UWORLD NCLEX review

UWORLD NCLEX review ScienceMedicineSurgery dlmanco Save

Role Transition: Exam #2

136 terms dlmancoPreview Board Index cards 219 terms dlmancoPreview Ectopic Pregnancy 22 terms alexandra_maureen Preview CPR Te 21 terms chr pericarditis Hallmark Sign?inflammation of the pericardium, from an infection, Hallmark sign is friction rub Sit up and lean forward for pain. No coughing or laying down.Cardiac Tamponade What are the 3 signs?

• Acute compression of the heart caused by fluid accumulation in the pericardial cavity.
• Life threatening as it depletes cardiac output

Becks triad:

• Hypotension
• Muffled heart sounds
• Neck vein distension

Signs of a DVT Unilateral edema Calf pain warmth/fever in area redness/erythema

Lifestyle risk factors DVT Virchow Triad No smoking, alcohol, or caffeine Elevate legs to promote venous return Exercise Stay Hydrated Abdominal Aortic Aneurysm What is it?What should nurses monitor?Treatment?When the large blood vessel (aorta) that supplies blood to the abdomen, pelvis, and legs becomes abnormally large or balloons outward.Check the clients pulses Usually fixed via a stent inserted via groin.Dash Diet Less sodium, sugar and cholesterol Example, salt, soda, and red meat.Diet to limit hypertension Supraventricular tachycardia Treatment?#1 is vagul Cardiovert Adenosine Amiodarone

ventricular tachycardia Cardiovert Adenosine Amiodarone atrial fibrillation Cardiovert is less than 72 hrs Amiodarone Anti-coagulants - AFIB THROWS CLOTS!!Atrial Flutter No treatment Normal rhythm Premature Ventricular Contraction (PVC) wide and bizare QRS Heart block Degree 1,2,3 1) PR interval gets continuously longer, missed QRS. No treatment needed.2) PR interval is consistent, then missed QRS Treatment needed. Atropine, Epinepinephrine, pacing 3) PR interval is irregular and random, then missed QRS.Treatment needed. PACING required.

diabetes insipidus (DI) Treatment med?Low ADH secreted by Pituitary Gland, so you dont hold water = fluid volume deficit Polyuria = thirst Polydipsia= peeing alot! Leads to hypotension Hypernatremia= you pee so much diluted urine your blood holds onto sodium Hypotebnsion Treatment = Vasopressin, desmopressin Monitor NA, and urine output Addison disease

Adrenal Gland Disorder: Low cortisol, aldosterone, and androgens.

• Low cortisol (glucosteriods)- so hypoglycemia leading to fatigue, confusion, weakness, weight loss.
• Low Aldosterone (mineral corticoids) which controls BP, by holding sodium and excreting potassium.
• So they will have low NA (confusion) and high K (arrhythmias).
• Will be dehydrated and hypotensive.
• Androgens- Will lose hair
• Skin is hyper pigmented, bronzed

Addison disease

Adrenal Gland Disorder: Low cortisol, aldosterone, and androgens.

• Low cortisol (glucosteriods)- so hypoglycemia leading to fatigue, confusion, weakness, weight loss.
• Low Aldosterone (mineral corticoids) which controls BP, by holding sodium and excreting potassium.
• So they will have low NA (confusion) and high K (arrhythmias).
• Will be dehydrated and hypotensive.
• Androgens- Will lose hair
• Skin is hyper pigmented, bronzed

Addison disease

Adrenal Gland Disorder: Low cortisol, aldosterone, and androgens.

• Low cortisol (glucosteriods)- so hypoglycemia leading to fatigue, confusion, weakness, weight loss.
• Low Aldosterone (mineral corticoids) which controls BP, by holding sodium and excreting potassium.
• So they will have low NA (confusion) and high K (arrhythmias).
• Will be dehydrated and hypotensive.
• Androgens- Will lose hair
• Skin is hyper pigmented, bronzed