100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NUR 265 HESI Med Surg Questions With Answers Graded A+ Assured Success $8.39
Add to cart
Quickly navigate to
Preview
  2.  
  3. NUR 265 HESI Med Surg
  4.  
  5. NUR 265 HESI Med Surg

Exam (elaborations)

NUR 265 HESI Med Surg Questions With Answers Graded A+ Assured Success
 0 purchase
  • Course
  • NUR 265 HESI Med Surg
  • Institution
  • NUR 265 HESI Med Surg

SIADH Pituitary (Hypothalamus) - Excess ADH (vasopressin), fluid overload Cause: SSRI's, Small Cell Lung Therapy Manif: Dillusional Hyponatremia (below 115), LOC, seizure, coma, loss deep tendon reflexes, hypothermia, bounding pulse Interv: Tolvaptan / Conovaptan - promotes water excretion w/o ...

[Show more]

Preview 3 out of 28  pages

Document information

  • September 10, 2024
  • 28
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

Written for

  • NUR 265 HESI Med Surg
  • NUR 265 HESI Med Surg

Seller

avatar-seller
PatrickKaylian

Reviews received

Content preview

NUR 265 HESI Med Surg
SIADH Pituitary (Hypothalamus) - Excess ADH (vasopressin), fluid overload

Cause: SSRI's, Small Cell Lung Therapy

Manif: Dillusional Hyponatremia (below 115), LOC, seizure, coma,

loss deep tendon reflexes, hypothermia, bounding pulse

Interv: Tolvaptan / Conovaptan - promotes water excretion w/o NA

loss, Admin in Hospital (Black Box)

Diuretics

Hypertonic Saline #% Sodium Chloride

Restrict fluid intake 600mL

#1 monitor lung sounds (ABC's)



Hemodialysis - Pharmokenetic excretion adversely affected

Monitor for digtoxicity / hyperkalemia / dillusional hyponatremia

3 requirements: access to blood, semipermeable membrane, dialysate

More Effective/ Shorter time

#1 Complication - Disequilibrium Syndrome causing ICP

Admin Anticonvulsants (Dilantin)



Peritoneal Dialysis - Monitor Albumin

#1 Complication - Peritonitis leads to septic shock

Ridge Board Like Abdomen

Cloudy Excretion - Infection

Interventions: heparinization required

weigh before / after, acquire baselines

^ protein intake - excreted at dialysis

Teaching: know signs for peritonitis, cloudy excretion, monitor

,glucose for hyperglycemia



Dialysis Air Embolism - clamp catheter

Patient Left Lateral Trendelenburg

Notify Physician

Admin Oxygen



DKA - Lacks insulin, DMI (insulin dependent), Ketones

Sudden Onset - infection, injury, stress

Uncontrolled hyperglycemia

Met. Acidosis - Kussmaul Respirations

Polyuria / dipsia / phagia

Dehydration, Osmotic Diuresis 6 - 10 L

Glucose >250

Interventions: #1 assess airway, #2 LOC, #3 Hydration (Dextrose)

Admin Insulin

Before Admin IV K+ assure output 30ml +




ARF Post Renal - Renal Calculus: Lithiasis, BPH

Risk for Hyperparathyroidism ^ Calcium

Pathological Fractures

Prevent Volume Depletion

Manif: low urine output, decreased BP / Pulse

Orthostatic Hypotension, thirst

^ Blood Osmolarity

, HHNKS - DMII, Insulin Resistant, Gradual Onset

Glucose >600

Major factor is obesity

Worse Diuresis / Dehydration

Neurological - coma, seizures, stroke

Met. Alkalosis

Interventions: #1 Hydration, #2 LOC

Admin Insulin restoring glucose w/I 72hrs

Evaluate Fluid Volume / Daily Weights

Teaching: store unopened insulin vials in refrigerator or room temp

for 28 days

Draw regular insulin into syringe first when mixing insulins

Exercise decreases blood sugar levels

Sick Days: keep taking insulin

monitor glucose more frequently

watch for signs of hyperglycemia

**If in doubt if hyper / hypo glycemic, treat for hypoglycemia



Hypoglycemia - Glucose <70, rapid decline

Excess Insulin, wrong time / type

Manif: #1 early -Neurogenic (Cholinergic / Adrenergic)

#2 Central Neuroglycopenic: confusion, seizure, coma

Interv: Mild - admin carbs / protein

Severe -admin Glucagon

Teach: avoid exercise / alcohol

New bottle Insulin / more potent

Change injection site

Med Alert Bracelet / Carry carb snack

Drink alcohol with food / after meal

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller PatrickKaylian. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $8.39. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69052 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$8.39
  • (0)
Add to cart
Added