front 1 Nitroglycerin | back 1 Causes Vasodilation, Decreases BP, Must wear gloves when administering patch. Can give sublingual, patch, IV |
front 2 Nitroglycerin | back 2 Can give a total of 3 times, 5 mins apart, if not effective call 911. |
front 3 CAD Non Modifiable risk factors | back 3 Age, genetics, family history, ethnicity |
front 4 CAD modifiable Risk factors | back 4 smoking, diet, exercise, high serum lipids, high BP, obesity, diabetes, metabolic syndrome. |
front 5 Morphine | back 5 can be given for pain or vasodilation. Monitor for decrease in heart rate, BP. |
front 6 Morphine in CAD | back 6 Decrease preload, decreases work of breathing, decreases anxiety. |
front 7 High cholesterol = | back 7 Increased cholesterol plaque build up in arteries increasing cardiac risk. |
front 8 Mitral valve prolapse | back 8 Leaky heart valve or an abnormality of mitral valve leaflets and papillary muscles or chordae that allow the leaflets to prolapse or buckle back into the left atrium during systole. |
front 9 What to avoid with mitral valve prolapse | back 9 Be careful with any OTC stimulants, energy drinks/caffiene until healthcare provider approves. Check ingredients of other meds to ensure no stimulants due to palpitations. |
front 10 What are the signs of PAD | back 10 Lower extremity coldness or discoloration, weak or absent pulses, thick toenails |
front 11 PAD/PVD teaching | back 11 teach on smoking cessation and diet ( reduce sodium, follow DASH diet) ,Diabetes, lipid management, exercise. |
front 12 Diagnostic test for PAD | back 12 Doppler studies for pulses |
front 13 What to teach on for HTN | back 13 Make lifestyle changes such as diet and exercise, manage BP, cholesterol, blood sugar, lose weight, stop smoking |
front 14 Caregiver teaching with HTN | back 14 Who cooks and shops so we can educate them on dietary mods. DASH diet ( low sodium) |
front 15 Gestational HTN | back 15 Not pre-existing check BP every visit to get a baseline. S/S of swelling, vision changes, epigastric pain, convulsions ( worsening) |
front 16 CHF S/S | back 16 Increased RR, increased effort to breathe, HTN, Tachycardia |
front 17 Taking care of pt with CHF | back 17 Have pt sit up in bed high fowlers if showing signs of dyspnea. Record daily weights and I&O. |
front 18 Monitoring pts on Digoxin | back 18 Monitor heart rate, pulse, BP if too low hold acall MD. Mointor esp in pt with decreased renal fucntion due to DIG TOX ( hypokalemia) |
front 19 Range for Digoxin | back 19 Normal range 0.8-1.5 |
front 20 Propanolol monitoring | back 20 Check vitals before and medication administration, if heart rate is below 60 hold and call MD. |
front 21 Bowel obstruction via mechanical obstruction | back 21 Surgical adhesions, hernia, CA, strictures from Crohn's, colorectal CA from diverticular dis. |
front 22 Bowel obstruction via non mechanical obstructions | back 22 occurs with reduced or absent peristalsis such as parlytic ileus, pancreatitis, electrolyte imbalance etc.. |
front 23 Care for someone with suspected bowel obstruction | back 23 No enemas, no laxatives, NPO |
front 24 Complete bowel obstruction surgical intervention | back 24 requires surgical removal or laparatomy, post op watch for drainage or hemorrhage, assess vitals esp for decrease in BP, wound , distention, and bowel sounds. |
front 25 Divertiulosis sumptoms | back 25 no symptoms or abdominal pain, boating, gas, and changes in bowel habits, may need to medicate |
front 26 Divertulitis symptoms | back 26 acute pain in left lower quad, distention, decreased or absetn bowel sounds, nausea, vomiting, systemic systems of infection, abodominal tenderness. |
front 27 Diverticultis treatments | back 27 NPO, let colon rest, IV hydration, ABT |
front 28 Neurogenic bladder teaching | back 28 teach pt how to self cath |
front 29 Taking care of pt with neurogenic bladder | back 29 Ask about voiding pattern, do not take over care you need to involve the pt. what kind of home routine do they have. |
front 30 DM type 1 | back 30 Destruction of beta cells and complete lack of insulin believed to be auto immune. |
front 31 DM type 1 symtpoms | back 31 Polyuria, polydipsia, polyphagia and weight loss may occur |
front 32 DM type 2 manifestations | back 32 fatigue, recurrent infections, prolonged wound healing, vision problems. |
front 33 Type 2 diabetes | back 33 Insulin is produced but cannot exert itself on cells bc of deficiency of insulin receptors on the cell membrane. |
front 34 Type 2 diabetes treatment | back 34 use of metformin and monitor BUN, Creatine, GFR |
front 35 Rapid acting insulin | back 35 Aspart, lispro , |
front 36 When should rapid acting insulin be given | back 36 with meals due to O=15 P= 60-90 D=3-4 |
front 37 When should you give short acting or regular insulin | back 37 ( Humilin R, Novolin R)Give as sliding scale O=30-1 P = 2-3 D=3-6 |
front 38 Prednisone | back 38 is a corticosteroid that can effect the blood sugar, you may have to give insulin |
front 39 Gestational diabetes test | back 39 Glucose challenge test, glucose tolerance test, and oral glucose test |
front 40 Increased TSH production | back 40 Hypothyroidism |
front 41 Medication given for hypothyroidism | back 41 Levothryoxine |
front 42 If you have increased levels of T4 what should you do | back 42 Call MD to possibly adjust dose due to med not effective |
front 43 What does low TSH indicate | back 43 Hyperthyroidism |
front 44 What to avoid in hyperthyroidism | back 44 do not deeply palpate it could cause a thyroid storm |
front 45 Hyerthyroidsim | back 45 normal to high vitals signs and thyroid storm causing hyperpyrexia and tachycardia |
front 46 Hypothyroidism | back 46 Nomral to low vital signs and intolerance to cold |
front 47 Throidectomy post op care | back 47 Support head and neck, raise bed to semi fowlers, assess for drainage under neck and shoulders and behind neck. |
front 48 Throid storm complications | back 48 hyperpyrexia, tachycardia, agitated or confused, sick, change in LOC, High BP, jaundice |