Class notes
Final concepts Medsurg 1
- Course
- Institution
hepatitis, Cirrhosis, PUD, TB, Asthma, osteoporsosi, etc
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By: Mindyoooooobusss • 2 months ago
By: emilymejia71 • 3 months ago
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D.RevillF i n a l
e x a m
K e y
c o n c e p t s
-
M e d s u r g
Large
intestine
-
absorbs
water Small
intestine
-
nutrient
absorption
ERCP:
looking
for
complications -
NPO
Hepatitis
A-
fecal
oral
contaminated
food
or
water. -
Shellfish -
Uncooked
raw
foods Hepatitis
B
-
blood -
Needlestick -
Mother
to
child -
Intercourse
Hepatitis
C-
needles
Hepatitis
D
-
contact Wwhurq
Hep
E
-
same
as
A
Cirrhosis
scarring
of
tissue
in
liver -
Low
protein
avoid
ammonia
-
asterixis -
Low
sodium
diet
to
restrict
fluid
retention -
Fall
risk -
Measure
abdominal
girthFtDiana
(ascites) -
Lactulose
A/E
is
diarrhea
FOBT
-
avoid
poultry,
red
meats -
Aspirin
causes
bleeding
Peptic
ulcer
disease -
Causes
peritonitis -
Rigid
abdomen,
painful -
Internal
bleeding
-
hypovolemic
shock,
high
HR,
low
BP
GERD
-
Regurgitation
-
acid
reflux -
Heart
burn -
Burping -
Dyspepsia
-
uncomfortableness
of
GI
tract -
Nauseous
Liver
biopsy
-
Right
side
to
promote
coagulation -
Low
platelet, D.Revill
-
increased
prothrombin
time
bc
of
the
risk
of
bleeding
out
TB
-
Negative
pressure -
N95
-
Ison
-
Rifampin -
-
Pza
-
Theo
s/s
of
tb
-
Weight
loss -
Coughing
for
3
weeks -
Night
sweats -
Fever
-
Wear
n-95
Copd
-
Chronic
bronchitis -
Emphysema -
Low
sp02
88-92
k -
Fast
HR
to
move
oxygen
to
organs
due
to
lack
of
oxygen -
High
respiratory
g
+cvbjLLM
Asthma
-
Wheezing -
Albuterol -
Rinse
mouth -
Spacer
is
to
get
more
medication
to
lungs -
High
calorie
diet
on
all
respiratory -
High
fowlers
for
lung
expansion
Sucralfate
-
Attaches
to
ulcer
and
protects -
Before
you
eat
30
mins
before
time
to
give
time
for
it
to
dissolve
and
coat
the
ulcer -
1600-1630,
before
meals
Complication
of
cast -
Circulation -
Compartment
syndrome -
Pulslesness,
tingling,
cold,
7
p’s, -
Pallor
-
Report
pain
that
does
not
get
better -
Swollen
puts
pressure
on
blood
vessels
and
causes
poor
perfusion
Fat
embolism
-
Fat
globule
causing
blockage -
Happens
in
bone
fracture
Pulmonary
embolism D.Revill
-
Petechiae
mostly
in
trunk
and
chest
area
Osteoporosis
-
Calcium,
vitamin
D,
absorption -
Vitamin
d
from
sun
or
milk -
Risk
of
bone
fracture -
DEXA
scan
bone
density -
Blow
dryer
in
cold
setting
Neurovascular -
Check
5
P’s
Fractures
-
Report
child
abuse -
Abnormal
frcatures,
spiral
frcatures -
Bruises
and
healing
frcatures
that
are
in
different
rates
Gout
-
High
levels
or
uric
acid -
Tophi
forming
in
big
toe -
Bed
rale
to
protect
feet -
Allopurinol
/
colchicine -
Drink
water -
Avoid
purine
foods
Hematopoiesis -
Formation
of
RBC
in
red
bone
marrow
Psoriasis
-
Cells
replicate
too
fast
and
see
as
scaly
skin -
Topical
steroids, -
tx=
steroids,
oatmeal
baths,
Thoracentesis
-
Local
for
thoracentesis -
Ch
42:
-
Dehiscene -
Evisceration
-
moist
sterile
dressing,
low
fowlers,
knees
flexed
knees
to
chest -
Incentive
spirometer -
Ambulation -
Evisceration
caused
by
coughing, -
Splint
abdomen
with
pillow
Post-op
-
Ambulate -
Peristalsis
to
start
metabolism -
Promote
circulation -
ROM
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