Brittany Shared "Exam 3 Med-Surg" - 54 Picmonics
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Exam 3 Med-Surg
Care for the Visually Impaired
- Assessment
- Decreased Visual Acuity
- Snellen Chart
- Status of Corrective Lenses
- Nursing Considerations
- Sighted-Guide Technique
- Communication
- Safe Environment
- Medications
- Clock Technique for Food
- Activities of Daily Living (ADL)
1 min
Eye Medication Administration
- Procedure
- Supine with Neck Hyperextended
- Wash Away Crusts
- Cotton Ball on Cheekbone
- For Ophthalmic Drops
- Instill Drops into Conjunctival Sac
- Repeat if Missed or Patient Blinks
- 5 Minutes Before 2nd Medication
- For Ophthalmic Ointment
- Thin Stream Along Inner Edge
- Inner Canthus to Outer Canthus
2 mins
Chlamydia
- Mechanism
- Chlamydia trachomatis
- Assessment
- May Be Asymptomatic
- Dysuria
- Epididymitis
- Discharge
- Dyspareunia
- Interventions
- Doxycycline
- Azithromycin
- No Intercourse for 1 Week
- Treat Partners
2 mins
Age-Related Macular Degeneration (AMD)
- Mechanism
- Dry (nonexudative)
- Wet (exudative)
- Signs and Symptoms
- Scotomas
- Blurred, Darkened Vision
- Loss of Central Vision
- Distortion of Vision
- Considerations
- Drug Therapy
- Surgery
- Low-vision Assistive Devices
2 mins
Cataract
- Mechanism
- Age-related
- Assessment
- No Pain
- Cloudy Opaque Lens
- Decreased Visual Acuity
- Occurs Gradually
- Treatment
- Surgery
1 min
Detached Retina
- Assessment
- Flashes of Light
- Floaters
- Curtain Like Shadow
- Interventions
- Eye Patch
- Bed Rest
- Surgical Emergency
- Considerations
- No Vigorous Activity
2 mins
Primary Angle-Closure Glaucoma (PACG - Acute)
- Mechanism
- Rapid Increase in IOP
- Signs and Symptoms
- Rapid Onset
- Pain
- Blurred Vision
- Halos Around Lights
- Nausea and Vomiting
- IOP over 30 mm Hg
- Considerations
- Drug Therapy
- Surgery
1 min
Primary Open-Angle Glaucoma (POAG - Chronic)
- Mechanism
- Flow of Aqueous Humor Slowed
- Signs and Symptoms
- Slow Onset
- No Pain
- Tunnel Vision
- IOP 22-32mm Hg
- Considerations
- Drug Therapy
1 min
Pilocarpine (Pilocar)
- Mechanism
- Direct Cholinergic Agonist
- Contracts Iris Sphincter
- Contracts Ciliary Muscle
- Indications
- Xerostomia
- Glaucoma
- Side Effects
- Detached Retina
- Decreased Visual Acuity
- Eye Irritation
- Cholinergic Effects
- Considerations
- Avoid with Asthma or Bradycardia
2 mins
Eye
- Characteristics
- Sclera
- Cornea
- Iris
- Lens
- Ciliary Muscles
- Optic Nerve
- Rods
- Cones
- Retina
1 min
Care for the Hard of Hearing
- Assessment
- Normal: 0-15 dB
- Rinne's Test
- Weber's Test
- Tinnitus
- Difficulty Following Conversations
- Nursing Considerations
- Face Patient/Speak Clearly
- Rephrase Misunderstood Statements
- Repeat Statements Back
- Hearing Aids
- Sign Language
2 mins
Meniere's Disease
- Mechanism
- Excess Endolymph
- Signs and Symptoms
- Tinnitus
- One-sided Sensorineural Hearing Loss
- Vertigo
- Nausea and Vomiting
- Considerations
- Meclizine (Antivert)
- Low Salt Diet
- Surgery
2 mins
Aminoglycoside Overview
- End in "-mycin"
- GNATS
- Gentamicin
- Neomycin
- Amikacin
- Tobramycin
- Streptomycin
- Mechanism of Action
- Bactericidal
- Requires Oxygen for Uptake
- Synergistic with β-lactam Antibiotics
- Indications
- Severe Gram-Negative Infections
- Bowel Surgery Prep
- MECHANISM OF RESISTANCE
- Bacterial Transferases
3 mins
Otitis Media Assessment
- Red or Bulging Tympanic Membrane
- Ear Pain
- Pulling at Ear
- Fever
- Upper Respiratory Infection
- Considerations
- More Common in Young Children
- Eustachian Tube Narrower
- Conductive Hearing Loss
- Smoking Increases Risk
2 mins
Otitis Media Interventions
- Antipyretics
- Analgesics
- Antibiotics
- Irrigation
- Position on Affected Side
- Myringotomy
- Tympanostomy Tube
2 mins
Glasgow Coma Scale
- LOC Assessment
- Score of 3 to 15
- 8 or Less = Coma
- Eye Opening
- Verbal Response
- Motor Response
1 min
Level of Consciousness: Descriptive guide for Glasgow Coma Scale
- Conscious
- Confused
- Delirious
- Somnolent
- Obtunded
- Stuporous
- Comatose
3 mins
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
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
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
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