Pt. w/ trach, maintain b/p cuff at?
MS3 -20-25mmHg
Pt. Understanding of Paracentesis
EXAM 3
Asterixis & fetor hepaticus is seen in
-Dr will insert needle
-Will have to be done number of times
Pt. on mechanical vent is restless, diaphoretic,
-Stage 2 hepatic encephalopathy
& tachy interventions
-Assess respiratory
Pt on vent with pantoprazole what is the
-troubleshoot ventilator
indication?
-Prevent stress ulcers
TRUS procedure & biopsy show Gleason score
of 3, what tx. Do you give?
Pt w/bladder cancer and intravesical
-external beam radiation
chemotherapy
-Try and have them hold in for 2 hrs.
78yr old w/chest tube and thoracotomy
prescribed tramadol he’s taking SSRI, aspirin, &
What med promotes gastric motility after
metformin, what med is cause for concern?
esophageal resections?
-SSRI concerning
-Metoclopramide
Pt. w/bleeding esophageal w/balloon
Pt. with trans resection of prostate what d/c
tamponade, what intervention
instructions when to call provider?
-monitor continuously
-Pain & redness in LE
Pt. w/exacerbation with COPD what ventilation
What to avoid in esophageal varices
to be ordered?
-no alcohol
-noninvasive positive pressure
-no aspirin
-no straining
Pt that needs to be on sodium diet that
-no acidic drinks
understands restriction says?
-no lifting heavy shit
-ok to season w/oregano
Pt. that is A+O needs chest tube
Pt. with cirrhosis & ascites, what indicates
-need consent
getting worse?
-increase in abdominal girth
Pt. w/distended abdomen, stria, abdominal
discomfort, low sodium…
What parameters to wean off vent?
-Portal HTN
-6L-1min
What is ureterosigmoidostomy?
Pt. with hepatic encephalopathy lactulose does
It Connect ureters to sigmoid, no appliance, -no
what?
need to empty bladder, no stoma
-lower ammonia level
Pt. takes hormonal tx. for prostate cancer what
Recommended screening for African American
action to monitor?
males for prostate cancer?
-monitor blood sugar
-digital rectum exam at age 45
MS3 -20-25mmHg
Pt. Understanding of Paracentesis
EXAM 3
Asterixis & fetor hepaticus is seen in
-Dr will insert needle
-Will have to be done number of times
Pt. on mechanical vent is restless, diaphoretic,
-Stage 2 hepatic encephalopathy
& tachy interventions
-Assess respiratory
Pt on vent with pantoprazole what is the
-troubleshoot ventilator
indication?
-Prevent stress ulcers
TRUS procedure & biopsy show Gleason score
of 3, what tx. Do you give?
Pt w/bladder cancer and intravesical
-external beam radiation
chemotherapy
-Try and have them hold in for 2 hrs.
78yr old w/chest tube and thoracotomy
prescribed tramadol he’s taking SSRI, aspirin, &
What med promotes gastric motility after
metformin, what med is cause for concern?
esophageal resections?
-SSRI concerning
-Metoclopramide
Pt. w/bleeding esophageal w/balloon
Pt. with trans resection of prostate what d/c
tamponade, what intervention
instructions when to call provider?
-monitor continuously
-Pain & redness in LE
Pt. w/exacerbation with COPD what ventilation
What to avoid in esophageal varices
to be ordered?
-no alcohol
-noninvasive positive pressure
-no aspirin
-no straining
Pt that needs to be on sodium diet that
-no acidic drinks
understands restriction says?
-no lifting heavy shit
-ok to season w/oregano
Pt. that is A+O needs chest tube
Pt. with cirrhosis & ascites, what indicates
-need consent
getting worse?
-increase in abdominal girth
Pt. w/distended abdomen, stria, abdominal
discomfort, low sodium…
What parameters to wean off vent?
-Portal HTN
-6L-1min
What is ureterosigmoidostomy?
Pt. with hepatic encephalopathy lactulose does
It Connect ureters to sigmoid, no appliance, -no
what?
need to empty bladder, no stoma
-lower ammonia level
Pt. takes hormonal tx. for prostate cancer what
Recommended screening for African American
action to monitor?
males for prostate cancer?
-monitor blood sugar
-digital rectum exam at age 45
