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18 Cards in this Set
- Front
- Back
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Gallstones |
Pancreatitis-autodigestion of pacreas, leaking of fluids equals ascites, so measure abdominal girth Rules-mark the abdomen so everyone measures at same place At umbilicus Snug but not tight |
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Initial admission findings pancreatitis |
Fever Cullens (abd distention with bruising in umbilicus) Grey Turner's (ecchymosis of flanks) Abdominal distention Rigid board like abd |
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Dx tests for pactreatitis |
Lipase (spilling into blood) Amylase Glucose (pancreas affects glucose) Pt and ptt (liver involved clotting factors-bleeding) Alt and ast (liver enzymes) |
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Interventions for pancreatitis for pain |
Ng tube Cimetidine Pca pump for pain |
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Tna |
Hypertonic Administered though a central line Needed for pancreatitis because they are NPO |
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Caring for tna |
Needs central line (irritant/lots of glucose) Dedicated line Weigh pt daily Must have filter and is not compatible Tna can be hung for 24 hours |
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Cirrhosis of the liver |
Ascites Elevated ast alt Hematemesis |
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Too much ammonia |
Minor mental changes Motor problems Difficulty awakening Asterixis Decreased reflexes Hepatic coma/encephalopathy Handwriting changes Ecg changes |
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Paracentesis |
Elevate HOB Sit up |
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To do if fracture present |
Immobilize Support above or below site Move leg as little as possible |
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Neurovascular check |
Pulse Color Movement Sensation Cap refill Temp |
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Traction |
Traction must be in place continuously And weights should hang.freely |
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Traction types |
Skin- for short term, skin assessment 3x daily Skeletal- long term, assess the pins to decrease infection and osteomyelitis x8 times/clean daily/teach pt how to care Don't forget Hazards of immobility!!! |
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Neutral rotation, decrease flexion, and other interventions |
Decrease dislocation Abduction pillow keeps bed in socket Overhead trapeze helps pt position in and out of bed and promotes upper body strength Firm mattress equals support Isometric exercises help increase venous return and maintain muscle tone Trocanter rolls prevent external rotation and dislocation Increase fluids because of increased dehydration from diuresis |
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TPAL |
T term P preterm A abortion L live birth |
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Nagel's rule for edd |
Add 7 days substraction 3 months |
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Seizures can occur |
48 hrs after delivery Given mg, sedative |
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No pelvic exam with.... |
Placenta previa |
