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Med Surg 2 Final
Study guide for the Med Surg 2 Final
20
Nursing
Undergraduate 3
04/30/2013

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Cards

Term
Parkinson's
Definition
- Tremor
- Rigidity
- Bradykinesia
- Risk for ineffective airway clearance, injury, impaired communication, nutritional deficit, self care deficit, self perception
Term
Myasthenia Gravis (MG)
Definition
- droopy eyelids
- difficulty chewing, speaking, breathing
- morning is better
- tensilon test
- no Ach available to muscles for stimulation to contract
- risk for ineffective airway clearance, ineffective breathing pattern, nutritional deficit, activity intolerance
- give corticosteroids, immuno suppressives, cholinesterase inhibitors
Term
Multiple Sclerosis (MS)
Definition
- Autoimmune
- Ascending paresthesia and paralysis
- risk for injury
- altered elimination
- incontinence/skin
- corticosteroids, immunosuppressives, interferon, antispasmodics
Term
Amputation
Definition
- post op care
- pain/phantom pain
- body image
- mobility
Term
Lupus
Definition
- auto immune
- anorexia
- Raynaud's syndrome
- altered mobility, pain, skin care
- corticosteroids, immuno suppressants, chemo
Term
Guilliane Barre
Definition
- acute inflammatory disease
- lasts up to 6 months and can recur
- ascending or descending paralysis
- plasmapheresis, IV immunoglobulin, supportive respiratory and cardiac care
- inability to sustain spontaneous ventilation, ineffective breathing pattern, ineffective airway clearance, impaired gas exchange, pain, impaired mobility, impaired communication, anxiety
Term
Hyperthyroidism
Definition
- autoimmune disease
- increased HR, RR, BP, temperature, osteoporosis, thyrotoxic crisis
- risk for injury, altered nutrition, altered bowel elimination, sleep disturbance
- surgery, radioactive iodine, beta blockers, CNS depressants
Term
Hypothyroidism
Definition
- iodine deficiency, Hashimoto thyroiditis, Graves' disease, hypopituitary, goiters
- low HR, RR, BP, temperature, Weight gain, Myxedema coma
-activity intolerance, impaired gas exchange, altered nutrition, altered bowel elimination, safety
- Synthroid (T4)
Term
Hyperparathyroidism
Definition
- caused by tumors
- shortened QT, HTN, N/V, constipation, weight loss, skeletal pain, fractures LOC changes, hyperreflexia, renal stones
- Decreased cardiac output, altered urinary elimination, altered bowel elimination, altered nutrition, safety
Term
Hypoparathyroidism
Definition
- surgery, autoimmune, hypomagnesium
- decreased CO, prolonged QT, cramping, fecal, incontinence, dry skin, lack of tooth enamel, muscle cramps, weakness, difficulty walking, personality changes, tetany, confusion, memory impairment, cataracts, laryngeal spasm
- give calcium gluconate, Vitamin D
- Decreased cardiac output, altered bowel elimination, safety, airway
Term
SIADH
Definition
- excess of ADH
- fluid volume overload, low sodium, low urine output, low BUN, low HCT/HGB
- fluid restrictions, diuretics, NaCl slowly
Term
Diabetes Insipidus
Definition
- lack of ADH
- hypovolemia, thirsty, high Na
- increased BUN, increased HCT/HGB, Increased urine output
- IV fluids, glucose, ADH
Term
Acromegaly
Definition
- increased GH caused by tumor
- bone thickness, HTN, CHF, oily skin, neuropathies, visual defects, muscle weakness, joint paint, diabetes, seizures
- radiation, surgery, give drugs
- body image disturbance, safety
Term
Cushings
Definition
- too much ACTH and cortisol caused by overactive pituitary and adrenal glands, usually tumors
-cortisol- increased BG
- aldosterone- increased sodium and fluid volume and decreased potassium
- cortisol- weight gain, moonface, insulin resistance, muscle wasting, osteoporosis, mood disturbances
- aldosterone-HTN, volume overload, low potassium
- purple striae, hirsutism, bronze skin
- surgery, antiHTN, diuretics, potassium, insulin
Term
Addisons
Definition
- decrease in ACTH and decreased cortisol, autoimmune
- cortisol- decreased blood glucose,
- aldosterone- decreased sodium and volume, increased potassium
- cortisol- weight loss, hypoglycemia, fatigue and anorexia
- aldosterone- hypotension, tachycardia, fever, volume deficiency, hyponatremia, weakness, confusion, abdpain
-bronze skin
Term
SIADH
Definition
- excess of ADH
- fluid volume overload, low sodium, low urine output, low BUN, low HCT/HGB
- fluid restrictions, diuretics, NaCl slowly
Term
Diabetes Insipidus
Definition
- lack of ADH
- hypovolemia, thirsty, high Na
- increased BUN, increased HCT/HGB, Increased urine output
- IV fluids, glucose, ADH
Term
Acromegaly
Definition
- increased GH caused by tumor
- bone thickness, HTN, CHF, oily skin, neuropathies, visual defects, muscle weakness, joint paint, diabetes, seizures
- radiation, surgery, give drugs
- body image disturbance, safety
Term
Cushings
Definition
- too much ACTH and cortisol caused by overactive pituitary and adrenal glands, usually tumors
-cortisol- increased BG
- aldosterone- increased sodium and fluid volume and decreased potassium
- cortisol- weight gain, moonface, insulin resistance, muscle wasting, osteoporosis, mood disturbances
- aldosterone-HTN, volume overload, low potassium
- purple striae, hirsutism, bronze skin
- surgery, antiHTN, diuretics, potassium, insulin
Term
Addisons
Definition
- decrease in ACTH and decreased cortisol, autoimmune
- cortisol- decreased blood glucose,
- aldosterone- decreased sodium and volume, increased potassium
- cortisol- weight loss, hypoglycemia, fatigue and anorexia
- aldosterone- hypotension, tachycardia, fever, volume deficiency, hyponatremia, weakness, confusion, abdpain
-bronze skin
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