Med surge Hesi key point both semesters
Med surge
Hesi: 1-
Math
2- Dash diet: Es una dieta que se utiliza para combatir el High Blood Pressure, esta basada en comer
sumamente sano como, low fat, sodium and magnesium, high fiber.
3- Esophageal Varice Diet: Esophageal varices are swollen veins in the esophagus that are at risk of
rupturing.Is usually related to an increase in pressure on the veins that deliver blood to the liver, also
known as portal hypertension, and is caused by cirrhosis of the liver. Soft diet for this pte include, well
done meat, dice fruit, yogurt, bananas, applea juice, vegetables, ice tea and low fat milk.
4- Hemodialysis Low BP: Process for remove wastes, such as urea, from the blood. Restore the proper
balance of electrolytes in the blood. Eliminate extra fluid from the body. Esto se debe al irreversible
damage to the glomeruli and nephrons, resulting in uremia. Must auscultate bruit and palpate the thrill
before. Withhold hypertension meds, give insulin, takes vitals and record weight before. Risk for
Hypotension and disequilibrium, S/S: peripheral paresthesia, nauseas and vomiting. (qst on the test:
ans: Elevate the feet and low head of the bed)
5- Math
6- Colon Cancer-Intestinal Polyps (geriatrics): Evaluar al pte si ha tenido el o algun familiar cancer en
algun otra area del cuerpo, ulcerative colitis, Crohn disease, polyps, or adenomas, tambien si usa
tabaco or alcholo, si hay algun vomito o cambio en los bowels habits, como constipation, or change in
the shape of stools, or blood, ask for any fatigue, anemia, unintentional weight loss, Risk factor mas
communes rectal bleeding, anemia, change in the stool, hemoglobin and hematocrit are low labs.
Exames para detectarlo FOBT, Barium enema, Colonoscopy.
7- Shingles- chronic pain: Causado por Varicella Zoster reactivation, este virus se mantieneen el dorsal
root ganglio of sensory nerve. Evaluar por multiple lesion in segments distribution, esto aparece dias
despues de sentirse con general malaise, fever, varia de minor irritation and itching discomfort, to deep
pain (severe neurolagia) . Is commun complication in older adult. It is contagiosa en personas que han
tenido chicken pox anteriormente, mantener airbone and contact precaution. Possible complications,
necrosis, Bell ’s palsy, eye infection. TTo: Antiviral medicines, such as acyclovir, famciclovir, or
valacyclovir, to reduce the pain and the duration of shingle. OTC meds acetaminophen or ibuprofen, to
help reduce pain during an attack of shingles.
8- ACS-unrelieved chest pain: Acute Coronary Syndrome: = Acute myocardial infarction, evaluar labs
de proteins and enzymas, troponin, creatinine, kinase and myoglobin. S/S: nauseas, diaphoresis,
dysrhythmias, fatigue, palpitation, dizziness, SOB. Obtener Cardiac marker at bedside Se observa T
wave inversions en el EKG, dentro de esto esta la Angina Unstable: chest pain at rest, Med Calcium
Channel bloquers, Dialtezem), variant: es donde unico aparece T wave en la telemetria: Med:
Nitroglycerin procedure, if pte not relieve pain apply aspirin 325 antiplatelet drugs, and call 911.
Teaching, avoid extremes temperature, avoid pain, and rest.
This study source was downloaded by 100000832558064 from CourseHero.com on 03-09-2022 20:19:12 GMT -06:00
https://www.coursehero.com/file/22892283/Med-surge-Hesi-key-point-both-semesters/
, Med surge Hesi key point both semesters
9- Heart failure labs value: condition in which the heart is unable to pump effectively the volume of
blood that is presented to it. Assess for Tachypnea, SOB, tachycardia, cyanosis, Wheezzing,
pulmonary congestion, edema, weight gain, hematomegaly, Intervetions, monitorias VS, and report
any sing of increasing distress, respiratory functioning, elevate head of bed, ADM O2 therapy, Digoxin
and
This study source was downloaded by 100000832558064 from CourseHero.com on 03-09-2022 20:19:12 GMT -06:00
https://www.coursehero.com/file/22892283/Med-surge-Hesi-key-point-both-semesters/
Med surge
Hesi: 1-
Math
2- Dash diet: Es una dieta que se utiliza para combatir el High Blood Pressure, esta basada en comer
sumamente sano como, low fat, sodium and magnesium, high fiber.
3- Esophageal Varice Diet: Esophageal varices are swollen veins in the esophagus that are at risk of
rupturing.Is usually related to an increase in pressure on the veins that deliver blood to the liver, also
known as portal hypertension, and is caused by cirrhosis of the liver. Soft diet for this pte include, well
done meat, dice fruit, yogurt, bananas, applea juice, vegetables, ice tea and low fat milk.
4- Hemodialysis Low BP: Process for remove wastes, such as urea, from the blood. Restore the proper
balance of electrolytes in the blood. Eliminate extra fluid from the body. Esto se debe al irreversible
damage to the glomeruli and nephrons, resulting in uremia. Must auscultate bruit and palpate the thrill
before. Withhold hypertension meds, give insulin, takes vitals and record weight before. Risk for
Hypotension and disequilibrium, S/S: peripheral paresthesia, nauseas and vomiting. (qst on the test:
ans: Elevate the feet and low head of the bed)
5- Math
6- Colon Cancer-Intestinal Polyps (geriatrics): Evaluar al pte si ha tenido el o algun familiar cancer en
algun otra area del cuerpo, ulcerative colitis, Crohn disease, polyps, or adenomas, tambien si usa
tabaco or alcholo, si hay algun vomito o cambio en los bowels habits, como constipation, or change in
the shape of stools, or blood, ask for any fatigue, anemia, unintentional weight loss, Risk factor mas
communes rectal bleeding, anemia, change in the stool, hemoglobin and hematocrit are low labs.
Exames para detectarlo FOBT, Barium enema, Colonoscopy.
7- Shingles- chronic pain: Causado por Varicella Zoster reactivation, este virus se mantieneen el dorsal
root ganglio of sensory nerve. Evaluar por multiple lesion in segments distribution, esto aparece dias
despues de sentirse con general malaise, fever, varia de minor irritation and itching discomfort, to deep
pain (severe neurolagia) . Is commun complication in older adult. It is contagiosa en personas que han
tenido chicken pox anteriormente, mantener airbone and contact precaution. Possible complications,
necrosis, Bell ’s palsy, eye infection. TTo: Antiviral medicines, such as acyclovir, famciclovir, or
valacyclovir, to reduce the pain and the duration of shingle. OTC meds acetaminophen or ibuprofen, to
help reduce pain during an attack of shingles.
8- ACS-unrelieved chest pain: Acute Coronary Syndrome: = Acute myocardial infarction, evaluar labs
de proteins and enzymas, troponin, creatinine, kinase and myoglobin. S/S: nauseas, diaphoresis,
dysrhythmias, fatigue, palpitation, dizziness, SOB. Obtener Cardiac marker at bedside Se observa T
wave inversions en el EKG, dentro de esto esta la Angina Unstable: chest pain at rest, Med Calcium
Channel bloquers, Dialtezem), variant: es donde unico aparece T wave en la telemetria: Med:
Nitroglycerin procedure, if pte not relieve pain apply aspirin 325 antiplatelet drugs, and call 911.
Teaching, avoid extremes temperature, avoid pain, and rest.
This study source was downloaded by 100000832558064 from CourseHero.com on 03-09-2022 20:19:12 GMT -06:00
https://www.coursehero.com/file/22892283/Med-surge-Hesi-key-point-both-semesters/
, Med surge Hesi key point both semesters
9- Heart failure labs value: condition in which the heart is unable to pump effectively the volume of
blood that is presented to it. Assess for Tachypnea, SOB, tachycardia, cyanosis, Wheezzing,
pulmonary congestion, edema, weight gain, hematomegaly, Intervetions, monitorias VS, and report
any sing of increasing distress, respiratory functioning, elevate head of bed, ADM O2 therapy, Digoxin
and
This study source was downloaded by 100000832558064 from CourseHero.com on 03-09-2022 20:19:12 GMT -06:00
https://www.coursehero.com/file/22892283/Med-surge-Hesi-key-point-both-semesters/
