconium ileus at birth.baby is
inconsolable, do not eat, not passing meconium.
93. heart defects. remember for cyanotic -3t’s( tof, truncysarteriosus,
transposition of the great vessels). prevent blood from going toheart. if
problem does not fix or cannot be corrected surgically, chf willoccur
following by death.
94. with r side cardiac cath=look for valve problems
95. with l side in adults look for coronary complications.
96. rheumatic fever can lead to cardiac valves malfunctions.
97. cerebral palsy = poor muscle control due to birth injuriesand/or
decrease oxygen to brain tissues.
98. icp (intracranial pressure) should be <2. measure headcirconference.
99. dilantin level (10-20). can cause gingival hyperplasia
100. for meningitis check for kernig’s/ brudzinski’s signs.
101. wilm’s tumor is usually encapsulated above the kidneyscausing flank
102. hemophilia is x-linked. mother passes disease to son.
103. when phenylalanine increases, brain problems occur.
104. buck’s traction= knee immobility
105. russell traction= femur or lower leg
106. dunlap traction= skeletal or skin
107. bryant’s traction= children <3y, <35 lbs with femur fx.
108. place apparatus first then place the weight when puttingtraction
109. placenta should be in upper part of uterus
110. eclampsia is seizure.
111. a patient with a vertical c-section surgery will more likelyhave
112. perform amniocentesis before 20 weeks gestation to check forcardiac
and pulmonary abnormalities.
113. rh- mothers receive rhogam to protect next baby.
114. anterior fontanelle closes by 18 months. posterior 6 to 8weeks.
115. caput succedaneum= diffuse edema of the [color=#008100]fetal scalp thatcrosses the
suture lines. swelling reabsorbs within 1 to 3 days.
116. pathological jaundice= occurs before 24hrs and last7 days.
physiological jaundice occurs after 24 hours.
117. placenta previa = there is no pain, there is bleeding.placenta
abruption = pain, but no bleeding.
118. bethamethasone (celestone)=surfactant. med for lungexpansion.
119. dystocia= baby cannot make it down to canal
120. pitocin med used for uterine stimulation
121. magnesium sulfate(used to halt preterm labor) iscontraindicated if
deep tendon reflexes are ineffective. if patient experiencesseizure during
magnesium adm. get the baby out stat (emergency).
122. do not use why or i understand statement when dealing withpatients
123. milieu therapy= taking care of patient/environment
124. cognitive therapy= counseling
125. crisis intervention=short term.
126. five interventions for psych patients
-establish trusting relationship
-leas restrictive methods/environment.
126. ssri’s (antidepressants) take about 3 weeks to work.
127. obsession is to thought. compulsion is to action
128. if patients have hallucinations redirect them. in delusionsdistract
129. thorazine, haldol (antipsychotic) can lead to eps(extrapyramidal side
130. alzheimer’s disease is a chronic, progressive, degenerativecognitive
disorder that accounts for more than 60% of all dementias
1. to remember how to draw up insulin think:
(a teacher taught us this is school, thought it was
funny and never forgot it!!!)
air into nph, then air into regular, draw up regular then draw upnph
2. hyperthyroidism think of [font=verdana-bold]michaeljackson in thriller
[font=verdana-bold]skinny, nervous, buldging eyes
, up all night, heart beating fast
atropine used to decrease secretions
phenergan an antiemetic used to reduce nausea
[color=#008100]diazepam is a commonly used tranquilizer givento reduce anxiety before or
demerol is for pain control
do not give demerol to pts. with sickle cell crisis.
iron injections should be given z-track so they don't leak into sqtissues.
or [font=verdana-bold]ape t
: *i am sorryif this vulgar for some, but hey, it sticks
sensory=s motor=m both=b
oh (olfactory i) some
oh (optic ii) say
oh (oculomotor iii) marry
to (trochlear iv) money
touch (trigeminal v) but
and (abducens vi) my
feel (facial vii) brother
a (auditory viii) says
girls (glossopharyngeal ix) big
vagina (vagus x) bras
and (accessory xi) matter
hymen (hypoglassal xii) more
[font=verdana-bold]hyper natremia (greater than 145)
ow grade fever
2-3 months: turns head side to side
4-5 months: grasps, switch & roll
6-7 months: sit at 6 and waves bye-bye
8-9 months: stands [font=verdana-bold]straight
10-11 months: belly to butt (phrase has 10 letters)
12-13 months: twelve and [font=verdana-bold]up
, drink from a [font=verdana-bold]cup
hepatitis: -ends in a [font=verdana-bold]vowel
, comes from the [font=verdana-bold]bowel
hepatitis b=blood and bodily fluids
hepatitis c is just like b
measures [font=verdana-bold]hr,rr,muscle tone, reflexes,skin color
each 0-2 point. 8-10 ok. 0-3 resuscitate.
[font=verdana-bold]glasgow coma scale. eyes, verbal,motor!
it is similar to measuring dating skills...[font=verdana-bold]max 15 points
-one can do it
if [font=verdana-bold]below 8
you are in [font=verdana-bold]coma.
so, to start dating you gotta [font=verdana-bold]open
your [font=verdana-bold]eyes first
, if you albeto do
that spontaneously and use them correctly to see whom you datingyou earn 4. but if she has to
scream on you to make you
open them it is only 3....and 1 you dont care to open even if shetries to hurt you.
if you get good eye contact (4 points) then move to [font=verdana-bold]verbal.
talk to her/ him! if you can do that you are really oriented in
situation she/he uncontiously gives you 4 points! if you like hertry not to be confused (3), and
of cause do not use
inappropriate words (3), she will not like it)), try not torespond with incomprehensible
sounds (2), if you do not like herjust
show no verbal response(1)
since you've got eye and verbal contact you can [font=verdana-bold]move
now using your motor response points.
this is very important since good moves give you 6!
the person who hyperventilates is most likely to experiencerespiratory alkalosis.
avoid salt substitutes when taken dig and k-supplements becausemany are potassium based
[color=#483d8c]signs of hypoxia: restless, anxious, cyanotic tachycardia,increased resps. (also monitor abg's)
[color=#008100]addison's disease [color=#483d8c](needto [color=#483d8c][font=verdana-bold]"add"
[color=#483d8c]cushing's syndrome (have extra [color=#483d8c][font=verdana-bold]"cushion"
[color=#483d8c]dumping syndrome: increase fat and protein, small frequentmeals, lie down after meal to
[color=#483d8c]decrease peristalsis, wait 1 hr after meals to drink.