NSG 430 FINAL EXAM REVIEW
1. NI for liver failure: -monitor for jaundice
-monitor ammonia levels (normal: 10-80)
-the bleeding time is increased so monitor for injury
-supportive therapy
2. when do we NOT DO a lumbar puncture: when our pt. has increased ICP
3. priority care for bacterial meningitis: -medical emergency
-rest
-IV fluid
-hypothermia
-ampicillin, penicillin, vancomycin, cefuroxime, ceftriaxone, and ceftazidime, and
dexamethasone
4. s/s of compartment syndrome: - Severe pain in affected leg
- Tensely swollen
- Parasthesia, loss of sensory in affected leg
- Passive muscle stretch = pain!
-treat in neural position
5. Can compartment syndrome be due to bleeding: yes
6. s/s of cauda equina: -incontinenece of urien and feces
-nerve root compression
-asymmetric distal weakness
-flaccid paralysis or lower extremities
-complete loss of sensation
7. s/s of lupus: -effects kidney
-fever
-WL
-joint pain
-ring-shaped lesions
-butterfly rash
, -alopecia
-swan neck deformity
-MILD PROTEINURIA D/T GLOMERULONEPHRITIS--> SCARRING LEADS TOESRD
8. fracture assessments: pain, pallor, paresthesia, pulse, pressure, paralysis
9. primary survey: A- airwayB- breathing
C- circulation
D- disability (GCS: 15 normal 8= intubate)
10. Secondary survey: head to toe assessment
11. secondary survey: MIST: M- mechanism of injuryI- injuries sustained
S- s/s before arrival
T- treatment b/4 arrival
12. secondary survey: SAMPLE: S- symptomsA- allergies
M- med HxP- PMH
L- last meal intake
E- events or environmental factors
13. how to care for a dog bite: -assess wound
-clean
-serile saline irrigate
-consider rabies, tetanus, and antibx prophylaxis
-splint wounds over joint
14. ESI: Emergency Severity Index (level 1): -MI
-overdose with bradypnea
-intubated
-resp. distress
-anaphylactic shock
-hypoglycemia with neuro change
15. ESI: Emergency Severity Index (level 2): -chest pain from ischemia
-multiple trauma (unless unresponsive)
-suicidal pt.
1. NI for liver failure: -monitor for jaundice
-monitor ammonia levels (normal: 10-80)
-the bleeding time is increased so monitor for injury
-supportive therapy
2. when do we NOT DO a lumbar puncture: when our pt. has increased ICP
3. priority care for bacterial meningitis: -medical emergency
-rest
-IV fluid
-hypothermia
-ampicillin, penicillin, vancomycin, cefuroxime, ceftriaxone, and ceftazidime, and
dexamethasone
4. s/s of compartment syndrome: - Severe pain in affected leg
- Tensely swollen
- Parasthesia, loss of sensory in affected leg
- Passive muscle stretch = pain!
-treat in neural position
5. Can compartment syndrome be due to bleeding: yes
6. s/s of cauda equina: -incontinenece of urien and feces
-nerve root compression
-asymmetric distal weakness
-flaccid paralysis or lower extremities
-complete loss of sensation
7. s/s of lupus: -effects kidney
-fever
-WL
-joint pain
-ring-shaped lesions
-butterfly rash
, -alopecia
-swan neck deformity
-MILD PROTEINURIA D/T GLOMERULONEPHRITIS--> SCARRING LEADS TOESRD
8. fracture assessments: pain, pallor, paresthesia, pulse, pressure, paralysis
9. primary survey: A- airwayB- breathing
C- circulation
D- disability (GCS: 15 normal 8= intubate)
10. Secondary survey: head to toe assessment
11. secondary survey: MIST: M- mechanism of injuryI- injuries sustained
S- s/s before arrival
T- treatment b/4 arrival
12. secondary survey: SAMPLE: S- symptomsA- allergies
M- med HxP- PMH
L- last meal intake
E- events or environmental factors
13. how to care for a dog bite: -assess wound
-clean
-serile saline irrigate
-consider rabies, tetanus, and antibx prophylaxis
-splint wounds over joint
14. ESI: Emergency Severity Index (level 1): -MI
-overdose with bradypnea
-intubated
-resp. distress
-anaphylactic shock
-hypoglycemia with neuro change
15. ESI: Emergency Severity Index (level 2): -chest pain from ischemia
-multiple trauma (unless unresponsive)
-suicidal pt.
