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The placenta separates from the uterine wall
Abruptio Placenta
prematurely.
A woman who has been pregnant multiple times,
Multigravida
usually over the age of 35.
Bleeding in Abruptio Bleeding is usually painful in Abruptio Placenta;
Placenta vs. Placenta bleeding is more voluminous in placenta previa.
Previa
IV Gauge for Abruptio An 18 gauge needle should be used in preparation to
Placenta give blood if necessary.
Monitoring Frequency for Vital signs, vaginal bleeding, and fetal heart rate
Abruptio Placenta should be measured every 5-15 minutes.
Delivery Method for Usually delivered via C-section.
Abruptio Placenta
There is a higher incidence of fetal death with
Fetal Death Incidence
Abruptio Placenta compared to Placenta Previa.
Common Trimester for Most commonly occurs in the third trimester.
Abruptio Placenta
Accidental poisonings are most common at 2 years
Accidental Poisonings Age
old.
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First Action After Poison Call for medical help.
Ingestion
Inducing Vomiting for No, vomiting should not be induced for gas or any
Gasoline Ingestion other petroleum products.
What to Bring to ER After The suspected poison must accompany the child to
Poisoning the ER.
Accidental Poisoning Risk Elderly clients are at high risk for accidental poisoning
for Elderly due to poor eyesight.
Chemicals Causing Burns Lye and caustic cleaners.
to Oral Mucosa
Seizure Risk After Children who have swallowed drugs and insecticides
Ingestion are at the highest risk for seizure activity.
Impaired Skin Integrity Yes, it can be an appropriate nursing diagnosis when
Diagnosis Lye or caustic agents have been ingested.
Causative Organism of P. acnes (propionibacterium acnes).
Acne
Structures Involved in The sebaceous glands.
Acne Vulgaris
Drugs Given for Acne Vitamin A, Antibiotics, Retinoids.
Dietary indiscretions and uncleanliness are not causes
Causes of Acne
of acne.
Causative Factors in Acne Hereditary, Bacterial, Hormonal.
Vulgaris
Most Common Retinoid Accutane.
for Acne
Accutane Analog Accutane is an analog of Vitamin A.
Common Side Effect of Inflammation of the lips; causes birth defects.
Accutane
Common Antibiotic for Tetracycline.
Acne
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Time to See Results from 4 to 6 weeks.
Acne Treatment
Stress and Acne Yes, stress makes acne worse.
Face Washing Frequency Twice a day.
for Acne
Instructions for Take it on an empty stomach and avoid sunlight
Tetracycline (photosensitivity).
Comedones Blackheads and whiteheads.
Virus Causing AIDS HIV (Human immunodeficiency virus).
The AIDS virus invades the helper T-lymphocytes (or
AIDS Virus Target Cells
CD4 cells).
Blood, Sexual contact, Breastfeeding, Across placenta
AIDS Transmission Routes
in utero.
HIV Presence in Body HIV is present only through blood, semen, and breast
Fluids milk.
Homosexual/bisexual men, IV drug users,
Risk Groups for AIDS Hemophiliacs, Heterosexual partners of infected
people, Newborn children of infected women.
First Test for HIV ELISA.
Antibodies
Test Confirming ELISA Western Blot.
Best Indicator of HIV CD4 count.
Progress
CD4 Count for AIDS A CD4 count of under 500 is associated with the
Symptoms Onset onset of AIDS-related symptoms.
CD4 Count for A CD4 count of under 200 is associated with the
Opportunistic Infections onset of opportunistic infections.
CD4 count under 500 Associated with the onset of AIDS-related symptoms.
CD4 count under 200 Associated with the onset of opportunistic infections.
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1. anorexia, 2. fatigue, 3. weakness, 4. diarrhea, 5. night
Symptoms of HIV disease
sweats, 6. fever.
Classes of drugs for HIV NRTIs (Nucleoside Reverse Transcriptase Inhibitors)
sero-positivity and PIs (Protease Inhibitors).
An antiviral drug used against HIV that is incorporated
NRTI into the DNA of the virus and stops the building
process.
Most potent of antiviral meds that inhibit cell protein
PI
synthesis, interfering with viral replication.
Effect of NRTIs and PIs They prevent viral replication.
Goal of NRTIs and PIs for A delayed onset of AIDS for as long as possible
HIV (usually can delay onset for 10-15 years).
Most common NRTI AZT (zidovudine).
Challenge of combination The number of pills that must be taken in 24 hours can
drug therapy for HIV be overwhelming.
Weight change in AIDS Clients with AIDS lose weight.
clients
Typical pneumonia of Caused by Pneumocystic carinii.
AIDS
Common oral/esophageal Candida.
infections in AIDS
Most common cancer in Kaposi's sarcoma.
AIDS patients
Kaposi's sarcoma A cancer of the skin.
AIDS and lymphomas True.
Lab findings in AIDS Decreased RBC's, WBC's and platelets.
Leukopenia Decrease in WBC, indicated viral infection.
Precautions without Standard precautions or blood and body fluid
leukopenia precautions.
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