MEDICAL SURGICAL NURSING
QUESTIONS AND ANSWERS GOOD FOR
REVISION
What is the long term effect of corticos steroids?
immunosuppressant
Hodgkin's Disease can cause? fever, malaise and
night sweats
In a newly placed tracheostomy, what actions requires
intervention?
Deflating the tracheostomy cuff for3 mins. before initiating
suction
DOC for juvenille rheumatoid arthritis
Acetylsalicylic Acid ( Aspirin)
A patient with ATRIAL FIBRILLATION is prescribed
WARFARIN ( coumadin) because?
Afib is at risk for thrombus formation, warfarin helps to
prevent the clot ( anticoagulant)
Pre- op teaching lumpectomy
The suspicious area and some normal surrounding tissue
will be removed
Management in stomatitis after radiation therapy?
used ICE COLD liquids to relieve discomfort
Liver enzymes
• ALT/SGPT
• AST/SGOT
Pancreatic enzymes
,• Amylase ( carbohydrates)
• Lipase ( fats)
• Trypsin ( protein)
What to removed from environment during oxygen
therapy?
friction wheel chair
Patient has kussmaul's breathing and acetone
breath,what isthe diagnosis?
DKA- diabetic ketoacidosis
Normal Fasting blood sugar?
70-100 mg/dL
main injection site for insulin
abdomen
rotate insulin to prevent
lipodystrophy
DM: do not use same site for 2-3 weeks and distance
must be
1- 1.5 inches
Storage of insulin
-Avoid heat and freezing (alters molecular structure and
makes it less effective)
-Store needles upward to avoid clumping of medication in
the needle
-Gentle roll syringe in your hands to warm it before giving
Lispro (humalog), Aspart ( Novolog), and Glusine are
examples of
Rapid Insulin
Short acting insulin
Regular (Humulin R, Novolin R)
intermediate insulin
NPH (Humulin N, Novolin N)
, long acting insulin
Detemir, Glargine, Deglutec
onset of rapid insulin
15-30 minutes
peak of rapid acting insulin
1 hour
onset of short acting insulin
30-60 minutes
peak of short acting insulin
2-4 hrs
intermediate insulin onset
1-2 hours
peak of intermediate insulin
8-12 hours
onset of long acting insulin
1 hour
peak of long acting insulin
none
Summogyl effect
S so much man made insulin
Dawn phenomenon
D Down natural insulin
Oral Hypoglycemic Agent taken with_____ to avoid GI
irritation and hypoglycemia
meals
Diabetic Insipidus drug of choice
pitressin ( vasopressin)
Myxedema coma
extreme hypothyroidism(abrupt med cessation), rare with
a high mortality rate = decreased cardiac output leads to
QUESTIONS AND ANSWERS GOOD FOR
REVISION
What is the long term effect of corticos steroids?
immunosuppressant
Hodgkin's Disease can cause? fever, malaise and
night sweats
In a newly placed tracheostomy, what actions requires
intervention?
Deflating the tracheostomy cuff for3 mins. before initiating
suction
DOC for juvenille rheumatoid arthritis
Acetylsalicylic Acid ( Aspirin)
A patient with ATRIAL FIBRILLATION is prescribed
WARFARIN ( coumadin) because?
Afib is at risk for thrombus formation, warfarin helps to
prevent the clot ( anticoagulant)
Pre- op teaching lumpectomy
The suspicious area and some normal surrounding tissue
will be removed
Management in stomatitis after radiation therapy?
used ICE COLD liquids to relieve discomfort
Liver enzymes
• ALT/SGPT
• AST/SGOT
Pancreatic enzymes
,• Amylase ( carbohydrates)
• Lipase ( fats)
• Trypsin ( protein)
What to removed from environment during oxygen
therapy?
friction wheel chair
Patient has kussmaul's breathing and acetone
breath,what isthe diagnosis?
DKA- diabetic ketoacidosis
Normal Fasting blood sugar?
70-100 mg/dL
main injection site for insulin
abdomen
rotate insulin to prevent
lipodystrophy
DM: do not use same site for 2-3 weeks and distance
must be
1- 1.5 inches
Storage of insulin
-Avoid heat and freezing (alters molecular structure and
makes it less effective)
-Store needles upward to avoid clumping of medication in
the needle
-Gentle roll syringe in your hands to warm it before giving
Lispro (humalog), Aspart ( Novolog), and Glusine are
examples of
Rapid Insulin
Short acting insulin
Regular (Humulin R, Novolin R)
intermediate insulin
NPH (Humulin N, Novolin N)
, long acting insulin
Detemir, Glargine, Deglutec
onset of rapid insulin
15-30 minutes
peak of rapid acting insulin
1 hour
onset of short acting insulin
30-60 minutes
peak of short acting insulin
2-4 hrs
intermediate insulin onset
1-2 hours
peak of intermediate insulin
8-12 hours
onset of long acting insulin
1 hour
peak of long acting insulin
none
Summogyl effect
S so much man made insulin
Dawn phenomenon
D Down natural insulin
Oral Hypoglycemic Agent taken with_____ to avoid GI
irritation and hypoglycemia
meals
Diabetic Insipidus drug of choice
pitressin ( vasopressin)
Myxedema coma
extreme hypothyroidism(abrupt med cessation), rare with
a high mortality rate = decreased cardiac output leads to
