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108 Cards in this Set
- Front
- Back
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Anorexia Nervosa |
Views self as fat regardless of weight, intense fear of becoming fat, anxious about losing control, weight less than 85% of normal, feels powerless, obsessive compulsive disorder |
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Bulimia |
recurrent binge eating, followed by vomiting, misuse of laxatives and enemas, depressed mood, anxiety, compulsivity |
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PICA (persistent eating of non-nutritive food and non-food substances) |
Food-cornstarch, baking powder, coffee grounds Non-food-clay, soils, laundry starch paint chips Common in pregnant women, children, autism, or cognitive impairment, pts with chronic renal failure, cultural background, iron zinc deficient |
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Peritonitis |
Fver, N/V, anorexia, board like abdomen, abd distention and rigidity, increased WBC |
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Peritonitis risks |
Increased pulse, shock, dehydration, pain, decreased bowel sounds, tenderness over involved area. |
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Peritonitis comes from |
abd surgery, ectopic pregnancy, perforation from trauma, ulcer, appendix rupture, diverticulum |
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Peritonitis tx |
Identify cause give abx, iv fluids, decrease abd distention |
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peritonitis RN care |
IVs and electrolyte balance, decrease GI distention, decrease infection process, prevent complications to immobility, pulmonary, fluid balance |
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Anorexia Nervosa may cause |
less than 15% body weight, amenorrhea x3 months |
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Peritonitis diagnostics |
CT, labs, xrays, US |
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Crohns Disease |
a chronic inflammatory disease of the intestines, especially the colon and ileum, associated with ulcers and fistulae.
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Crohns disease occurs in |
teens to mid 30s second peak after age 60 may be caused by auto immune factors. causes N/V |
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Crohns disease signs and symptoms |
Sever diarrhea, low grade fever, infrequent rectal bleeding, weight loss, sever malabsorption, abd pain and distention, tenderness in RLQ |
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Crohns Disease late signs and symptoms |
dehydration, electrolyte imbalance, anemia |
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Crohns disease complications |
perineal abscesses, intestinal fistulas, peritonitis |
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Bulimia signs |
Increased mood when eating, decreased mood when stopped, generally sleeps after eating, may vomit after binge eating. |
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Bowel obstruction |
mechanical or peralytic blockage in the ileus |
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HIgher the obstruction the quicker the symptoms |
Bowel obstruction |
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Fecal smell during vomiting |
bowel obstruction |
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Signs of bowel obstruction |
abd distention, constipation with failure to pass gas |
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bowel obstruction bowel sounds |
high pitched above area at first then go silent |
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SIR Hernia |
strangulated incarcerated reducible |
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strangulated hernia |
blood supply cut off, emergency surgery needed |
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Incarcerated Hernia |
Hernia trapped outside peritoneal cavity |
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Reducible Hernia |
Hernia moves back into peritoneal cavity |
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Metabolic syndrome X |
factors that lead to diabetes |
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Metabolic syndrome X factors |
Abd obesity, BMI greater than 25, waist for men over40", women over 35" Hyperglycemia-fasting BS greater than 110, IBW greater than 20% Hypertension on meds high lipids on meds |
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POOPER |
Position upright Output-adequate hydration Offer fluids Privacy exercise report results |
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SCOOP |
Size amount Consistency Occult blood Odor Peristalsis |
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Appendicitis common in |
10-12 year olds |
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Appendicitis symptoms |
begins as dull steady pain in periumbilical area, progresses over 4-6 hours and localizes to RLQ, low grade fever, nausea, anorexia |
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Sudden pain relief may indicate |
rupture of appendix, rebound pain or tenderness RLQ at McBurneys point |
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Diagnose appendicitis |
Increased WBC, abd sonogram, exploratory lap |
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Dumping syndrome occurs |
15-30 mins after eating |
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Dumping syndrome symptoms |
weakness, dizziness, vertigo, diaphoresis, tachycardia, abd cramping, self-limiting, epigastric fullness |
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Dumping syndrome RN interventions |
no fluids with meals, no high carbs such as bread, potatoes, pastas |
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Gastric ulcers |
wt loss, acid-normal or hyposecretion, pain half an hour to hour after meals, vomiting, eating increases pain |
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Stress ulcers |
physiological stress, shock, cushing ulcer, brain injury, curlings ulcer extensive burns |
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Common risk factors for ulcers |
Stress, H pylori, alcohol, smoking, gastritis |
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Duodenal Ulcer most common |
well nourished, pain 2-3 hours after meals, food decreases pain |
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Anaphylatic |
Type I antigenic response has occurred |
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Cytotoxic |
Type II antibody surrounds foreign body |
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Immune Complexed |
Type III foreign body attacked |
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Cell Medicated |
Type IV body remembers foreign antigen |
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Epi pen |
In the thigh |
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Allergic reaction treatment |
epinephrine, steroids, PO prednizone |
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Inflammation characteristics |
Heat Induration Pain Edema Redness |
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Prevention of infection |
safe injection, Hand hygiene, PPE, clean up spills |
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HIV screening |
EIA at 3 weeks, 6wks, 3 months after eposure |
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RAPID HIV |
testing for antigens not antibodies |
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Seroconversion |
Window period-development of HIV specific antibodies |
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Allergic reaction |
not always a reaction maybe a small raection |
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AIDS |
CDCELL count less than 200, opportunistic infections, cancer-karposis sarcoma, wasting syndrome, AIDS dementia complex |
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Years to development of AIDS |
11 years, symptoms fatigue, HA, lymphadenopathy, low grade fever, Normal CD4 t cell count, increased infections |
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Treatment of HIV |
ART antiretroviral begins with HIV dx |
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HIV Goals |
Decrease viral load, maintain or increase CD4 t cell count, delay onset of HIV related symptoms, prevent or delay opportunistic infections |
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Anaphylactic reaction signs |
Rapid onset, Dyspnea, tight throat, bronchospasm, laryngeal edema, feelings of apprehension, tingling and swelling in mouth, face, throat and tongue, itching, decreased BP, tachycardia, LOC |
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Systemic Lupus Erythematosis SLE |
Photosensitivity, butterfly rash, tachypnea, cough, pleural inflammation effusion, wt loss, chronic fatigue, fever, polyarthritis, emotional lability, hematologic disorders, increased coagulation, CNS disorders |
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Rheumatoid arthritis RA |
chronic inflammation of synovial joints |
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synvovitis stage |
thickened synovial membranes/inflammation |
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Pannus stage |
cartilage destruction |
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Fibrous ankylosis |
fibrous tissue which evolves into scar tissue |
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RA risk factors |
Increased incidence in women, any stage but peaks at ages 30-50 |
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Clinical RA manifestations |
Bilateral joint involvement, joint stiffness, pain, limitation of movement, morning stiffness lasting an hour, pain increases with movement, commonly affect hand and finger joints, |
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How to DX RA |
+serum rheumatoid factor, increased ESR, increased c-reactive protein, positive antinuclear antibody |
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RA treatment |
NSAIDs, cox 2 inhibitors, DMARDs, heat/cold applications, deformoity preventing devices, PT |
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RA complications |
hand deformities, pericarditis, myocarditis, valve involvement, pulmonary, cataracts, loss of vision, rheumatoid nodules |
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anti-inflammatory cortocosteroids |
prednisone, cortisone, dexamethasone |
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Diverticulosis |
first, pouches have formed |
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Diverticulitis |
pouches in the lining of the GI have occurred and become inflamed |
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Why are there liquid bm iliostomy |
food has not passed through large intestine |
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NPO why |
to calm the GI system |
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perforated bowel assessment findings |
pain, distended, tender, rigid |
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gastrectomy |
position high to semi fowlers |
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go lightly |
frequent watery stools |
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Vagotomy |
incision of vagus nerves |
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NG tubes |
low suctioning to prevent metabolic alkalosis |
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auto immune disorder |
body attakcs itself |
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initial HIV Drugs |
AZT-retrovir |
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rosette after ostomy |
should be pink |
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assessment finding on pt who does not want to eat |
difficulty swallowing or chewing, denture, can cause anorexia |
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Medication for mouth ulcers |
nystatin |
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anaphylactic reation meds |
histamine blockers |
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pneumocystitis for right sided pneumnia |
HIV give proteus inhibitors |
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acyclovir |
fungal infections |
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HIV goes through serum conversion |
AIDS |
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LAb tests to determine T cell |
CD4 t cell count |
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lisinopril |
angiodema is an allergic reaction stop meds |
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Vascular problem comprmised |
when having diarrhea and emesis/hypovolemia |
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steroids |
reduce inflammation/watch the glucose |
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client complains chest hurts |
everything negative for MI, dr gives a GI cocktail, donnatal, viscus lidocaine, maalox/reduces stomach acid in reflux |
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Iron supplements cause |
black tarry stools |
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fever after surgery |
bad |
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pt had GI surgery make cough |
with pillow splinting |
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Allergic reaction which is more importantreaction or what they are allergic to? |
reaction |
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Viral load |
measurement of amount of viral in bloodstream |
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lupus effects kidney monitor |
BUN/creatinine |
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bulimic signs |
teeth marks on back of hands |
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prevent gatritis |
avoid soda, coffee |
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psychosocial |
feel or look different |
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humoral response |
joking manner |
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emesis blood gas |
metabolic acidosis |
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endoscopy |
to determine GI bleed |
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most common cause peptic ulcers |
h pylori |
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Most important in health hx |
allergies |
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pertonitis caused by |
rupture of peritoneum |
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Plasma pheresis |
run plasma through machine to remove proteins preventing immune system from attacking itself |
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antibiotic resistant |
had too much antibodies-MRSA, VRE |
