Medical-Surgical Nursing, 10th Ed., Lewis, Dirksen, Heitkemper & Bucher |  Registered Nurse (RN) School Study Aid
Asthma Assessment
- Triggers (Cold air, Dander, Dust, Infection, Mold, Pollen, Smoke)
 - Shortness of Breath (SOB)
 - Tachypnea and Tachycardia
 - Wheezing
 - Diaphoresis
 - Accessory Muscles
 - Decreased Pulmonary Function Tests
 
Asthma Implementation and Education
- Oxygen
 - Corticosteroids
 - Ipratropium (Anticholinergic)
 - Albuterol
 - Inhaler/nebulizer
 - Pulse Oximetry
 - Pursed Lip Breathing
 - Carry Inhaler
 - Rinse Mouth after Inhaler
 - Identify Trigger (Cold Air, Dander, Dust, Infection, Mold, Pollen, Smoke)
 
NSAIDs
- Anti-inflammatory
 - Analgesic
 - Fever
 - Closure of Patent Ductus Arteriosus 
 - Reversible Inhibition of COX-1 and COX-2
 - Block Prostaglandin Synthesis
 - Interstitial Nephritis
 - Gastric Ulcer
 - Renal Ischemia
 
Ibuprofen (Advil, Motrin)
- NSAID
 - COX Inhibitor
 - General Pain
 - Fever
 - Inflammatory Conditions
 - GI Ulcers
 - Nephrotoxicity
 - Rash
 - Avoid with Alcohol
 - Risk of Thrombotic Event
 
Inflammatory Response
- Pathogens Infect Tissue
 - Mast Cells Release Histamine
 - Histamine Dilates and Increases Capillary Permeability
 - Macrophages Engulf Pathogens
 - Macrophage Signals Cells With Cytokines
 - Responding Neutrophils Cross Capillary Wall
 - B And T Lymphocytes Arrive At Injury Site
 
Beta Blockers
- "-olol" suffix
 - Decreases Heart Rate and Contractility
 - Decreases Peripheral Vascular Resistance
 - Decreases Renin Release
 - Hypertension
 - Heart Failure
 - Angina Pectoris
 - Asthma and Heart Block Patients
 - Assess Blood Pressure and Heart Rate
 - Masking Signs of Hypoglycemia
 - Do Not Stop Abruptly
 
Angiotensin-Converting Enzyme (ACE) Inhibitors
- "-pril" Suffix
 - Block Renin Angiotensin-Aldosterone System (RAAS)
 - Hypertension
 - Heart Failure
 - Dry Non-productive Cough
 - Hypotension
 - Dizziness
 - Possible Hyperkalemia
 - Angioedema
 - Slowly Change Position
 - Do Not Stop Abruptly
 
Gastroesophageal Reflux Disease (GERD) Assessment
- Relaxed Lower Esophageal Sphincter
 - Dyspepsia (Indigestion)
 - Belching
 - Nighttime Coughing
 - Dysphagia
 - Epigastric Pain
 - Regurgitation
 - Heartburn (Pyrosis)
 - Globus
 
Theophylline (Theo-24)
- Bronchial Smooth Muscle Relaxation
 - Asthma
 - Insomnia
 - Restlessness
 - Arrhythmias
 - Seizures
 - Narrow Therapeutic Range
 - Monitor Plasma Levels
 
Montelukast (Singulair)
- Leukotriene Receptor Blocker
 - Allergic Rhinitis
 - Asthma Prophylaxis
 - Exercise Induced Bronchospasm
 - Fatigue
 - Headache
 - Mood Changes
 - Suicidal Thoughts
 - Increased Risk of Churg Strauss
 
Prednisone (Glucocorticoids)
- Glucocorticoid
 - Inflammatory Conditions
 - Organ Transplant Rejection
 - Cataracts and Glaucoma
 - Cushing's Syndrome
 - Osteoporosis
 - Immunosuppression
 - Hyperglycemia
 - Ulcers
 - Adrenal Insufficiency
 - Taper Gradually
 
Epinephrine (Adrenaline)
- Alpha and Beta Agonist
 - Anaphylaxis
 - Primary Open Angle Glaucoma (POAG)
 - Bleeding
 - Cardiac Arrest
 - Tachycardia
 - Hypertension
 - Tremors
 - Insomnia
 - Multiple Strengths
 
Magnesium Sulfate
- Muscle Relaxant
 - Preterm Labor Contractions
 - Preeclampsia
 - Warm Feeling
 - Hypotension
 - Decreased Deep Tendon Reflexes (DTRS)
 - Decreased Respiratory Rate
 - Decreased Urine Output
 - Paralytic Ileus
 - Calcium Gluconate
 
Beta-2 Agonists
- Short-Term Treatment
 - Terbutaline
 - Asthma
 - Tocolysis
 - Albuterol
 - Asthma
 - Long-Term Treatment
 - Salmeterol
 - Asthma
 - Chronic Obstructive Pulmonary Disease (COPD)
 
Albuterol (Proventil)
- Short-Acting Beta-2 Agonist
 - Bronchospasm
 - Asthma
 - Angina
 - Tachycardia
 - Tremor
 
Anticholinergics
- B.O.AT.S Acronym
 - Benztropine
 - Parkinson's Disease
 - Oxybutynin
 - Decrease bladder spasms
 - Atropine
 - Mydriasis and Cycloplegia
 - Scopolamine
 - Motion Sickness
 
Anticholinergics Continued
- Glycopyrrolate
 - Reduces Airway Secretions
 - Ulcer Treatment
 - Ipratropium
 - Asthma and C.O.P.D
 - Dicyclomine
 - Hyoscyamine
 - Irritable Bowel Syndrome
 
COPD Overview (Chronic Obstructive Pulmonary Disease Overview)
- Inhaled Toxins
 - Smoking
 - AAT Deficiency
 - Emphysema
 - Chronic Bronchitis
 - Asthma
 - Spirometry
 - Slow Progression
 
Emphysema
- Hyperinflation and Loss of Elasticity
 - Pursed Lip Breathing
 - Barrel Chest
 - Dyspnea on Exertion
 - Clubbing
 - Depression and Anxiety
 - Thin Appearance
 - CO2 Retention
 - Low Concentration of O2
 - High Fowler's Position
 - High Calorie, High Protein Diet
 
Chronic Bronchitis Assessment
- Chronic Productive Cough
 - > 3 Months for 2 Years
 - Increased Mucus Production
 - Dyspnea
 - Cyanosis
 - Wheezes
 - Right Side Heart Failure
 - Jugular Venous Distention (JVD)
 - Peripheral Edema
 
Chronic Bronchitis Interventions
- Tripod Position
 - Humidified Oxygen
 - Pursed Lip Breathing
 - Increase Fluid Intake
 - ABGs
 - Early Detection of Exacerbation
 - Lowest O2 Therapy
 - Assisted Ventilation
 - Increased Infection Risk
 
Oxygen Delivery Methods
- Nasal Cannula
 - Simple Face Mask
 - Non-Rebreather Mask
 - Venturi-Mask
 - Oxygen In Use Sign
 - No Electrical Sparks
 - Six Feet Away from Open Flames
 - Dry Nasal and Upper Airway Mucosa
 - Skin Irritation
 - Home Education
 
Cystic Fibrosis Assessment
- Thickened Mucus
 - Recurrent Pulmonary Infections
 - Pulmonary Congestion
 - Pancreatic Insufficiency
 - Steatorrhea
 - Fat-Soluble Vitamin Deficiencies
 - Salty Taste to Skin
 - Meconium Ileus
 - Delayed Growth and Poor Weight Gain
 
Cystic Fibrosis Interventions
- Bronchodilators
 - N-Acetylcysteine (Mucolytics)
 - Inhaled Hypertonic Saline
 - Early Antibiotics
 - Dornase Alfa (Mucolytic Agent)
 - Postural Drainage with Percussion
 - Fat Soluble Vitamin Supplements
 - Pancreatic Enzymes with Every Meal
 - High Protein, High Calorie Diet
 - Added Dietary Salt
 - Glucose Monitoring
 
Pancreatin, Pancrelipase (Pancreatic Enzymes)
- Pancreatic Enzymes
 - Cystic Fibrosis
 - Pancreatic Insufficiency
 - GI Distress
 - Inactivated by Gastric Acid
 - 24 Hour Fat Excretion
 - Take with Every Meal and Snack
 
Macrolides
- End in "-thromycin"
 - Bacteriostatic
 - Alternative for Penicillin Allergy
 - Respiratory Infections
 - Pneumonia
 - QT Prolongation and Sudden Death
 - C.Diff Overgrowth
 - GI Distress
 - Slow IV Infusion
 
Fluoroquinolones
- End in "-floxacin"
 - Bactericidal
 - Variety of Infections
 - GI Distress
 - Photosensitivity
 - Achilles Tendon Rupture
 - Pregnancy
 - Children
 - Myasthenia Gravis
 - Avoid Milk Products or Antacids
 - Slow IV Infusion