NSG 4100 EXAM 1 QUESTIONS AND ANSWERS A+
GRADED. Buy Quality Materials!
what type of antacid to avoid with ESRD
AVOID magnesium based antacids to prevent mag toxicity
Recommended foods for ESRD
-apples, berries, grapes, peaches, & cabbage
-Must be lean protein (dairy products, eggs, meats)
What meds not to give on day of dialysis
Digoxin, Dobutamine
What meds to take for Metabolic Acidosis
If symptoms are present, give Pt Sodium Bicarbonate or Dialysis
Examples of when to use CRRT
Pt's who are too hemodynamically UNSTABLE
-Septic Pt's, hemorrhaging
Blood flow rate of hemodialysis
> 200 ml/hr
Blood flow rate for CRRT
< 200 ml/hr
Which type of antibiotic do we not give ESRD Pt's?
We do NOT give gentamicin (hard on kidneys)
RF for bladder cancer
older white men > 55
smoking
exposure
CM of bladder cancer
early: painless hematuria
late: flank pain (metastasis)
complications: UTI
bladder cancer diagnostic test
Cystoscopy and biopsy
urinary diversion
Pathology of pancreatitis
, The pancreatic duct becomes temporarily obstructed
Enzymes enter the bile duct -> activated & together with bile -> Reflux into pancreatic
duct
etiology of pancreatitis
alcoholism, cholelithiasis, peptic ulcers, trauma, hyperlipidemia
diagnostic tests for pancreatitis
WBC > 16,000 mm3
Serum glucose
Serum amylase
Lipase
Within 48 hours of hospital admission, FALL in HCT >10%
Diagnostic tests for acute pancreatitis
Serum lipase (rises within 24 hours of the onset of symptoms)
Remains elevated for several days
Amylase (rises within 24 hours of onset of symptoms)
CT = GOLD STANDARD
Risk factors for pancreatic cancer
Cigarette smoking
Obesity
Exposure to chemicals
High fat diet & red, processed meats
Diabetes
diagnostic tests for pancreatic cancer
CT with contrast to localize, if unable to with CT, use endoscopic ultrasound +/- ERCP
CM of pancreatic cancer
pain
jaundice
weight loss
Ascites common in end-stage (perform paracentesis, always empty bladder before the
procedure)
Insulin deficiency signs
Back pain that is relieved when sitting up and leaning forward
*Food aggravates epigastric pain
Nursing management of pancreatic cancer
GRADED. Buy Quality Materials!
what type of antacid to avoid with ESRD
AVOID magnesium based antacids to prevent mag toxicity
Recommended foods for ESRD
-apples, berries, grapes, peaches, & cabbage
-Must be lean protein (dairy products, eggs, meats)
What meds not to give on day of dialysis
Digoxin, Dobutamine
What meds to take for Metabolic Acidosis
If symptoms are present, give Pt Sodium Bicarbonate or Dialysis
Examples of when to use CRRT
Pt's who are too hemodynamically UNSTABLE
-Septic Pt's, hemorrhaging
Blood flow rate of hemodialysis
> 200 ml/hr
Blood flow rate for CRRT
< 200 ml/hr
Which type of antibiotic do we not give ESRD Pt's?
We do NOT give gentamicin (hard on kidneys)
RF for bladder cancer
older white men > 55
smoking
exposure
CM of bladder cancer
early: painless hematuria
late: flank pain (metastasis)
complications: UTI
bladder cancer diagnostic test
Cystoscopy and biopsy
urinary diversion
Pathology of pancreatitis
, The pancreatic duct becomes temporarily obstructed
Enzymes enter the bile duct -> activated & together with bile -> Reflux into pancreatic
duct
etiology of pancreatitis
alcoholism, cholelithiasis, peptic ulcers, trauma, hyperlipidemia
diagnostic tests for pancreatitis
WBC > 16,000 mm3
Serum glucose
Serum amylase
Lipase
Within 48 hours of hospital admission, FALL in HCT >10%
Diagnostic tests for acute pancreatitis
Serum lipase (rises within 24 hours of the onset of symptoms)
Remains elevated for several days
Amylase (rises within 24 hours of onset of symptoms)
CT = GOLD STANDARD
Risk factors for pancreatic cancer
Cigarette smoking
Obesity
Exposure to chemicals
High fat diet & red, processed meats
Diabetes
diagnostic tests for pancreatic cancer
CT with contrast to localize, if unable to with CT, use endoscopic ultrasound +/- ERCP
CM of pancreatic cancer
pain
jaundice
weight loss
Ascites common in end-stage (perform paracentesis, always empty bladder before the
procedure)
Insulin deficiency signs
Back pain that is relieved when sitting up and leaning forward
*Food aggravates epigastric pain
Nursing management of pancreatic cancer
