hypocalcemia - ANSWER-tetany, cramps; paresthesia or numbness;
abdominal cramps; hypotension; dysrhythmias; trousseau's sign and
chvostek's sign; seizures, hyperreflexia; impaired clotting time
seizure precautions
lamotrigine - ANSWER--antiepileptic drug: rash is 1st indication of
Stevens-Johnson syndrome and toxic epidermal necrolysis; can occur
first 2-8 weeks of Tx- report STAT
balanced skeletal traction - ANSWER--offer diet high in fluids and
fiber b/c immobilized pt at risk for constipation
,-provide pin care w/ one of following solutions: chlorhexidine,
povidone-iodine; half-strength hydrogen peroxide
doxycycline - ANSWER-tetracycline antibiotic; AE is photo-sensitivity
thrombocytopenia - ANSWER-PLT < 100,000 (normal is 150,000-
450,000)increased risk of bleeding; if IV being d/c apply pressure for
at least 5 mins
-bleeding precautions; avoid IM injections
,amblyopia & strabismus - ANSWER--amblyopia is disorder of eye in
which unilateral central blindness occurs as result of another
condition such as strabismus
-in strabismus, muscle weakness allows one eye to wander so child
cannot focus on an object w/ both eyes at same time. this confusion
causes brain to ignore signals from weak eye in favor of strong one,
this will result in central blindness if not treated by age of 6
-to strengthen weak eye muscle unaffected eye is patched
schizophrenia: appropriate activity - ANSWER--walking w/ staff
around gated grounds
-encourage to participate in nonthreatening, noncompetitive physical
activities, provide opportunity for verbal interaction w/ health care
team member
situ keratomileusis (LASIK) surgery - ANSWER-type of refractive eye
laser surgery opthalmologists perform to correct myopia, hyperopia,
and astigmatism which all common causes of nearsightedness;
however many people develop presbyopia (farsightedness) w/ age
and may need reading glasses despite having Lasik surgery
Asperger's syndrome - ANSWER-high functioning form of autism
spectrum disorder, typically child will have normal to high cognitive
skills; a structured environment can help to minimize problems
experienced w/ sudden schedule changes, socialization requirements
and preference for ritualistic behavior
subtotal thyroidectomy emergency bedside equipment post-op -
ANSWER--in event of laryngeal edema or tetany, respiratory distress
, could result in airway obstruction, emergency intubation may be
difficult d/t laryngeal swelling & endotracheal intubation may
increase risk for hemorrhage by increasing tension on incision during
insertion
-a tracheostomy tray should be easily accessible
mechanical ventilation: low-pressure alarms - ANSWER--either tubing
has come apart or pt has become disconnected from ventilator
tubing, result of malfunction or displacement of connections
somewhere between endotracheal or tracheostomy tube and
ventilator (leak in ventilator circuitry)
mech vent: high-pressure alarms - ANSWER--increase in resistance
each time ventilator administers a breath to pt
-excessive airway secretions, decreased lung compliance
rheumatic endocarditis teaching - ANSWER--preventing a
reoccurrence of rheumatic endocarditis is goal of notifying provider
prior to invasive surgery or dental procedures
-prophylactic antibiotics given prior to invasive/dental procedures d/t
risk of streptococci
ROME - ANSWER-respiratory opposite metabolic equal
respiratory alkalosis: increased pH, decreased CO2
respiratory acidosis, decreased pH, increased CO2
metabolic alkalosis: increased pH&HCO3
metabolic acidosis: decreased pH and HCO3
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