Health Science and Nursing Fundamentals Pack |
Verified Questions and Answers | Latest Revision
Acidosis: Ph goes down: everything goes down except goes up. Hyporeflexia, lethergy, , etc.
"As Ph goes down so goes my pt" Respiratory can occur - ✔✔potassium, bradycardia, arrest
Alkalosis: ph goes up: everything goes except potassium goes down. Can cease and .-
✔✔up, aspirate
Kusmals: "Mac Kusmal" (someones name) MAC= metabolic - ✔✔acidosis
ABG's: first thing you ask- Is it lung? Overventilating: . Underventilating: acidosis. Ventilation= gas
exchange not respiratory . Ventilation= - ✔✔alkalosis, rate, SAO2
ABG's: if not lung its . Prolonged vomiting, or gastric = metabolic alkalosis. "Alk, alk" noise
when vomiting. If ph and bicarb are in same direction its - ✔✔metabolic, suctioning, metabolic
Ph: 7.35-7.45. Bicarb (HCO3): ____ -28. PACO2: 35- - ✔✔22, 45
Ventilators: high pressure alarm: when needs to pump . Could have a kink or .......... Low pressure
alarm: could have . Respiratory alkalosis: ventilator setting too ----------- ✔✔more, blockage,
disconnection, high
Denial treatment- (for abuse) Don't say "you" say "I" Ex: I'm having trouble interpreting this. Loss
and grief: DABDA- denial, , bargaining, depression, acceptance. Treatment- -
✔✔confrontation, anger, support
Dependency: abuser gets significant other to do things for them or make for them. Co-
dependency: when significant other derives self esteem for doing things for abuser -
✔✔decisions, positive
,Dependency treatment: teach co-dependent person to say and that they're a good person.
Manipulation: the nature of the act is or harmful. Treatment- set and enforce them -
✔✔no, dangerous, limits
Wernicke's encephalopathy and Korsakoff's (psychosis) usually together, induced by vit or
thyamin deficiency. Extreme psychotic symptoms. Go , amnesia, confabulation. Usually
permanent. Can't learn - ✔✔B1, insane, reality
Wernickes, Korsakoff: Need B1 to metabolize alcohol so if not metabolized then goes to .
Treatment: redirection. Is preventable and - ✔✔brain, irreversible
Antibuse and Revia (disulfiram): when drink makes pt really sick. Onset weeks. No
mouthwash, aftershave, extracts, Nyquill etc. - ✔✔alcohol, 2
Uppers: caffeine, coaine, pcp/lsd, meth, . Everything goes up- uphoria, restlessness, hyperreflexia
+3, +4, , etc. Could arrest and cease. Need . - ✔✔adderall, diarrhea, suction
Downers: everything goes down. Every drug not an upper is downer. Drowsiness, , etc. Can go into
respiratory . - ✔✔lethargy, arrest
Withdrawal from upper: not enough upper makes everything go . Not enough downer makes
everything go . Boroborigmy: increased bowel sounds - ✔✔down, up
Ex: pt withdrawing from cocaine: Respirations < 12, difficult to , etc. Need - ✔✔arouse, narcan
Drug addiction in newborn: always assume intoxication not at birth. After hrs it can be
withdrawal - ✔✔withdrawal, 24
When alcohol pts drinking alcohol within 24 hrs= withdrawal symptoms. Within hrs= delirium
tremors. Alcohol withdrawal syndrome- not life threatening. Not dangerous. Regular diet, up ad lib, no
- ✔✔stop, 72, restaints
, Delirium tremors: can be , unstable. NPO or clear , private room near nurses station.
restricted bed , must be restrained. Very dangerous. Both Al with syndrom and delir trem get
antihypertensive, tranquilizers and vit - ✔✔fatal, liquids, rest, B1
Aminoglycosides (antibiotics): don's use unless else works. "A mean old mycin" ALL END IN .
Treat infections that are: serious, life threatening, resistant, gram . - ✔✔nothing, MYCIN, negative
Aminoglycosides: 3 drugs that end in mycin that are not these: arythromycin, and
clarithromycin. If it has "thro" in it, than throw it . - ✔✔zithromycin, out
Aminoglycosides: "mycin"- mice, mice have big ears. Ears- . Monitor pts hearing, ringing, dizziness.
When you draw an ear connect it it looks like a - nephrotoxic, monitor (best indicator of renal
function), also a #8 fits in the ear drawing- cranial nerve (hearing) and administer q8h -
✔✔ototoxic, kidney, creatinin, 8
Aminoglycosides: Give IM and , Not oral. Doesn't absorb! Hepatic encephalopathy- give oral
aminoglycosides since it kills in gut and reduces amonia levels- won't hurt since it doesn't
absorb. - ✔✔IV, bacteria, liver
Pre-op bowel surgery: give aminoglycoside route to sterilize the bowel. PO kills bacteria in gut
and doesn't get , or hurt liver. "Who can sterilize my bowels?" "Neo Can!" and canimycin. -
✔✔po, absorbed, Neomycin
Trough level: drug at . Peak level: drug at . "TAP" levels: T- check trough level, A- administer
drug, P- draw . Draw when drug has a therapeutic window - ✔✔lowest, highest, peak,
narrow
Draw trough 30 min before next . Draw peak: sublingual 5-10 min after drugs is . IV 15-30 min
after drug is finished. IM 30 min - ✔✔Dose, dissolved, 60
Calcium channel blockers: Are like for your heart. Cardiac ............. Treat: AAA & AS A.
Antihypertensives, anti , anti atrial arrhythmias. - ✔✔Valium, depressants, anginas
Verified Questions and Answers | Latest Revision
Acidosis: Ph goes down: everything goes down except goes up. Hyporeflexia, lethergy, , etc.
"As Ph goes down so goes my pt" Respiratory can occur - ✔✔potassium, bradycardia, arrest
Alkalosis: ph goes up: everything goes except potassium goes down. Can cease and .-
✔✔up, aspirate
Kusmals: "Mac Kusmal" (someones name) MAC= metabolic - ✔✔acidosis
ABG's: first thing you ask- Is it lung? Overventilating: . Underventilating: acidosis. Ventilation= gas
exchange not respiratory . Ventilation= - ✔✔alkalosis, rate, SAO2
ABG's: if not lung its . Prolonged vomiting, or gastric = metabolic alkalosis. "Alk, alk" noise
when vomiting. If ph and bicarb are in same direction its - ✔✔metabolic, suctioning, metabolic
Ph: 7.35-7.45. Bicarb (HCO3): ____ -28. PACO2: 35- - ✔✔22, 45
Ventilators: high pressure alarm: when needs to pump . Could have a kink or .......... Low pressure
alarm: could have . Respiratory alkalosis: ventilator setting too ----------- ✔✔more, blockage,
disconnection, high
Denial treatment- (for abuse) Don't say "you" say "I" Ex: I'm having trouble interpreting this. Loss
and grief: DABDA- denial, , bargaining, depression, acceptance. Treatment- -
✔✔confrontation, anger, support
Dependency: abuser gets significant other to do things for them or make for them. Co-
dependency: when significant other derives self esteem for doing things for abuser -
✔✔decisions, positive
,Dependency treatment: teach co-dependent person to say and that they're a good person.
Manipulation: the nature of the act is or harmful. Treatment- set and enforce them -
✔✔no, dangerous, limits
Wernicke's encephalopathy and Korsakoff's (psychosis) usually together, induced by vit or
thyamin deficiency. Extreme psychotic symptoms. Go , amnesia, confabulation. Usually
permanent. Can't learn - ✔✔B1, insane, reality
Wernickes, Korsakoff: Need B1 to metabolize alcohol so if not metabolized then goes to .
Treatment: redirection. Is preventable and - ✔✔brain, irreversible
Antibuse and Revia (disulfiram): when drink makes pt really sick. Onset weeks. No
mouthwash, aftershave, extracts, Nyquill etc. - ✔✔alcohol, 2
Uppers: caffeine, coaine, pcp/lsd, meth, . Everything goes up- uphoria, restlessness, hyperreflexia
+3, +4, , etc. Could arrest and cease. Need . - ✔✔adderall, diarrhea, suction
Downers: everything goes down. Every drug not an upper is downer. Drowsiness, , etc. Can go into
respiratory . - ✔✔lethargy, arrest
Withdrawal from upper: not enough upper makes everything go . Not enough downer makes
everything go . Boroborigmy: increased bowel sounds - ✔✔down, up
Ex: pt withdrawing from cocaine: Respirations < 12, difficult to , etc. Need - ✔✔arouse, narcan
Drug addiction in newborn: always assume intoxication not at birth. After hrs it can be
withdrawal - ✔✔withdrawal, 24
When alcohol pts drinking alcohol within 24 hrs= withdrawal symptoms. Within hrs= delirium
tremors. Alcohol withdrawal syndrome- not life threatening. Not dangerous. Regular diet, up ad lib, no
- ✔✔stop, 72, restaints
, Delirium tremors: can be , unstable. NPO or clear , private room near nurses station.
restricted bed , must be restrained. Very dangerous. Both Al with syndrom and delir trem get
antihypertensive, tranquilizers and vit - ✔✔fatal, liquids, rest, B1
Aminoglycosides (antibiotics): don's use unless else works. "A mean old mycin" ALL END IN .
Treat infections that are: serious, life threatening, resistant, gram . - ✔✔nothing, MYCIN, negative
Aminoglycosides: 3 drugs that end in mycin that are not these: arythromycin, and
clarithromycin. If it has "thro" in it, than throw it . - ✔✔zithromycin, out
Aminoglycosides: "mycin"- mice, mice have big ears. Ears- . Monitor pts hearing, ringing, dizziness.
When you draw an ear connect it it looks like a - nephrotoxic, monitor (best indicator of renal
function), also a #8 fits in the ear drawing- cranial nerve (hearing) and administer q8h -
✔✔ototoxic, kidney, creatinin, 8
Aminoglycosides: Give IM and , Not oral. Doesn't absorb! Hepatic encephalopathy- give oral
aminoglycosides since it kills in gut and reduces amonia levels- won't hurt since it doesn't
absorb. - ✔✔IV, bacteria, liver
Pre-op bowel surgery: give aminoglycoside route to sterilize the bowel. PO kills bacteria in gut
and doesn't get , or hurt liver. "Who can sterilize my bowels?" "Neo Can!" and canimycin. -
✔✔po, absorbed, Neomycin
Trough level: drug at . Peak level: drug at . "TAP" levels: T- check trough level, A- administer
drug, P- draw . Draw when drug has a therapeutic window - ✔✔lowest, highest, peak,
narrow
Draw trough 30 min before next . Draw peak: sublingual 5-10 min after drugs is . IV 15-30 min
after drug is finished. IM 30 min - ✔✔Dose, dissolved, 60
Calcium channel blockers: Are like for your heart. Cardiac ............. Treat: AAA & AS A.
Antihypertensives, anti , anti atrial arrhythmias. - ✔✔Valium, depressants, anginas
