Final exam N250
Nursing 250 with Goebeldahlen at California State University - Long Beach
About this deck
By: Izza May Diaz
Created: 2011-02-21
Size: 35 flashcards
Views: 5
Created: 2011-02-21
Size: 35 flashcards
Views: 5
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pain definition (2)
unpleasant sensory and emotional experience associated c actual or potential tissue damage
pain results in
immune system depressed.
increased stress take longer to heal
tachycardic
hastens death
increased stress take longer to heal
tachycardic
hastens death
pain in elderly/cognitive
treat pn even if they don't express it
pain hastens death cuz why?
increases myocardial O2 demand, increased stress on respiratory because you're hyper ventilating
bad thing about non opioids
they have a ceiling so at a certain point you can't take anymore and if you're having pain still and you can't take anymore you're screwec
the good thing about non-opioids
they work by different mechanisms so you can take them together
tylenol is bad for 2 reasons
hepatotoxic
decreases platelet aggregation-->decreases clotting-->increases propensity for bleeding
decreases platelet aggregation-->decreases clotting-->increases propensity for bleeding
NSAIDs are bad for 2 reasons
GI bleed risk
bad for kidneys if you're at the EOL and dehydrated
bad for kidneys if you're at the EOL and dehydrated
parenteral routes include
IM
IV
SQ
intranasal
IV
SQ
intranasal
true allergies to morphine are rare. TRUE or FALSE
TRUE.
allergies to morphine sx
systemic edema
trouble breathing
trouble breathing
respiratory depression in unusual with opioids, you see what before resp depression
see sedation before this
opioid increases at EOL
are not associated with shortened survival
persistant pn aka
constant, baseline/basal pain
persistant pn tx c what med route?
oral med route
persistent pn start tx with what type of med
non-opioid
THEN progress to an opioid around the clock (ATC)
THEN progress to an opioid around the clock (ATC)
equianalgesic definition
equal/same pain relief
polycystic kidney dx ss
constipation
abdominal, flank pn increased abdominal girth
cloudy/bloody urine kidney stones
HTN
abdominal, flank pn increased abdominal girth
cloudy/bloody urine kidney stones
HTN
think back pain think
back up of urine, report to physician
difference bet pyelonephritis and UTI
fever
Tx polycystic kidney dx?
transplant
hydronephrosis, hydroureter
kidneystone, prob c urine outflow and obstruction
tx hydronephrosis, hydroureter
anything that restores nl flow (lyse, surgery)
ss pyelonephritis
fever, tachycard, tachypnea
flank, back pn, or loin pn
burning, NV, urgency, frequency, nocturia
general malaise or fatigue
flank, back pn, or loin pn
burning, NV, urgency, frequency, nocturia
general malaise or fatigue
pyelonephritis definition
bacterial infection of kidney and renal pelvis (upper urinary tract)
tx pyelonephritis
abx, increased fluids
biggest complication/what are you worried about most c pyelonephritis?
sepsis
death
death
chronic pyelonephritis characteristics?
HTN
inability to conserve sodium (low Na, High K)
decreased ability to concentrate urine (sp gravity fixed)
tendency for hyperkalemia (high K, low Na) development and acidosis
inability to conserve sodium (low Na, High K)
decreased ability to concentrate urine (sp gravity fixed)
tendency for hyperkalemia (high K, low Na) development and acidosis
glomerulonephritis looks like
CHF (because of FVE manifestations)
nephrotic syndrome
syndrome where there is increased glomerular permeability, allows large molecules to pass through memb into the urine and then be excreted
nephrotic syndrome results in
severe protein loss into urine (proteinemia), edema formation, decreased plasma albumin levels (cuz it didn't get kept in the vessel, just went through the glomerulus)
tx nephrotic syndrome
immunosuppressive agents mild diuretics (challenge kidneys)
ACE-inhibitors
Heparin (decreases viscosity)
diet changes more protein (not globs of it though)
ACE-inhibitors
Heparin (decreases viscosity)
diet changes more protein (not globs of it though)
spironolactone is what type of drug?
diuretic
spironolactone is what TYPE OF DIURETIC?
K sparing diuretic. so eat less K if you're taking this, or else you'll get too much
nephrosclerosis
narrowing. think also cuz of HTN, DM
About this deck
By: Izza May Diaz
Created: 2011-02-21
Size: 35 flashcards
Views: 5
Created: 2011-02-21
Size: 35 flashcards
Views: 5
About StudyBlue
STUDYBLUE makes things that make you better at school.
Things like online flashcards with photos and audio.
Things like personalized quizzes and friendly reminders about when (and what) to study next.
Think of it as a digital backpack™: access to all of your study materials online and on your phone.
STUDYBLUE exists to make studying efficient and effective for every student, for free. Join us.
“I have been getting MUCH better grades on all my tests for school. Flash cards, notes, and quizzes are great on here. Thanks!”
Kathy
Kathy