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ABDOMINAL AORTIC
ANEURISM APGAR
ANTI-TB DRUGS & SIDE SCORING
EFFECTS “RIPES” "APGAR"
Rifampicin – red-orange Appearance: cyanosis--peripheral, central,
urine Isoniazid – peripheral none Pulse: pulse rate
neuritis Pyrazinamide – Grimace: response to stimulation
increase uric acid Activity: movement of the baby (muscle tone)
Ethambutol – eye problems Respiration: respiratory rate
Streptomycin – ototoxic APPENDICITIS -
ASSESSMENT “PAINS”
Pain (RLQ) - pain in RLQ of
abdomen Anorexia - loss of
appetite
Increased temperature, WBC (15,000-
20,000) Nausea
Signs (McBurney's,
Psoas) ARTERIAL
BLOOD GASES
1. look at pH:
Low pH =
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acidosis trauma Infection
High pH = Arterial vascular
alkalosis disease ASTHMA
2. use “ROME” mnemonic (to MANAGEMENT
determine if its respiratory or "ASTHMA"
metabolic): Adrenergics
Respiratory – (Albuterol) Steroids
Opposite Theophyllin
Metabolic – e Hydration
Equal (IV) Mask
ASSESSING CHANGES IN (Oxygen)
BEHAVIOR "DEMENTIA" Antibiotics
Drug and ASTHMA - MANAGEMENT
alcohol Asthma is a spasm of the airways, which
Eyes and causes difficulty breathing.
ears “ASTHMA”
Metabolic and endocrine Adrenergic
disorders Emotional (Albuterol)
disorders Steroids
Neurologic Theophylline
disorders
Tumors and
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Hydration caffeine) ATRIOVENTRICULAR VALVES
(IV) Mask "LAB RAT"
(Oxygen) Left Atrium: Bicuspid
Antibiotics Right Atrium:
ATRIAL FIBRILLATION – NEW ONSET Tricuspid ATROPINE
CAUSES “THE ATRIAL FIBS” "A goes with B"
Thyroid Atropine used to treat bradycardia.
Hypothermi
a Embolism BENNER'S MODEL
(PE) Alcohol N - Nickerr's - easy to remember b/c it
Trauma (cardiac rhymes with Benner's Novice – strictly able
contusion) Recent to focus on learning the rules, onset of
surgery (post CABG) education
Ischemia A - and - "ad"vanced beginners – distinguish
Atrial abnormal findings but cannot readily
enlargement understand significance
Lone or C - Comp - Competent – able to handle their
idiopathic pt. load and prioritize situation
Fever, anemia, high-output P - Planetary – big picture is the key
states Infarct word - Proficiency
Bad valves (mitral stenosis) E - Experts – Leader/ role model not every
Stimulants (cocaine, theo, amphet, nurse becomes one.
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BETA 1 AND BETA 2 B1 Blocks the heart (only have ONE
Beta 1 adrenergic receptors are mostly heart) B2 Blocks the lungs (have
found in the heart. Beta 2 adrenergic TWO lungs) BETA BLOCKER
receptors are found in lungs, GI tract, CONTRAINDICATIONS "ABCDE"
vascular smooth muscle, skeletal muscle, Asthma
liver. Beta 1 beta blockers act primarily on Block (heart
the heart. Beta 2 beta blockers act primarily block) COPD
on the lungs. Diabetes mellitus
Beta 1: heart Electrolyte
Beta 2: lungs - You have one heart and two (hyperkalemia) BETA
lungs BETA BLOCKERS BLOCKERS
"You have 1 heart and 2
lungs" Beta-1 act
primarily on heart Beta-2
act primarily on lungs
BLEEDING PRECAUTIONS
“RANDI”
R- Razor
Electric/Blades A-
Aspirin
N- No needles (esp. in small
gauge) D- Do decrease in
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