Madeline Shared "Medsurg Exam 3" - 31 Picmonics
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Medsurg Exam 3
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
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
Seizure Interventions
- Maintain Airway
- Side-lying Position
- Support Head
- Move to Floor
- Benzodiazepines
- Considerations
- Never Restrain
- No Objects in Mouth
- Document Details
2 mins
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
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
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
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
Dermatomes - Cervical
- C2 - Posterior Cap Distribution
- C3 - High Turtleneck
- C4 - Low Collar Shirt
- C5 - Anterolateral Shoulder
- C6 - Thumb
- C7 - Middle Finger
- C8 - Pinky Finger
1 min
Use of Restraints
- Use Guidelines
- During Emergency
- Protecting From Harm
- For Limited Time
- Considerations
- Last Resort
- May Further Agitation
- Frequent Observation
- Obtain Order Within 1 Hour
- Quick-Release Tie
2 mins
Dysfunctional Uterine Bleeding
- Assessment
- Bimodal Age Distribution
- Painless Vaginal Bleeding
- Amenorrhea
- Menorrhagia (Heavy Menstrual Bleeding)
- Metrorrhagia (Bleeding Between Menses)
- Interventions
- Balloon Thermotherapy
- Hormone Medications
- Dilation and Curettage (DandC)
- Considerations
- Monitor for Anemia
3 mins
Erectile Dysfunction
- Cause/Mechanism
- Age-Related Changes
- Psychological
- Medical Conditions
- Drug-Induced
- Assessment
- Sexual Dysfunction (Unable to Maintain Erection)
- Interventions
- Phosphodiesterase Type 5 (PDE5) Inhibitors
- Vacuum Constriction Devices
- Intraurethral Devices
- Penile Implants
- Considerations
- Sexual Counseling
2 mins
Menopause Symptoms
- Symptoms
- HAVOCS Mnemonic
- Hot Flashes
- Atrophy of Vagina
- Osteoporosis
- Coronary Artery Disease (CAD)
- Sleep disturbances
50 secs
Menopause Lab Findings
- Decreased Estrogen
- Lack of Negative Feedback
- Increased FSH
- Increased LH
- Increased GnRH
- Small Amount of Estrogen From Androgen Conversion
- Increased Androgens = Hirsutism
1 min
Pelvic Inflammatory Disease (PID) Interventions
- Antibiotics
- No Intercourse for 3 Weeks
- Semi-Fowler's Position
- Analgesics
- Monitor Temperature
- Treat Partners
2 mins
Pelvic Inflammatory Disease (PID) Assessment
- Mechanism
- Untreated Cervicitis
- Assessment
- May Be Asymptomatic
- Dysuria
- Vaginal Discharge with Odor
- Fever
- Dyspareunia
- Lower Abdominal Pain
- Spotting
- Cervical Motion Tenderness
2 mins
Infertility
- No Conception After 1 Year
- Interventions
- Artificial Insemination
- In Vitro Fertilization (IVF)
- Drug Therapy
- Clomiphene Citrate (Clomid)
- Menotropins
- GnRH Agonists
- Considerations
- Treat Underlying Disorders
- Emotional Support
- Multiple Gestations
3 mins
Human Papillomavirus (HPV)
- Characteristics
- Non-enveloped
- Circular
- Double Stranded DNA
- Disease
- Warts 1, 2, 6, 11
- Condyloma acuminata
- Type 16, 18
- Cervical Carcinoma
- Penile Carcinoma
- AIDS/Immunocompromised
- Worsened by Smoking
- Diagnosis
- Koilocytic change in squamous epithelium
- Pyknotic Nuclei Surrounded by Clear Halo
- Treatment
- Vaccine Available
4 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
Chlamydia Characteristics
- Characteristics
- Cannot Make ATP
- Elementary Body Infects
- Intraepithelial
- Reticulate Body Replicates
- Diagnosis
- Cell Wall Lacks Muramic Acid
- Giemsa Stain
- Inclusion Bodies
- Treatment
- Doxycycline (Preferred)
- Azithromycin
2 mins
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