Brittany Shared "MedSurg EXAM 3" - 25 Picmonics
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MedSurg EXAM 3
Increased Intracranial Pressure (ICP) Assessment
- Change in LOC
- Headache
- Cushings Triad
- Irregular Respirations
- Widening Pulse Pressure
- Bradycardia
- Projectile Vomiting
- Abnormal Pupils
- Papilledema
- Posturing
2 mins
Increased Intracranial Pressure (ICP) Interventions
- Interventions
- Elevate Head Of Bed
- Foley Catheter
- Mannitol (Osmitrol)
- High Dose Barbiturates
- Passive Hyperventilation
- Dexamethasone (Neoplasm or Infection)
- Considerations
- Neuro Assessment
- Maintain Normal Temperature
- Avoid Activities That Increase ICP
- Intracranial Monitoring System
2 mins
Traumatic Brain Injury Assessment
- Assessment
- Change in LOC
- Personality Changes
- Amnesia
- Increased Intracranial Pressure
- Diplopia
- Posturing
- Location of Injury
- Basilar Skull Fracture
- Halo or Ring Sign
- Considerations
- Intracranial Bleeding
2 mins
Mannitol (Osmitrol)
- Mechanism
- Osmotic Diuresis
- Indications
- Reducing Intracranial Pressure
- Reducing Intraocular Pressure
- Renal Failure Prophylaxis
- Side Effects
- Edema
- Fluid and Electrolyte Imbalance
- Considerations
- Avoid Use in Cardiac Patients
- IV Administration
2 mins
Cushings Triad
- Bradycardia
- Hypertension
- Irregular breathing
- Increased ICP (Intracranial Pressure)
- Mannitol
- Craniotomy
- Raise HOB, Hyperventilate, sedation
Types of Head Injuries
- Open Head Injury
- Linear Fracture
- Comminuted Fracture
- Depressed Fracture
- Open Fracture
- Basilar Skull Fracture
- Closed Head Injury
- Coup and Contrecoup
- Brain Contusion
- Concussion
2 mins
Status epilepticus
- ≥ 5 min of continuous seizures
- OR ≥ 2 seizures with consciousness not being fully regained in the interictal period
- Initial treatment phase
- Benzodiazepines
- IV lorazepam OR
- IV diazepam OR
- IM midazolam
- Second treatment phase Non benzodiazepne antiseizure drugs
- Second treatment phase Non benzodiazepne antiseizure drugs
- fosphenytoin
- IV valproic acid OR
- IV levetiracetam OR
- IV phenobarbital
- Refractory status epilepticus
- Refractory status epilepticus
- Third treatment phase Continuous administration, anesthetic doses
- Thiopental OR
- Propofol OR
- Midazolam OR
- Pentobarbital
Drugs for Status Epilepticus
- Diazepam (valium)
- Lorazepam (ativan)
- Phenytoin (Dilantin)
- Phenobarbital
50 secs
Seizure Interventions
- Maintain Airway
- Side-lying Position
- Support Head
- Move to Floor
- Benzodiazepines
- Considerations
- Never Restrain
- No Objects in Mouth
- Document Details
2 mins
Seizure Precautions
- Reduce Environmental Stimuli
- Identify Triggers
- Aura
- Pad Side Rails
- Bed Lowest Position
- Oxygen and Suction Available
- Consideration
- Monitor Therapeutic Drug Levels
2 mins
Types of Seizures
- Tonic-Clonic
- Tonic
- Clonic
- Absence (Petit Mal)
- Myoclonic
- Atonic
- Partial (Focal) Seizure
- Focal Aware (Formerly Called Simple Partial)
- Focal Impaired Awareness (Formerly Called Complex Partial)
3 mins
Appendicitis Interventions
- Treatment
- Appendectomy
- Preoperative Care
- Antibiotics
- IV Fluids
- No Enema or Laxative
- Postoperative Care
- Semi-Fowler's Position
- Nasogastric Tube
- Diet as Tolerated
- Pain Management
- Early Ambulation
2 mins
Spinal Cord Injury
- MVC, falls, gunshot wound
- Primary injury
- Goal of treatment in primary injury
- neurogenic shock
- Complete SCI
- SCI between T1-T12
- Secondary Injury
SCI class 4/1
- Hemorrhage
- Primary Injury
- Neurogenic Shock
- Level of injury
- Autonomic Dysreflexia
- Surgery
- Cauda Equina Syndrome
- Causes of SCI
- Goals of treatment
Autonomic Dysreflexia
- Injury Above T6
- Assessment
- Paroxysmal Hypertension
- Bradycardia
- Diaphoresis
- Flushing Above Lesion
- Piloerection
- Nasal Congestion
- Headache
- Interventions
- Elevate Head of Bed
- Remove Noxious Stimuli
2 mins
Metabolic Alkalosis Assessment
- Signs and Symptoms
- Increased pH > 7.45
- Increased HCO3 > 26
- Excitable State
- Arrhythmias
- Paresthesias
- Muscle Cramps
- Muscle Weakness
- Decreased Respiratory Effort
1 min
Metabolic Alkalosis Interventions
- Interventions
- Treat Underlying Cause
- Stop Potassium (K+) Wasting Diuretics
- Spironolactone
- Acetazolamide
- IV Fluids
- Sodium Chloride
- Replace Potassium (K+)
- Considerations
- Monitor Respiratory Rate
- Monitor Heart Rate
- Seizure Precautions
2 mins
Metabolic Acidosis Assessment
- Characteristics
- Decreased pH < 7.35
- Decreased HCO3 < 22
- Signs & Symptoms
- Abdominal Pain
- CNS Depression
- Coma
- Hypotension
- Arrhythmias
- Increased Respirations
- Kussmaul Respirations
- Flushed, Warm, Dry Skin
- Muscle Weakness
2 mins
Diverticulosis and Diverticulitis Assessment
- Diverticulosis
- Outpouching
- Diverticulitis
- Inflamed Diverticula
- Assessment
- Abdominal Pain
- Abdominal Distention
- Flatulence
- Fever
- Rectal Bleeding
- Alternating Constipation and Diarrhea
- Considerations
- Peritonitis
2 mins
Diverticulosis and Diverticulitis Interventions
- Interventions
- High Fiber Diet
- Reduce Intra-abdominal Pressure
- Stool Softeners
- Exercise
- Anticholinergics
- Considerations
- Antibiotics
- Bowel Resection
2 mins
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