NR 324 / NR324 ADULT HEALTH FINAL EXAM . QUESTIONS AND ANSWERS.

STEMI -ST elevation MI -goal: reperfusion - take to cath lab -if cant get to cath lab give O2, aspirin, nitro (ask about ED meds), morphine -before going to cath lab ask about allergies to iodine and shellfish -return from cath lab: concern about distal pulses, no bleeding from site, no bruising from site, temp, lots of fluid to flush dye, no chest pain (if they do send back to cath lab) -after cath lab: if BP drops and HR goes up and there is no bleeding, the pt. is bleeding internally SLE -butterfly rash on face -who gets it: female african americans, unusual for men -have extreme photsensitivity, cant be in sun -problem: initially sx are vague: malaise, fatigue, weight loss, and then will have low grade fever, joint pain, until they start to have organ problems. Difficult to diagnose, many dont get diagnosed till have renal problems already -most common complication: lupus nephritis (monitor BUN and creatinine (will elevate) and kidney function) -can also have cardiac, hematological problems and seizures