CAPA Certification Exam Glycopyrrolate - - Induction and intubation medication - Can cause photosensitivity Craniotomy Treatment (triple H's) - - hemodilution - hypertension - hypervolemia (this forces constricted blood vessels to dilate and perfuse tissue) Transverse Colostomy - soft stool typical stool odor stool damages the skin empties several times per day may or may not be at risk for fluid/electrolytes imbalances may irrigate sigmoid colostomy - - formed stool ileosotomy - - high up - liquid pasty stool Roux -en-Y gastric bypass - Small pouch created from stomach Part of small intestine (DUODENUM) bypassed Restriction and malabsorption Post -op Stroke symptoms - - double vision - headache - sudden dizziness Metoclopramide (Reglan) - - controls post -op NV - can have extrapyrmidal side effects like tardive dyskinesia Gastrectomy Interventions - - encourage deep breaths - and position shifts clonic seizure - repetitive jerking movements petit mal seizure - Also called absence attack. A seizure that is characterized by a spike -and-wave EEG and often involves a loss of awareness and inability to recall events surrounding the seizure. Tonic seizure - sustained muscle contraction Emergence excitement safety interventions - ok to use wrist restraints Shivering first interventions - - anticipate order for demerol (over warm blankets) Septic Shock/ Early Respiratory Distress - - Hyperventilation - Respiratory Alkalosis - Elevated Lactate Levels Interscalene nerve block - anesthetizes the brachial plexus as it passes through the scalene triangle. It is used to provide anethesia for the shoulder and upper arm. Nearly all patients will devleop transeint ipsilateral diaphragmatic parylasis due to involvment of the phrenic nerv e roots as tehy pass through the interscalene sheath.
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