Med Surge Hesi Review PDF

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Med Surge Hesi Review Know the difference between AKI and CKI Chronic is a slow progression which is not reversible *red Hesi

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The think that makes you have to get dialysis is your potassium! Always let the HCP know if something is out of wack! Glomenephritis** inflammation of the lil filters of your kidney basically, so we have pink cola colored urine, protein urea, edema, high blood pressure and flank pain Know the difference in dialysis!! Notify the HCP before inserting the Cath! Fistula take a vein and artery and sew them together, takes 6 weeks for it to work!! Have to feel a thrill and hear a bruie *never use the fistula for anything else!! BPH TURP hemorrhage!! What color is normal for the immediate post op pale pink, or red is completely normal Dribbling, not a strong force of urine Arterial issues cool, pale Disequilibrium syndrome!! Need orders to help with this Mannitol diuretic specific for increased ICP Kidney stones What is the risk of the dwell time! Which clinical indicator is most likely to occur when assessing a client with a ruptured cerebral aneurism?? Sudden severe headache!! Bleeding into the enclosed cavity of the skull creates pressure and causes pain Hashmitos autoimmune disorder where the immune system attacks the thyroid glad What is the priority after a laryngectomy?? ABC’s so making sure there are no secretions in the trachea are important

How do we know naloxone was effective we have an increase in respirations!!! Naloxone is given for drug O.D What are the functions of ADH also known was vasopressin, is released from the posterior pituitary gland, increases the permeability to h20 and increases arteriole constriction Hiatal hernia most common with obesity, which puts stress on the diaphragm and has the stomach protrude through the thoracic cavity

If a client is on a cardiac monist and it rings V tac then we cant to go and check the pt, but also check for a pulse before we do anything!! Hemodialysis we know this is when the vein and artery are sown together we do not wanna take a blood pressure on the effected arm or use IV fluids. We know a graft is more subject to hemorrhage Hyperthyroidism the client reports diarrhea, abdominal pain and a fever; they have a thyrotixs crisis, what is the most important intervention!! Reducing body temp and heart rate A client has head and neck surgery and is disorientated from surgery, what is the priority?? Administering oxygen Why do you raise an injured leg above the level of the heart?? To prevent further edema What movement does the superior oblique control?? Pulls the eye downwards Murphy’s and Cullen’s sign review! Cholecystitis pain in the right upper quad after a meal, pain is also a big deal!! Know anatomical where the appendix and gall bladder is Gastric bypass removes most or all of the stomach, B12 injections for the rest of your life CYANO Coalbin!! Generic for B12 Do not touch the NG tube except with gastric surgery!! Usually sewn into the nose Call the doc asap!! They need to use flora to see how it gets inserted Dumping syndrome no liquids with meals, lie down after eating!! Keep carbs low Duodenal ulcer is pain relieved by food! Tx is often medications rest and stress reduction symptoms!

What is a sign of increased intracranial pressure?? Alternate level of consciousness is the 1st sign of increased intracranial pressure Diet for someone with viral hep high carbs. With moderate protein and far Moving a joint away from the midline of the body abduction If a client comes in and confused the best way to get info is from the family or emar! Chronic gastritis causes deterioration and atrophy of the lining of the stomach, leading to the loss of function of the parietal cells. The source of intrinsic factor is lost, which results in an inability to absorb vitamin B12, leading to development of pernicious anemia. Clients must increase their intake of vitamin B12 by increasing consumption of foods rich in this vitamin, such as nuts, organ meats, dried beans, citrus fruits, green leafy vegetables, and yeast. Hormone needed with D.I DDAVP cannot use this nasally, but have to take this hormone no matter what Oral anticoagulants interact adversely with glucagon, decreases effectiveness Myxedema very low hypothyroidism low T3 and T4 SIADH neck vein distention Oral radioactive isotopes drink lots of water to get that excreted -very mim. radioactive Pituitary tumor ask about changed in visual acuity Cushing’s hyperglycemia and hypernatremia Calcination works opposite for thyroid hormones Hyperparathyroidism sucking all the calcium out of osmotic diuresis and bone pain

Peptic ulcer a sign is n/v because its down in the intestines!! Chron’s disease do not increase fiber in your diet!! Dumping syndrome early signs sweating a pallor, 5-30 mins before occurrence!! Foods to avoid with GERD anything greasy coffee, chocolate, peppermint, fried chicken, Autonomic dysreflexia happens after spinal cord injury, something is obstructed below the level of the spinal cord injury, Monitor with paraplegics

Viral hep contact precautions are needed Cholestasis inflammation of the gall bladder common findings includes yellow sclera Acute episodes fever, complaints of indigestion, paint in the upper right quad after a fatty meal!! The gallbladder is located in the right upper quadrant, pain after fatty meals that radiate to the right shoulder are a common concern! Review GI as well as endocrine If someone comes in with DKA and HHNK give them IV fluids first and foremost!! Only N.S DKA is the type 1 diabetic with no insulin so they decide oh I’m gonna a burn some fat today HHNS no ketonic but higher blood sugar!! Wanna give them some dextrose bc the blood sugar comes down more slowly Only regular insulin can be given IV! Remember what insulin does to potassium it chases it right out of the cells and into the serum, causes a sudden decrease Think hyperglycemia causes fluid imbalance Their urine will be very concentrated Thyroid storm is from too much T3 and T4 and we administer PTU as well as tapezol, air way is always our priority Parathyroid hormone increases bone breakdown, and increases serum Ca so phosphorous will be low But its throwing the sodium and phosphorous out of the cell Vit D helps with bone reabsorption Pituitary tumor primary cause is seizures Cushing’s too much adrenocorticoids hyperglycemia, hypernatremia and hypokalemia Addison’s not enough adrenocorticoids lack of cortisol and aldosterone hypoglycemia, hyponatremia, hyperkalemia Typically a thyroidectomy results in decreased serum calcium levels so we see our gen weakness, diminished reflexes, shallow resps. Hyperpituitarism excess secretion of prolactin so we typically see an absence of menstruation

If someone is constipated they should be drinking 2000 ml a day, have a diet high in fiber, The client should initiate a bowel movement every other day but sitting up to the toilet or commode An extended dwell time of peritoneal dialysis may put the client at risk for hyperglycemia!!aslo we wanna watch for fluid and electrolyte imbalances; Pulm edema crackles in the lungs, frothy sputum cyanosis After a cystoscopy pale pink urine is an expected finding for 1-2 days!! Bucks traction trick question doesn’t use pins!! So we watch for weak pedal pulses...