Denise Shared "Test 1 (level 4)" - 20 Picmonics
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Test 1 (level 4)
Chest Tubes: Management and Care
- Confirm suction order
- Assessment
- Crepitus
- Kinking
- Shortness of Breath (SOB)
- Infection
- Excessive bubbling
- Quick Interventions
- If tube dislodges from patient, use petroleum gauze taped 3 ways
- If drainage system is damaged, place disconnected drainage tube in sterile water
1 min
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
2 mins
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
2 mins
Pulmonary Embolism Assessment
- Assessment
- Shortness of Breath (SOB)
- Pleuritic Chest Pain
- Tachypnea
- Hemoptysis
- Hypoxemia
- Considerations
- Sudden Death
52 secs
Acute Respiratory Distress Syndrome (ARDS) Assessment
- Cause
- Damaged Alveolar-Capillary Membrane
- Assessment
- Restlessness
- Dyspnea
- Refractory Hypoxemia
- Decreased PaO2
- Diffuse Pulmonary Infiltrates
- Atelectasis
- Pulmonary Hypertension
2 mins
Acute Respiratory Distress Syndrome (ARDS) Interventions
- Interventions
- Closely Monitor Patient
- ABG's (Arterial Blood Gases)
- Oxygen
- Assess for O2 Toxicity
- Mechanical Ventilation
- PEEP
- Assess for Pneumothorax
- Permissive Hypercapnia
- Considerations
- High Mortality Rate
2 mins
Disseminated Intravascular Coagulation (DIC) Assessment
- Mechanism
- Improper Initiation of Clotting Cascade
- Signs and Symptoms
- Systemic Bleeding
- Petechiae, Purpura, Ecchymosis
- Change in LOC
- Increased PT and PTT
- Cyanosis
- Increased Fibrin Degradation Products (FDP)
- Decreased Platelets and Fibrinogen
2 mins
Disseminated Intravascular Coagulation (DIC) Interventions
- Complications
- Risk for Shock
- Renal Failure
- Interventions
- Treat Underlying Cause
- Manage Bleeding
- Maintain Fluid and Hemodynamic Balance
- Transfusion
- Oxygenation
- Heparin Drip
2 mins
Heparin Induced Thrombocytopenia (HIT)
- Pathophysiology
- 5-10 Days After Heparin Exposure
- Heparin-Platelet Factor 4 Complex
- Autoantibodies Form Against Complex
- Heparin-Platelet Factor 4-Antibody Complex Binds Platelets
- Platelet Aggregation
- Procoagulant Release
- Symptoms
- Thrombocytopenia
- Diagnosis
- Serotonin Release Assay (SRA)
- Treatment
- Stop Heparin, Start Direct Thrombin Inhibitor
2 mins
Schizoid Personality Disorder
- Personality Functioning
- Self Functioning
- Few Pleasurable Activities
- Interpersonal Functioning
- Lacks Interest in Social Relationships
- Pathological Personality Traits
- Lack Close Friends
- Indifferent to Praise
- Chooses Solitary Activities
- Little Interest in Sex
- Emotional Coldness or Detachment
2 mins
Schizotypal Personality Disorder
- Personality Functioning
- Self Functioning
- Socially Awkward
- Interpersonal Functioning
- Mistrustful
- Pathological Personality Traits
- Eccentricity
- Magical Thinking
- Bizarre Thinking and Speech
- Suspicious
- Detachment
1 min
Narcissistic Personality Disorder
- Personality Functioning
- Self Functioning
- Increased Self-Importance
- Inflation of Accomplishments
- Often Angered when Criticized
- Interpersonal Functioning
- Little Interest in Others' Experiences
- No Empathy
- Pathological Personality Traits
- Grandiosity
- Demands the Best
- Requires Admiration of Others
2 mins
Borderline Personality Disorder
- Personality Functioning
- Self Functioning
- Chronic Feelings of Emptiness
- Poor Self Image
- Unstable Goals, Aspirations, Career Plans
- Interpersonal Functioning
- Fear of Abandonment
- Unable to Maintain Relationships
- Pathological Personality Traits
- Unstable Mood
- Splitting
- Self-destructive Behaviors
- Anxiety
- Suicidal Thoughts
2 mins
Avoidant Personality Disorder
- Personality Functioning
- Self Functioning
- Feelings of Shame or Inadequacy
- Low Self-Esteem
- Social Withdrawal
- Interpersonal Functioning
- Desires Relationships with Others
- Poor Reaction to Criticism
- Hypersensitive to Rejection
- Pathological Personality Traits
- Anhedonia
- Anxiety
2 mins
Histrionic Personality Disorder
- Discomfort if Not Center of Attention
- Dressing for Attention
- Flirtatious, Provocative Behavior
- Shallow and Labile Emotions
- Theatrical or Dramatic
- Impressionistic Speech
- Impressionable
- Overestimates Intimacy in Relationships
2 mins
Antisocial Personality Disorder
- Personality Functioning
- Self-Functioning
- Ego-centrism
- Disregards Rights of Others
- Self-esteem from Personal Gain
- Interpersonal Functioning
- No Empathy
- No Intimacy
- Pathological Personality Traits
- Antagonism
- Manipulates Others
- Hostility
- Disinhibition
- > 18 years of age
2 mins
Paranoid Personality Disorder
- Personality Functioning
- Self Functioning
- Preoccupied with Trustworthiness of Friends
- Interpersonal Functioning
- Pervasive Mistrust of Others
- Constant Suspicion
- Pathological Personality Traits
- Reads Threatening Meanings in Benign Remarks
- Reluctant to Confide
- Perceives Attacks on Character
- Grudges
2 mins
Dependent Personality Disorder
- Personality Functioning
- Self Functioning
- Difficulty Making Own Decisions
- Interpersonal Functioning
- Uncomfortable Being Alone
- Urgently Seeks New Relationships After Breakups
- Pathological Personality Traits
- Allow Others to Make Decisions
- Exaggerated Fear of Being Unable to Care for Self
- Difficulty Expressing Disagreement
- Difficulty Starting New Projects
- Excessive Lengths to Obtain Nurturance
2 mins
Obsessive Compulsive Personality Disorder
- Personality Functioning
- Self-Functioning
- Identity Derived from Work or Productivity
- Inflexible Standards
- Interpersonal Functioning
- Unable to See or Understand Ideas of Others
- Controlling
- Pathological Personality Traits
- Perfectionism
- Only One Right Way
- Perseveration
2 mins
Cobalamin (Vitamin B12)
- Mechanism
- Vitamin B12
- Indications
- Vitamin Deficiency
- Pernicious Anemia
- Side Effects
- Hypokalemia
- Arthralgia
- Dizziness
- Considerations
- IM Injection for Pernicious Anemia
- Never Give IV
2 mins
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