Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Ed., Hinkle & Cheever |  Practical Nurse (LPN) School Study Aid
Lyme Disease
- Transmitted by Ticks (Vector-borne)
 - Flu-like Symptoms
 - Bulls Eye Rash (Erythema Migrans)
 - Joint Pain and Stiffness
 - Facial Paralysis
 - Antibiotics
 - Prevention
 
Hypothermia Interventions
- Remove From Environment
 - Remove Wet Clothing
 - Warm Clothing
 - Heated Blankets
 - Warm IV Solutions
 - Heated Oxygen
 - Warm Gastric Lavage
 - Warm Trunk BEFORE Extremities
 
Stages of Hypothermia
- 32 to 35°C (90 to 95°F)
 - Shivering
 - 28 to 32°C (82 to 90°F)
 - Obvious Motor Impairment
 - Slowed Thinking
 - < 28°C (< 82°F)
 - Shivering Stops
 - Paradoxical Undressing
 - Arrhythmias
 
Aspirin Poisoning (Salicylism) Assessment
- Nausea and Vomiting
 - Tinnitus
 - Confusion
 - Hyperventilation
 - Respiratory Alkalosis
 - Metabolic Acidosis
 - Coma
 - Hyperthermia
 
Types of Wound Healing
- Acute
 - Chronic
 - Primary Intention
 - Approximated Edges
 - Secondary Intention
 - Edges Not Approximated
 - Tertiary Intention
 - Delayed Closure due to Infection and Necrosis
 
Fluoxetine (Prozac)
- Inhibits Reuptake of Serotonin
 - Depression
 - Sexual Dysfunction
 - CNS Stimulation
 - Weight Changes
 - Serotonin Syndrome
 - No MAO-Is
 - No Anticoagulants / Antiplatelets
 - Suicide Risk
 - Delayed Onset of Action
 
Haloperidol (Haldol)
- High Potency Antipsychotic
 - Migraine
 - Schizophrenia
 - Extrapyramidal Symptoms
 - Weight Gain
 - QT Prolongation
 - Restlessness
 - Caution in Seizure Patients
 - Neuroleptic Malignant Syndrome
 
Codeine
- Opioid Receptor Agonist
 - Mild to Moderate Pain
 - Cough Suppressant
 - Sedation
 - Constipation
 - Miosis
 - Close Monitoring When Breast Feeding
 - Often Combined with Non-Opioids
 
Meperidine (Demerol)
- Opioid Receptor Agonist
 - Moderate to Severe Pain
 - Post Anesthesia Shivering
 - Tremors
 - Constipation
 - CNS Depression
 - Sedation
 - Short Term Administration
 - Increased Risk Serotonin Syndrome
 - Does NOT cause Miosis
 - Renal Failure Increases Toxicity Risk
 
Morphine
- Opioid Receptor Agonist
 - Pain
 - Myocardial Infarction
 - Nausea and Vomiting
 - CNS Depression
 - Biliary Colic
 - Constipation
 - Increased Intracranial Pressure (ICP)
 - Pupillary Constriction
 - Hypotension
 
Phenobarbital (Barbiturates)
- Barbiturate
 - Seizures
 - Ataxia
 - Paradoxical Excitement
 - Fatigue/Drowsiness
 - Monitor Plasma Levels
 - High Potential for Abuse
 
Child and Elder Physical Abuse Assessment
- Inconsistent Injuries
 - Delay in Treatment
 - Various Stages of Healing
 - Symmetrical Burns
 - Sexually Transmitted Infection
 - Bloody/Torn Undergarments
 - Shaken Baby Syndrome
 - Poor Hygiene
 - Overmedication
 
Posttraumatic Stress Disorder (PTSD)
- Re-experience Traumatic Event
 - Flashbacks
 - Nightmares
 - Avoidance
 - Self-destructive Behaviors
 - Assess Suicide Risk
 - Actively Listen to Stories
 - Anxiety Medications
 
Suicide Assessment
- SAD PERSONS Scale
 - Direct (Overt) Statements
 - Indirect (Covert) Statements
 - Giving Away Prized Possessions
 - Sudden Improvement in Mood
 - Putting Personal Affairs in Order
 - Detail of Plan
 - Availability of Means
 - Proposed Method
 - Safe Environment
 - One-on-One Monitoring
 - No Suicide Contract
 
Suicide Risk Factors
- Depression
 - Previous Attempt
 - No Support System
 - Access to Firearms or Medications
 - Substance Abuse
 - Physical or Sexual Abuse
 - Chronic Illness or Pain
 - Extremes of Age
 
Use of Restraints
- During Emergency
 - Protecting From Harm
 - For Limited Time
 - Last Resort
 - May Further Agitation
 - Frequent Observation
 - Obtain Order Within 1 Hour
 - Quick-Release Tie
 
Alcohol Use Disorder Assessment (Formerly Alcohol Abuse Assessment)
- CNS Depression
 - Wernicke-Korsakoff Syndrome
 - GI Distress
 - Cardiomyopathy
 - Pancreatitis
 - Cirrhosis
 - Immunosuppression
 - Sexual Dysfunction
 - Screening (Assessments)
 
Alcohol Use Disorder Interventions (Formerly Alcohol Abuse Interventions)
- Reduce Environmental Stimuli
 - Antianxiety Medications
 - Vitamin Supplements
 - Seizure Precautions
 - Suicide Precautions
 - Fever
 - Identify Support Systems
 - Group Therapy
 - Disulfiram
 - Naltrexone
 
Opioid Use Disorder and Withdrawal Assessment (Formerly Opioid Abuse and Withdrawal Assessment)
- Euphoria
 - Miosis
 - CNS Depression
 - Yawning
 - Gooseflesh
 - Sweating
 - Rhinorrhea
 - Kicking Movements
 - Naloxone
 
Substance Use Disorder Assessment (Formerly Substance Abuse Assessment)
- Changes in Mood
 - Poor Hygiene
 - Odd Sleep Patterns
 - Frequent Injuries
 - Relationship or Job Difficulty
 - Poor Performance
 - Anorexia OR Weight Loss
 - Social Isolation
 - Financial Problems
 
Amphetamine Antidote
- Ammonium Chloride (NH4Cl)
 - Acidify Urine
 
Tricyclic Antidepressant (TCA) Antidote
- Sodium Bicarbonate (NaHCO3)
 
Trazodone
- Insomnia
 - Depression
 - Inhibit Serotonin Reuptake
 - Alpha-1 Blocker
 - Histamine (H1) Blocker
 - Sedation
 - Orthostatic Hypotension
 - Dry Mouth
 - Priapism
 - Arrhythmias
 
Tricyclic Antidepressants (TCAs) Indications
- Major Depression
 - Bedwetting
 - Fibromyalgia
 - OCD
 - -Iptyline or -Ipramine Suffix
 - Amitriptyline
 - Desipramine
 - Clomipramine
 - Imipramine
 - Nortriptyline