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430 exam 1 430 exam 1 Maternal Newborn F
58 terms 58 terms 63 terms
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when the whole brain (brainstem and cortex) cease activity OR
brain death
when the cortex ceases activity
Cheyne stokes respirations alternating rapid & apnea
death rattle stuck secretions, unable to cough
which sense stays the longest hearing
1 notable skin finding prior to waxlike skin
death
1 notable musculoskeletal slow flaccid paralysis
finding prior to death
implications of med admin delayed absorption of IM and SQ meds
nearing death
double effect in palliative care it is okay to give a med that causes harm if it is relieving pain
pain
shortness of rbeath
4 common fears
loneliness
meaningless
NaCl 0.45 or 0.9
fluids for DKA add 5% or 10% dextrose when the blood glucose approaches
250
, first med to give to a DKA 0.9% saline
patient
HHS symptom focus more neurological symptoms
DKA = ketone +
ketones in DKA & HHS
HHS = ketone -
IV insulin and NaCl
fluids for HHS
IV dextrose when glucose is 250 and below
SIADH so much ADH
fluid retention
2 characteristics of SIADH
dilutional hyponatremia
causes of SIADH neuro disorders
tegetrol
anesthesia
opioids
drugs causing SIADH
thiazide
SSRIs
chemo
initial manifestation of SIADH thirst
low sodium
diagnostic results SIADH
specific gravity >1.025
dietary restriction of SIADH fluid restriction
demeclocycline
vasopressor receptor antagonists
meds for SIADH
loop diuretics
sodium and potassium supplements
tumor
head injury
causes of diabetes insipidus
surgery
CNS infection
polydipsia
polyuria
clinical manifestations diabetes
low specific gravity
insipidus
elevated serum osmolality
high sodium
electrolyte that is elevated with sodium (above 150)
DI
DDAVP
meds for diabetes insipidus
thiazide diuretics
diet for diabetes insipidus low sodium
auscultation of a goiter hear a bruit
diet for exopthalmos salt restriction --> prevent periorbital edema
notable integumentary changes pretibial myxedema
in hyperthyroidism vitiligo
notable reproductive changes in gynecomastia
hyperthyroidism decreased fertility