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Med Surg 2 Final
Med Surg 2 Final
124
Nursing
Undergraduate 3
04/17/2014

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Term
Angina
Definition
insufficient blood flow
Term
Treatment for Angina?
Definition
nitroglycerin
Term
Symptoms of Angina?
Definition
chest pain, tightness, pressure, pallor, diaphoresis, nausea
Term
Precipitating factors of Angina?
Definition
smoking, stress, heavy meals, exertion, cold weather
Term
Cardiac catheterization?
Definition
radiographs taken to visualize heart structures and blood vessels
Term
What is monitored during a cardiac catheterization?
Definition
blood pressure, pulse, ECG changes
Term
Signs and symptoms of hypoxia?
Definition
rapid breathing, cyanosis, lethargy, hot/cold flashes, nausea, tingling, visual impairment
Term
Troponin?
Definition
enzyme test to assess for MI, stays in blood 10-14 days
Term
Symptoms of Hypokalemia?
Definition
cramps, lethargy, paresthesia, shallow respirations, flat "T" waves, positive "U" wave
Term
What are the complications of an MI?
Definition
death from dysrhythmia, ventricular rupture, thromboembolism, pericarditis
Term
What is Congestive Heart Failure?
Definition
the inability of the heart to meet the metabolic demands of the body
Term
Left sided heart failure gives what kind of symptoms?
Definition
respiratory
Term
Right sided heart failure gives what kind of symptoms?
Definition
venous
Term
Digoxin normal dose?
Definition
0.125-0.5mg
Term
What does Digoxin do?
Definition
slows and strengthens the heart
Term
Side-effects of Digoxin?
Definition
yellow halo, bradycardia
Term
Complication of thrombophlebitis?
Definition
pulmonary embolism
Term
What is the role of heparin in thrombophlebitis?
Definition
prevents formation of new clots
Term
Sclerotherapy?
Definition
inject drug into veins causing them to shrink and disappear
Term
Most common aneurysm?
Definition
AAA-Abdominal Aortic Aneurysm
Term
Symptoms of an AAA?
Definition
pain, dyspnea, chest pain, wheezing, hemorrhage, pulsating mass
Term
Allen test?
Definition
press down on ulnar artery in wrist, release artery and see if blood returns, it not it is a negative test
Term
What is a bronchoscopy?
Definition
visualize abnormalities, take biopsy samples of lesions, remove foreign bodies, remove dentures,semi-fowlers
Term
What are the causes of Epistaxis?
Definition
trauma, nasal spray abuse, hypertension, leukemia, anticoagulants, spontaneous
Term
What is the treatment for Epistaxis?
Definition
lean forward, pinch nostrils, hold pressure 3-5 min., don't swallow blood, cold compress, suck on ice
Term
Symptoms of Acute Bronchitis?
Definition
dry-nonproductive cough, fever/chills, dyspnea, muscle aches, malaise
Term
Who are at risk for TB?
Definition
immunocompromised, malnourished, poor, inadequate health care, overcrowded housing, substance abusers
Term
What is the most definitive diagnostic for TB?
Definition
sputum culture & sensitivity
Term
Symptom of TB?
Definition
pain/night sweats
Term
Isoniazid (INH)?
Definition
treats TB infection and disease, 6-24mths treatment, avoid Tyramine
Term
INH,Ethambutol,Rifampin,Pyrazinamide?
Definition
treats TB disease
Term
What are the different types of Pneumonia?
Definition
infectious, non-infectious, area affected, walking
Term
What is a sign of bacterial pneumonia?
Definition
sharp stabbing pain
Term
What is a sign of viral pneumonia?
Definition
burning/searing pain
Term
What are the symptoms of Lung Cancer?
Definition
hemoptysis, fatigue, pain, dyspnea, weightloss, recurring bronchitis
Term
Why would you need a tonsillectomy?
Definition
abcess, airway obstruction, inflammation of the tonsils and lymphatic tissue in the throat.
Term
What are some signs of Nasal surgery?
Definition
swelling, bruising, black eyes
Term
What are the causes of Tonsillitis?
Definition
bacterial (staph or strep)
Term
What is a closed pneumothorax?
Definition
blister or bleb on the lung
Term
What is a open pneumothorax?
Definition
stab wound,"sucking" chest wound, flutter dressing
Term
What is a tension pneumothorax?
Definition
mediastinal shift, medical emergency
Term
Treatment of a pneumothorax?
Definition
pleurectomy or pleurodesis
Term
pleurectomy?
Definition
staple or laser part of lung to seal affected area
Term
pleurodesis?
Definition
insert sclerosing agent into lung and hardens causing scarring and closing of an pneumothorax
Term
What gas is increased in respiratory acidosis?
Definition
carbon dioxide
Term
What is respiratory acidosis caused by?
Definition
pneumonia, drug overdose, head injury, chest injury, obesity, drowining
Term
Small Bowel Obstruction?
Definition
NPO, IV fluids only, partial/complete, mechanical
Term
Complications of PUD?
Definition
Perforation, hemorrhage, obstruction
Term
What are the risk factors for PUD?
Definition
alcohol, smoking, heredity, men, drug overuse, coffee, tea, chocolate, spicy food, 40-60yrs
Term
What is the treatment for PUD?
Definition
antibiotics, avoid stimulants, stress management, surgery, small frequent feedings
Term
What diagnostic would be increased with Pancreatitis?
Definition
serum amylase
Term
What position should patient be in with Pancreatitis?
Definition
Semi-Fowlers
Term
What are the dietary needs for Pancreatitis?
Definition
low fat, increase protein and carbs, avoid spicy food/caffeine/alcohol
Term
What do you do for pain management of Pancreatitis?
Definition
Demerol
Term
Cholecystectomy (Laparoscopic)
Definition
pain in shoulder, 4 puncture wounds, shorter recovery,pain, and scarring
Term
Cholecystectomy (Open)
Definition
incision, T,C,DB, splint incision, monitor I and O
Term
What kind of drainage is there for a Cholecystectomy?
Definition
bloody turns greenish brown
Term
What position must you be in for a Cholecystectomy?
Definition
low fowlers
Term
What is the most common complication of Cholecystectomy?
Definition
bile duct injury
Term
What are some restrictions after a cholecystectomy?
Definition
turn,cough,deep breath,splint incision, 10lb weight limit
Term
Jaundice?
Definition
damaged liver cannot excrete bilirubin, excess bilirubin in the blood, normally the liver removes bilirubin from the body and excretes it into the bowel
Term
What is a symptom of jaundice?
Definition
clay colored stools,foul odor, and float
Term
Hepatitis?
Definition
inflammation/infection of the liver
Term
What phase of hepatitis is the most infectious?
Definition
pre-icteric
Term
What is a symptom of the icteric phase of Hepatitis?
Definition
clay colored stool
Term
How can Hepatitis A be transmitted?
Definition
contaminated food and water
Term
What should you do if you are traveling to keep from getting Hepatitis?
Definition
get a dose of IgG-immuno gamma globulin
Term
What can you not do once you have had Hepatitis?
Definition
may never donate blood,organs, or tissue
Term
What is Cirrhosis?
Definition
lobes of the liver are covered with fibrous tissue
Term
What are some symptoms of Cirrhosis?
Definition
pain in right upper quadrant, clay colorede stool, spider angiomas
Term
What diagnostic should you check with Cirrhosis?
Definition
BUN level
Term
What are the symptoms of Cholelithiasis?
Definition
Classic F's = female,fat,fair,forty,flatulent,fertile
Term
When do symptoms of Cholelithiasis begin?
Definition
within 1-3hrs after a meal
Term
cholecystitis?
Definition
inflammation of the gall bladder
Term
Lactulose?
Definition
makes intestinal contents more ascitic
Term
What are the 3 classifications of abdominal hernia?
Definition
reducible,irreducible,strangulated
Term
What is the first sign of Colorectal Cancer?
Definition
change in bowel habits
Term
What is non-mechanical intestinal obstruction?
Definition
decrease or abscence of intestinal peristalsis
Term
What is Celiac disease?
Definition
failure to properly metabolize gluten
Term
What are the symptoms of Peritonitis?
Definition
fever/chills,n&v,pain in left shoulder, abdominal distention, rigidity(board like abdomen),absence of bowel sounds,shallow respirations
Term
What is Liver Cancer a complication of ?
Definition
Hepatitis B,C or Cirrhosis
Term
What is Billroth 2?
Definition
part of stomach removed and sutured to the jejunum, removes source of acid secretion
Term
What do you monitor with a Billroth2?
Definition
dumping syndrome, weightloss, malabsorption, infection, anemia
Term
What is Diverticulosis?
Definition
diverticula becomes inflamed as a result of impacted fecal matter in pouches
Term
Symptoms of Diverticulosis?
Definition
cramping, bloating, constipation, diarrhea, fever, chills, nausea, vomiting, stools with lots of mucus
Term
What are the complications of Diverticulosis?
Definition
peritonitis and performation
Term
What do you avoid with Diverticulosis?
Definition
seeds and nuts
Term
Ostomy Care?
Definition
temp. or perm., placement determines type of stool, beefy red at first then becomes rosey red
Term
What are complications of an Ostomy?
Definition
prolapsed, stenosis
Term
What must you have before removing an NG tube?
Definition
doctors order, bowel sounds in all 4 quadrants and no nausea or vomiting
Term
If an NG tube is stopped abruptly it may cause what?
Definition
hypoglycemia
Term
What is a UGI procedure?
Definition
oral barium, x-ray of upper and middle of GI tract as it flows through, NPO 6hrs before
Term
What do you check after a UGI procedure?
Definition
gag reflex and bleeding from throat
Term
Symptoms of Polycystic Kidney Disease?
Definition
dull aching pain, recurrent pain, aching abdominal, low back pain, flank pain, colicky pain, recurrent UTI's
Term
What can Polycystic Kidney Disease cause?
Definition
CHF,anemia,hypertension
Term
Most common symptom of urologic trauma?
Definition
hematuria
Term
What is auto digestion?
Definition
enzymes eat pancreas when can't be released from sphincter of oddi
Term
Symptoms of Urologic trauma?
Definition
jaundice, burping, distention due to fluid accumulation, tachycardia, increased respirations, hypotension,worse when laying down
Term
What drug do you give with urologic trauma?
Definition
Demerol
Term
Nephrostomy tube care?
Definition
tube directly into renal pelvis, connected to continuous drainage system, no more than 5mL to irrigate
Term
Renal Failure?
Definition
inability of kidney to excrete waste, concentrate urine, or conserve e-lytes
Term
Symptoms of CRF?
Definition
hyperkalemia, hypocalcemia, decreased erythropoeitin(anemia),itching, ashen/yellow skin
Term
What are the triggers of Chronic Renal Failure?
Definition
diabetes, hypertension, glomerulonephritis
Term
Causes of Bladder Cancer?
Definition
smoking and industrial pollutants
Term
Signs of Bladder Cancer?
Definition
weight loss, weakness, anemia, dull flank pain, gross hematuria, palpable mass, painless
Term
Glomerulonephritis?
Definition
inflammation of capillary loops
Term
Acute Glomerulonephritis?
Definition
smokey tea colored urine, not cured until urine is free of RBC's for 6mths, it not treated can lead to convulsions and CHF
Term
Chronic Glomerulonephritis?
Definition
measure specific gravity, hematuria, proteinuria
Term
detrol
Definition
reduces bladder spasms
Term
What are the Retaining Catheters?
Definition
Coude, Foley, Malecot, Pezzer
Term
What are the Non-retaining Catheters?
Definition
Robinson and Whistle tip
Term
What type of discharge does someone have with Candida albicans?
Definition
odor, cottage cheese
Term
What type of discharge does someone have with Trichomonas?
Definition
frothy,yellowish-gray
Term
What type of discharge does someone have with Gardnerella?
Definition
watery, grayish white, fishy
Term
What are the causes of Pelvic Inflammatory Disease?
Definition
chlamydia, douching, poor hygiene after delivery, multiple sex partners
Term
What are the complications of Pelvic Inflammatory Disease?
Definition
peritonitis, infertility, recurrence, chronic pain, septic shock, ectopic pregnancy
Term
Sub-total hysterectomy?
Definition
removal of uterus
Term
Total hysterectomy?
Definition
removal of uterus and cervix
Term
Pan hysterectomy?
Definition
remove everything
Term
What do you do post op of a hysterectomy?
Definition
assess bleeding, early ambulation, stool softeners, sitz baths, catheter, increase fiber and fluids, turn, cough, deep breath
Term
Simple masectomy?
Definition
remove breast
Term
Modified masectomy?
Definition
remove breast, lymph nodes, but not muscle
Term
Radical masectomy?
Definition
remove everything
Term
Position after masectomy?
Definition
semi fowlers with arm and hand elevated
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