airborne precaution
MTV
measles
TB
varicella
droplet precauion
SPIDERMAN
Scarlet fever
Sepsis
Strepcoccal pharyngitis
Parovirus
... [Show More] B19
Pneumonia
Pertussis
Dipheteria
Epiglottis
Rubella
Meningitis
Mumps
Meningital pneumonia
Adenovirus
after lumbar puncture position
supine
After total hip replacement position
No adduction
No flexion
Knee amputation post position
supin 24 hr
prone
position for shock
modified trendenberg
head elevated, leg elevated 20 degree
pancreatitis pain relief
NO MORPHINE
give merperidine
NMS
you get hot-hyperpyrexia
sweaty-diphoresis
stiff-increased muscle tone
BP, pulse, RR go up
drool
fetal heart tone
ventilator alarm
HOLD
High-obstruction
Low-disconnection, leak
tetralog of fallot
DROP
defect of septal
Rright ventricular hypertrophy
Overriding aorta
Pulmonary stasis-cyanosis
1teaspoon= ?ml
1 tablespoon= ? ml
1 oz = ? ml
1 cup- ? oz
F=
1 teaspoon= 5 ml
1 tablespoon=15ml
1 oz=30 ml
1 cup= 8 oz
F=9/5C+32
med of choice for vtach
lidocaine
med of choice for CHF
ace inhibitor
first sign of cystic fibrosis
meconium ileus at birh
fontannels closes
anteior-18month
posterio-6-8 weeks
Cranial nerves
Olfactory
Optic
Oculomotor
Trochlear
Trigeminal
Abducens
Facial
Auditory
Glossopharyngeal-gag
Vagus-ah
Accesory-shoulder
Hypoglossal-tongue
2-3 month
4-5month
6-7month
8-9 month
10-11 month
12-13 month
2-3 month=head side to side
4-5month-grasp, switch, roll
6-7month0sit and wave byebye
8-9 monthstand straight
10-11 monthbelly to butt
12-13 monthdrink from cup
diaphragm
stay in place 6 hr after intercourse
fit if lose signaficant weight or annually
Cushing triad
IICP
HTN, Bradycardia, irregular resp
vit B6
with INH
CSF in meningitis
high protein
low glucose
test for protein-halo test
alkalosis, acidosis with K
alKaLOsis-K is LOW
acidosis-K is high bc H is exchanged for K in cell
vitamin B9
folic acid
Vitamin B12
pernicious anemia
backpain seen in labor
ROP
fetal face forward
drainage post labor
rubra 0-3 days
serosa-4-7
alba 7019
coarctation of aorta
bounfing pulse in upper extremity
mantoux test
5mm-immunocompromised
10-normal
15-TB rare
amniotic fluid color and pH
alkaline-Blue-Rupture of membrane
pink-acidic-normal vaginal discharge
Crutch on stairs
Good leg up
Bad leg down
Crutch goes before bad
Maslow hierchy
Physiological
Safety
Belong/love
esteem needs
Self-Actualization
Coombs
- mom
Rh+ baby
-Coombs
give Rhogam
1 oz=?ml
30ml
hypercalcemia
Bones
Moans-joint pain
Groans-constipation
Stones
Overtones-confusion, depression
osteoporosis
polyuria, polydipsia
hypocalcemia
CATS
convulsion
arrythmia
Tetany
Stridor/spasm
hyperkalemia
MURDER
Muscle cramps
Urine abnormal
Resp distress
Decreasded cardiac
EKG change
Reflex change
Hypokalemia
ASICWALT
alkalosis
shallow resp
irritability
confusion
weakness
anorexia
lethargy/fatigue
thready pulse/hypotension
Also v dysrhythmia
hyperK and hypoK ecg
hyper- T peak, Wide QRS
hypo-ST depressed, U wave
decorticate, decerebrate
decorticate-Cortex
Decerebrate-cerebellar, brain stem
Multiple sclerosis
hyperreflexia
vision change
spasticity
post pituitary gland removal
post thyroid gland removal
pit: watch hypocorisol; Diabetes Insipitus
thyroid: hypocalcemia-tingling
Intussuception
Hirschsprung
pyloric stenosis
Intuss-suasage like, jellylike stool
Hirs-ribbon-like stool
pylo-olive mass, projectile vomit
pul capillary wedge pressure
8-13
acetaminophen
4000/day
diet fo cystic fibrosis
high Na
Low fat
ADEK
pancreatic enzymes
babinski sign
toes curl-good
toes fan-bad
extraocular eye movement CN
CN3,4,6
injection sites
6 month- vastus lateralis
toddler more than 18 mont-ventrogluteal
children-gluteus maximus, deltoid
post lumbar puncture
flat 2-3 hr
post cerebral angiogram
flat
pre EEG
no sleep-tired, more unusual activity
post liver biopsy
right side
post laparoscopy
walk to decrease CO2 buildup
pyelogram
assess allergy to shellfish, iodine
rusty sputum
pneumonia
ashma SS
wheezing on EXPIRATION
preschool
school-age kids
pre school-ascribe to phenomenon. st is due to earlier misbehavior, imaginary friend, "why?
school=5 and up; need explanation
toddler
dont give choice
kawasaki
cardiac aneurysm
first intervention for authonomic reflexia
elevate HOB
anticholinergic effects
Cant spit-dry mouth
Cant shit-urine retention
Cant poop-constipation
Cant see-blurry vision
Halo
have screwdriver near
keep neck, head in brace
strabismus
botox
patch GOOD eye to get weak eye stronger
humulin R, N
R before N
R-clear
N-cloudy
cloudy outflow in peritoneal dialysis
need intervention
indicate peritonitis
MMR shot
subq
transesophagel fistula
3C's
coughing
cyanosis
choking
Continuous drooling
SS fractured hip
adduction
flexion
external rotation
shortening
tetanus
risus sardonicus
machine like murmur
patent ductus arteriosus
epiglotitis SS
3 D's
drooling
dysphonia
dysphagia
nagel's rule
-3 month
+7 days
thrombophlebitis
Virchow Triad
venous stasis
endothelial damage
hypercoagulability
fetus labor steps
descent
flexion
internal rotation
extension
external rotation
expulseion
CO2 in IICP
CO2 causes vasodilation-so Low Co2, low ICP
WBC count
Never Let Monkeys Eat Banana
neutrophil
Lymphocyte
Monocyte
Eosinophil
Basophi
Greater to Lower
sickle cell crisis intervention
IV fluid
then O2
alcohol withdrawl syndorome treat
give benzo -pam
chlordiazepoxide
Pulmonary wedge pressure
CVP
ICP
MAP
IIOP
pupil length
CPP
Pulmonary wedge pressure= 6-12 (increase left Ventricular preload)
CVP=2-4- (Increase=systemic V overload)
ICP=5-15
MAP=70-105
IOP-10-21
pupil-3-5mm
CPP- n>60-cerebral perfusion P (MAP-ICP=CPP)
HELLP
Hemolysis-jaundice, anemia
Elevated Liver-high ALT, AST, NV
Low Platelet-thrombycytopenia, aabnormal bleeding, prob DIC
variation of gestational HPN
malignant hyperthermia
muscle ridigity
hyperthermia
hypercapnia
treat with dantrolene=muscle relaxant
due to general anethesia
treatment for severe hyperkalamia
1. Ca gluconate stabilize myocardium
2. Insulin
3. polystyrene sulfonate
4. hemodyalisis
TORCH
dont give to pregnant- pregnant avoid
Toxoplasmosis
Other (parovirus V19, fifth disease, varicella zoster)
Rubella
cytomegalovirus
Herpes simplex
hallucination
paranoid
depressed
orient to reliaty-I know voices ar real to you but I dont hear them. No argue
paranois-present reality, acknowledge feeling
depressed-give brief explanation-Dont overwhem client; avoid giving choices
burn injuries
hyperkalemia
hyponatremia
hypovolemia
nonselective beta blocker
propranolol
nadolol
Carvedilol
dont give to asthma bc causes bronchospasm
what causes increase in potassium
ACE inhibitor
ARBS
spirolactone
digoxin
low K causes dig tox
0.5 to 2
only insulin given iV
regular
lithium tox
GI-NV, diarrhea
neuro-tremor, confusion, ataxia
impetigo, strep, meningitis
no contagious after 24 hr of abx
cardiac tamponade
muffled heart sound
JVD
pulsus paradoxus
refeeding syndrome
low PPM
fluid overload, HF
taking off PPE
1. take off gloves ( do not want anything to contaminate hair, face..)
2. goggles
3. gown
4. N95 respirator
5. hand hygiene [Show Less]