Hondros College School Of Nursing

IBS (irritable bowel syndrome) - syndrome that can be reversed IBD (inflammatory bowel disease) - autoimmune disease like crohns and UC Where is Crohn's disease located? - anywhere in the GI tract. segmental Where is ulcerative colitis found? - in the colon only. affects mucosal layer Crohn's disease symptoms - diarrhea, abd cramping, wt loss, decreased absorption, rectal bleeding meds contraindicated with crohns - NSAIDs and contraceptives ulcerative colitis symptoms - bloody diarr...

Inflammatory bowel Disease – -Diarrhea -Weight loss -Abdominal Pain -fever -Faitiguw Crohn's disease – -Diarrhea -abdominal cramping -abdominal pain -weight loss occurs from inflammation of the small intestine causing malabsorption rectal bleeding may occur sometimes clinical manifestations: ulcerative colitis – -Bloody diarrhea -abdominal pain -pain may very from the lower abdominal cramping associated w/ diarrhea to severe constant pain Mild manifestation: of ulcerat...

subclinical hyperthyroidism lab values – TSH below 0.4 T3 and T4 normal overt hyperthyroidism labs – no TSH elevated T3 and T4 graves disease is a common form of hyperthyroidism. it can destruct the thyroid tissue, which can lead to - hypothyroidism skin/hair/nails for a hyperactive thyroid pt - warm, smooth, moist THIN brittle nails patchy hair loss with fine silky hair clubbing of fingers skin/hair/nails for hypoactive thyroid patient - dry, thick, inelsastic cold skin THICK, ...

Addison’s disease is from - low cortisol/aldosterone S/S of Addison's Disease? - hypotension, hypovolemia, tachycardia, low BG, hyponatremia, hyperkalemia, fatigue, wt loss, lethargy, BRONZE APPEARANCE why do addisons pts look bronzed? - increased levels of ACTH what is addisons pt at risk for - dehydration, poor perfusion, infection what treatment med for addisons - corticosteroids (infection risk) what kind of diet for addisons pt - high sodium, low potassium pt edu about steroid u...

When performing a physical assessment, the first technique the nurse will always use is: A. Palpation. B. Inspection. C. Percussion. D. Auscultation. - Inspection Which of these techniques uses the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient? A. Palpation B. Inspection C. Percussion D. Auscultation - Palpation When performing a physical examination, safety must be considered to protect the examiner and the patient again...

UC - Only in 1st layer of colon - Bloody diarrhea - More frequent diarrhea Crohn's - Can occur anywhere in GI tract from mouth to anus - All layers of bowel are affected - Watery diarrhea - Perforation, pockets, fistulas, alteration can occur - Cobblestoning - Prone to infection Common S/S of UC & Crohn's - Fatigue - Fever - Diarrhea - Weight loss - Abdominal pain - Malnutrition - Dehydration - Electrolyte imbalance S/S of dehydration - Weak pulse - Low BP - High HR ...

When do you asses skin? - On admission, and on every shift. Asses ALL skin Stage 1 Pressure Ulcer - intact skin with nonblanchable redness Stage 2 Pressure Ulcer - Partial Thickness loss with serous drainage Stage 3 Pressure Ulcer - Open lesion with subcutaneous tissue exposed Stage 4 Pressure Ulcer - Full thickness tissue loss with exposed muscle and bone necrotic tissue - dead tissue Braden Scale - A tool for predicting pressure ulcer risk Severe Risk for pressure ulcer on Braden Scale ...

What do we want to do with chain of infection? - break it, wash hands How does HAI spread - not hand washing, equipment What PPE is worn for what isolation - Contact - gloves, gown Droplet - mask, gloves, gown standard precautions - gloves What infections do we put in Contact isolation - VRE, MRSA, C-Diff (with hand washing) What kind of precautions for Airborne - N-95, Hood What are the rules for restraints - check circulation every 30min release every 2 hours must have doctors order ...

Cell - The basic unit of the body Groups of cells combine to form: - Tissues Groups of tissues with the same function form: - Organs The body has 4 basic types of tissues: - Nerve Muscle Epithelial Connective Epithelial Tissue - Inner and outer surfaces of body structures; forming, protecting, covering the body Functions of Epithelial Tissue - Protection Absorption Filtration Secretion Transportation Connective Tissue - Anchors and supports Varies from liquid to hard Most abundan...

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