Med Surg 242 Exam 4 Review!
Phantom pain? - ANS gabapentin
Raynaud's phenomenon? - ANS *Avoid Caffeine*
Beurger's Disease? - ANS Quit Smoking
BKA (amputation)? - ANS *push stump down towards bed to prepare for prosthesis
prone position multiple times daily
Hypertensive crisis? - ANS dyspnea
severe headache
blurred vision
Peripheral Arterial Disease Pt teaching? - ANS Avoid crossing legs
Varicose Veins/venous insufficiency? - ANS Low impact exercise (#4)
peripheral arterial disease complications? - ANS intermittent claudication - pain w/walking
(Pain goes away when pt sits down)
Lifestyle interventions for osteoporosis? - ANS supplements
Vit d/calcium
Exercise
Causes of osteomyelitis? - ANS Animal Bite
S/S of osteomyelitis? - ANS fever over 101 degrees
swelling
constant bone pain in one area
ESR lab value elevation
fracture complications? - ANS Fat embolism which leads to
change in breathing pattern (low O2)
confusion/SOB
*Petechiae* (late sign)
rheumatoid arthritis sign? - ANS ulnar deviation (late sign)
Hip fracture post-op? - ANS don't flex leg beyond 90 degrees
wedge pillow
, give heparin/coumadin (anticoagulant)
circulation/movement/sensation (Neuro)
Total hip arthroplasty? - ANS keep heels offloaded
get patient OOB asap!
S/S of DVT? - ANS swelling/warmth
redness in calf
(always check both limbs)
Fractures? - ANS always check distal pulses on whichever limp was operated on
Fat embolism? - ANS happens in fractures of large bones
(hip/pelvis/femur)
Fracture complication (Acute Compartment Syndrome)? - ANS paresthesia/pain (early)
paralysis/pulselessness (late)
report pain not relieved by meds & loosen dressing prepare for fasciotomy
Lumbar Puncture post care? for MS! - ANS bedrest remain flat
encourage fluids
monitor nausea
frequently check LOC/peripheral pulses
Phenytoin seizure med Pt education? - ANS don't give coumadin or warfarin with this med
Migraine Headache if taking Sumatriptan? - ANS don't give to pt's with history of hypertension
use birth control
don't take with antidepressants (SSRI's)
multiple sclerosis? - ANS ask pt about vision/mobility/sensory changes
Parkinson's Disease? - ANS fall/aspiration precautions
Parkinson's S/S? - ANS bradykinesia/resting tremors/rigidity
pinrolling of fingers/can't sleep
Parkinson's Meds? - ANS Senamed can cause hypotension
benztropine for tremors
Seizure? - ANS loosen tight clothing
time the seizure
Seizure Meds? - ANS benzodiazepines
Phantom pain? - ANS gabapentin
Raynaud's phenomenon? - ANS *Avoid Caffeine*
Beurger's Disease? - ANS Quit Smoking
BKA (amputation)? - ANS *push stump down towards bed to prepare for prosthesis
prone position multiple times daily
Hypertensive crisis? - ANS dyspnea
severe headache
blurred vision
Peripheral Arterial Disease Pt teaching? - ANS Avoid crossing legs
Varicose Veins/venous insufficiency? - ANS Low impact exercise (#4)
peripheral arterial disease complications? - ANS intermittent claudication - pain w/walking
(Pain goes away when pt sits down)
Lifestyle interventions for osteoporosis? - ANS supplements
Vit d/calcium
Exercise
Causes of osteomyelitis? - ANS Animal Bite
S/S of osteomyelitis? - ANS fever over 101 degrees
swelling
constant bone pain in one area
ESR lab value elevation
fracture complications? - ANS Fat embolism which leads to
change in breathing pattern (low O2)
confusion/SOB
*Petechiae* (late sign)
rheumatoid arthritis sign? - ANS ulnar deviation (late sign)
Hip fracture post-op? - ANS don't flex leg beyond 90 degrees
wedge pillow
, give heparin/coumadin (anticoagulant)
circulation/movement/sensation (Neuro)
Total hip arthroplasty? - ANS keep heels offloaded
get patient OOB asap!
S/S of DVT? - ANS swelling/warmth
redness in calf
(always check both limbs)
Fractures? - ANS always check distal pulses on whichever limp was operated on
Fat embolism? - ANS happens in fractures of large bones
(hip/pelvis/femur)
Fracture complication (Acute Compartment Syndrome)? - ANS paresthesia/pain (early)
paralysis/pulselessness (late)
report pain not relieved by meds & loosen dressing prepare for fasciotomy
Lumbar Puncture post care? for MS! - ANS bedrest remain flat
encourage fluids
monitor nausea
frequently check LOC/peripheral pulses
Phenytoin seizure med Pt education? - ANS don't give coumadin or warfarin with this med
Migraine Headache if taking Sumatriptan? - ANS don't give to pt's with history of hypertension
use birth control
don't take with antidepressants (SSRI's)
multiple sclerosis? - ANS ask pt about vision/mobility/sensory changes
Parkinson's Disease? - ANS fall/aspiration precautions
Parkinson's S/S? - ANS bradykinesia/resting tremors/rigidity
pinrolling of fingers/can't sleep
Parkinson's Meds? - ANS Senamed can cause hypotension
benztropine for tremors
Seizure? - ANS loosen tight clothing
time the seizure
Seizure Meds? - ANS benzodiazepines
