Nursing 103 Final

Topics: Blood sugar, Insulin, Diabetes mellitus Pages: 13 (2637 words) Published: August 22, 2013
Notes for Final
Chapter 6/11- Anaphylaxis
Allergic reaction
Acute Sx: hives, rash, itching and nasal secretions, fever, malaise Severe: hypotension, tachycardia, bronchoconstriction
Tx: Benadryl, put vaccine in dominant arm, warm compresses, Tylenol

Chapter 8- Pain
NSAIDS
-ASA, Ibuprofen (motrin), Ketorolac (Toradol), Naproxen (Naprosyn)
Mild to moderate pain
Take with full glass of water
Do not mix ASA with other NSAIDS
Monitor for GI bleeding
Opioids
Codeine, Hydrocodone, -Morphine, Darvocet
Moderate to severe pain
Monitor for respiratory depression, urinary retention, constipation Naloxone to treat respiratory depression

Chapter 10- Surgery
Laparoscopy-
Laparoscopy is a surgery that uses a thin, lighted tube put through a cut (incision) in the belly to look at the abdominal organs or the female pelvic organs . Laparoscopy is used to find problems such as cysts, adhesions, fibroids , and infection. Tissue samples can be taken for biopsy through the tube (laparoscope) –Pre op meds-

Urogential- is the organ system of the reproductive organs and the urinary system. These are grouped together because of their proximity to each other, their common embryological origin and the use of common pathways, like the male urethra. –Radial mastectomy- removal of the entire effect breast, underlying chest muscles, and lymph nodes under the arms. (modified is when the chest muscles are intact.)

Chapter 12- Cancer
Tumor Markers
proteins produced/secreted by malignant cells found in the blood
CA 125- cancer protein
PSA- prostate specific antigen
ACTH- andrenocorticoptropic hormone
hCG- pregnancy
Diagnostic Tests
Xray- cannot distinguish between xray and cysts and tumors
CT scan- Renal, gastro and lymph node cancers. Check for allergy to shellfish
Ultrasound- Uses sound waves. Best in breast and prostate.
MRI- Uses radiofrequency. Best in head and neck tumors.
Angiography- Tumor location is unknown.

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Chapter 13- Death & Dying
Kubler-Ross
Denial, Anger, Bargaining, Depression, Acceptance
Advance Directives- legal document that specifies healthcare and financial affairs in case of incapcity –Living will -determines wishes in case of terminal illness or unconsciousness –Postmortem Care- Raise head of bed 30 degrees to prevent pooling –Hindu- Take loved ones home to die. Family and friends will keep a vigil until the moment of passing by singing, praying and reading scriptures. The mantra is chanted and holy ash is placed on the forehead, and holy water or milk is dripped into the mouth. never embalmed, and the organs are never removed for donation.

Chapter 14- Shock
Lots of questions on shock. Please review carefully. Page 316. –Know types, symptoms, treatment for each)

Chapter 16/17- Cardiovascular
Central Venous Pressure- CVP reflects the amount of blood returning to the heart and the ability of the heart to pump the blood into the arterial system. IN the thoracic vena cava. –Normal range is 3-8 mmHg

Inderal (propanolol)- treats high blood pressure, angina (chest pain), irregular heartbeat, migraine headaches, tremors, and lowers the risk of repeated heart attacks. Its a beta blocker. –
Chapter 18- Peripheral Vascular Disorders
-Hypertension- BP 140/90.
-Hypertensive Crisis- 180/120
-DASH diet- 2,000 calories. 7-8 grains, fewer than 2 servings of protein •Review pages 430- 438

Chapter 29- Urinary System
Urinary Tract Infection-
#1 Noscomial infection
Most common location is the bladder (cystitis)
Most common upper UTI is kidney and renal pelvis (pyelonephritis)
Most common bacteria to cause UTI is e-coli
Difference between Cystitis and Pyelonephritis
Cystis- Dysuria, urgency, nocturia, Pyuria, Hematuria
Pyelonephritis- Same as above plus flank pain, N-V-D, fever, malaise –Urinary Calculi. Stones made from Ca. Dull, aching to severe flank pain. Nausea, vomitting. Gross hematuria. –...
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