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Med-surg exam 4
Terms in this set (42)
Substances that impact urinary health?
caffeine carbonated and aspartame.
Types of incontinence
Urge, stress, overflow, functional, mixed
Treatment for urinary retention.
caffeine and warm bath
Meds for bladder infection:
Bactrim ***(monitor CBC)
UA normal vs/ abnormal:
abnormal= ketones,protein,or blood (hematuria) in urine. normal you may see a few leukocytes signaling infection.
Post catheter removal s/s to report=
inability to void, dribbling after void, bleeding, incontinence, and urinary retention.
Medications causing impairment:
Aminoglycosides,Tetracyclines, ACE Inhibitors, Immunosuppressants.
Needle inserted for biopsy ***Long needle in the kidney to get a sample.
Smoky colored Urine
Renal Calculi: (kidney stones)
Pain in flanks
fever of 103 or higher, chills, headache, malaise, nausea, vomiting, pain in flanks (lateral abdomen) radiating to the thigh and genitalia.
Renal failure phases:
Acute, Chronic, and End stage renal failure. chronic has 3 stages which are: 1) Diminished renal reserve, 2) renal insufficiency,3) end stage renal disease
Ureterostomy:Normal post-op findings vs Abnormal=
Normal are: pink not pale, beef red, good bag system around stoma, no excessive bleeding, and maybe some pain but no major discomfort.
Fluid restrictions, non-liquid snacks.
Check pulses distal to shunt.
What is considered output?
Watery stool,emesis, excessive perspiration,and urine.
Phantom Limb pain.
Types of pain: Visceral=
Organs or the linings of the body cavities.
Types of pain: Nociceptive=
Is associated with pain stimuli from either (somatic)**
body tissue or visceral (organ)
Types of pain: Neuropathic =
Peripheral and central nerve fibers,spinal cord, and central nervous system.
last a few weeks to months /***up to 6 months. May restore spontaneously or with analgesic therapy.
6 months to years (**
Pain extending past 6 months), relief is poor, unless complicating factors are removed.
***Spontaneous relief is unusual.
Treatments (for pain):
Quality of pain:
Rating pain scale 0-10, stabbing, shooting,throbbing. ***Is it all the time? or as intermittent? What precipitates the it? what makes it worst? And what makes it better?
Stomach refers to shoulder blades.
(Emergency Treatment): Diving Injury
Head above water,immobilize head and neck.
(Emergency Treatment) Near drowning:(4)=
Pulmonary Edema, Cardiac Irregularities,Hypothermia, and ***Bacterial Pneumonia.= (Because water get into lungs).
ABC (Airway, Breathing, Circulation).
Signs that patient may physically attack a nurse:
Increased demands and Glaring.
Diabetic patient is non-responsive?
Check BG (Blood Glucose)
1) Encourage fluids 2) Low caffeine 3) Low surgar
(Frostbite) 1st degree:
red skin,swelling, and waxy appearance.
(Frostbite) 2nd Degree:
redness,swelling, and blisters with clear or milky fluid.
(Frostbite) 3rd Degree:
Blisters are blood-filled, black eschar.
(Frost bite) 4th Degree:
Full thickness, involving muscle, tendon, bone.
Whirlpool bath, warm water for 15-30 mins/ Note:Warm slowly not quickly.
Carbon Monoxide Poisoning:
Cherry Red color of mucus membranes.
Clean the wound immediately with soap and water and rinse.
Coagulation abnormalities on blood work.
Ingestion of unknown substance:
Increased heart rate, dysrhythmias, and decreased blood pressure.
SIRS ( Systematic Inflammatory Response Syndrome):
Temp greater than 102.2, PaC02 (carbon Monoxide) less than 32 Respiratory greater than 20.
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