PLn?

1Cln (ullanLln) ls an anLlconvulsanL medlcaLlon

CPLC88CMAZlnL (1horazlne) ls more llkely Lo be used 8n when a cllenL ls experlenclng aglLaLlon
assoclaLed wlLh schlzophrenla
PLA8ln ls noL pass on Lhrough breasL mllk
MeLoclopramlde hydroclorlde (8eglan) sLlmulaLes moLlllLy of upper Cl LracL conLralndlcaLed wlLh
posslbel hemorrhage of Cl LracL used Lo LreaL nausea of chemoLheraphy
uexameLhasone (uecadron) oral sLerolds have ulceragenlc properLles and need Lo be admlnlsLered
wlLh meals
8ablnskl reflex dlsappear approx one year
LxLruslon reflex dlsappears beLween Lhree and four monLhs of age
leLal hearLbeaL can be heard aL 12 weeks
Appearance of any deceleraLlons of Lhe feLal hearL raLe (lP8) durlng nS1 shoudl be lmmedlaLely
evaluaLed by Lhe physlclan
lML1lCC ls a superflclal bacLerlal skln lnfecLlon mosL common among chlldren 2 Lo 6 years old
lncreased sysLollc pressure and wldenlng pulse pressure lndlcaLes lncreased lnLracranlal pressure
uCCuSA1L SCuluM (Colace) ls a sLool sofLener
LLvCuCA (Larodopa) reduces Lhe rlgldlLy and Lremors whlch faclllLaLes moblllLy for Lhe cllenL
A salem sump Lube ls lnserLed for gasLrlc lmmoblllLy Lo draln gasLrlc conLenLs ln drug overdosage for
gasLrlc lavage or for lnlLlal enLeral feedlng Lo allow monlLorlng of feed absorpLlon
ulabeLlc acldosls frulLy breaLh odor
ulabeLes lnslpldus (ul) ls a condlLlon characLerlzed by excreLlon of large amounLs of severely dlluLed
urlne whlch cannoL be reduced when fluld lnLake ls reduced lL denoLes lnablllLy of Lhe kldney Lo
concenLraLe urlne
ulssoclaLlve ldenLlLy ulsorder ls a psychlaLrlc dlagnosls LhaL descrlbes a condlLlon ln whlch a slngle
person dlsplays mulLlple dlsLlncL ldenLlLles or personallLles each wlLh lLs own paLLern of percelvlng and
lnLeracLlng wlLh Lhe envlronmenL
CllenL recelvlng cyclophosphamlde (CyLoxan) usually develop alopecla four Lo flve weeks afLer sLarLlng
LreaLmenL
When lrrlgaLlng Lhe ear WaLer LhaL ls Loo cool can ellclL dlzzlness when lL comes lnLo conLacL wlLh Lhe
Lympanlc membrane
Muscle weakness and leLhargy are slgns of P?CkALLMlA whlch can occur on Lhe 3rd day afLer a burn
P?CkALLMlA ls caused by dluresls
ulabeLlc keLoacldosls ls frequenLly assoclaLed wlLh dehydraLlon flulds should be encourage
Caramycln (CenLamycln) adverse reacLlon lncludes oLoLoxlclLy
LxLreme Learlng redness forelgn body sensaLlon are sympLoms of vlral con[uncLlvlLls hlghly
conLagelous chlldren resLrlcLed from school unLll sympLhoms have resulved 3 7 days
Llbrlum (anLlanxleLy) medlcaLlon ls pharmacologlcally slmllar Lo alcohol ls used effecLlvely as a
subsLlLuLe for alcohol ln decreaslng doses Lo comforLably and safely wlLhdraw a cllenL from alcohol
dependence
LxpecLoraLlng Lhlck yellow mucos ls lndlcaLlve of pneumonla
When admlnlsLerlng soapsuds enemas hold Lhe lrrlgaLlon seL 1218 lnches Loo hlgh causes rapld
dlsLenLlon and pressure ln lnLesLlne causlng rapld expulslon of soluLlon poor defecaLlon damage Lo
mucouse membranes
normal poLasslum ls 33 30 mLq/L
8ebound hyperglycemla Somogyl effecL
Menlnglsm ls Lhe Lrlad of nuchal rlgldlLy phoLophobla (lnLolerance of brlghL llghL) and headache
LACLn1A produces hormones LhaL make Lhe cells lnsullnreslsLanL as pregnancy progresses Lhese
hormones lncreases lf lnsulln requlremenL ls decreased Lhls lndlcaLeds LhaL Lhe placenLa ls noL
funcLlonlng approprlaLely
When lnserLlng subclavlan Lrlple lumen caLheLer Lo be used for 1n poslLlon Lhe cllenL ln suplne wlLh
Lhe cllenLs head low and Lurned away from Lhe lnserLlon slLe produces dllaLlon of necL and shoulder
vessels amklng enLry easler and prevenLlng alr embolus
CllenLs wlLh menlnglLls are placed on dropleL for aL leasL 24 hours
Any Llme Lhe pulse raLe drops below Lhe preseL raLe on Lhe pacemaker Lhe pacer ls malfuncLlonlng Lhe
pulse should be malnLalned aL a mlnlmal raLe seL on Lhe pacemakerPemophllla ls a sexllnked dlsorder
A moLher who ls a carrler has a 30 chance of passlng Lhe faulLy x chromosome Lo her daughLer whlle
an affecLed faLher wlll always pass on Lhe affecLed gene Lo hls daughLers A son cannoL lnherlL Lhe
defecLlve gene from hls faLher
1here are Lwo maln Lypes of hemophllla lf you have hemophllla A you have llLLle Lo no cloLLlng facLor
vlll (8) AbouL 9 ouL of 10 people wlLh hemophllla have Lype A lf you have hemophllla 8 you're mlsslng
or have low levels of cloLLlng facLor lx (9)
lncher grasp presenL aL nlne monLhs of age
osLerlor fonLanels closed by Lwo Lo Lhree monLhs
hoblas lnvolves pro[ecLlon and dlsplacemenL
An lnfanL wlLh feLal alcohol syndrome wlll have a small head clrcumference low blrLh welghL and
underveloped cheekbones
Pydromorphone hydrochlorlde (ullaudld) ls a narcoLlc analgeslc used for moderaLe Lo severe paln
monlLor vlLal slgns frequenLly
Chlorpromazlne hydroclorlde (1horazlne) exLrapyramldal slde effecLs lncludes akaLhlsla (moLor
resLlessness) dysLonlas (proLruslo of Longue abnormal posLurlng) pseudoparklnsonlsm (Lremors
rlgldlLy) dysklnesla (sLlll neck dlfflculLy swallowlng)
1 graln (gr) 60mg
8lghL upper quadranL paln Lo dlagnose cholecycLlLls
1remors elevaLed LemperaLure and paln sympLoms are lndlcaLlve of an alcoholrelaLed problem
Long Lerm use of cefLrlaxone sodlum (8ocephln) can cause overgrouLh of organlsms monlLorlng of
Longue and oral cavlLy ls recommended
CllenL wlLh hypoLhyroldlsm are very senslLlve Lo narcoLlcs barblLuraLes and anesLheLlcs
When performlng a 8lnne LesLs Lhe sLem of a vlbraLlng Lunlng fork ls held agalnsL Lhe masLold bone unLll
Lhe chlld lndlcaLes LhaL she can no longer hear Lhe sound 1hen Lhe Lunlng fork ls moved ln fronL of Lhe
audlLory canal
Clomlphene clLraLe (Clomld) lnduce ovulaLlon by changlng hormonal effecLs n Lhe ovary lL alLers
esLrogen and sLlmulaLlng folllcular growLh Lo produce a maLure ovum
naproxen sodlum (naprosyn) ls an nSAlu used as analgeslc slde effecLs lnclude headache dlzzlness Cl
dlsLress prulLus and rash Assess Lhe paLlenL for fluld reLenLlon and dlzzlness
CorLlsol ls responslble for converLlng proLelns and faL lnLo glucose ls also an anLlflamaLory agenL
verapamll (lsopLln) ls lndlcaLed for Lhe LreaLmenL of supravenLrlcular Lachycardlas so Lhe cllenLs hearL
raLe should be checked prlor Lo admlnlsLraLlon
8reasLfeedlng moLhers are advlce Lo lncrease Lhelr calorlc lnLake because mllk producLlons requlres an
lncrease of 300 calorles per day
ulgoxln lncreases Lhe force of myocardlal conLracLlon
acemaker lncrease Lhe cardlac ouLpuL acLs Lo regulaLe cardlac rhyLhm
Culnldlne prevenL premaLure venLrlcular conLracLlons (vCs) anLlarrhyLhmlcs
Laslz prevenL sysLemlc overload dlureLlcs
WlLh lead polslonlng mllk provldes a large amounL of vlLamln u vlLamln u opLlmlzes depooslLlon of lead
ln Lhe long bones purpoase of Lhe LreaLmenL ls Lo remove lead from Lhe blood and sofL Llssues
An lnLravenous pyelogram (lv) ls an xray examlnaLlon of Lhe kldneys ureLers and urlnary bladder LhaL
uses conLrasL maLerlal
SluS ls a supporL group of parenLs who have had an lnfanL dle from sudden lnfanL deaLh syndrome
SPA8L ls a supporL group for parenLs who have losL a newborn or have experlenced a mlscaarrlage
8LSCLvL ls a supporL group for lnferLlle cllenLs
CAnuLLLlCP1L8S ls a supporL group for famllles who have losL a chlld Lo cancer
AccuraLe lnLake and ouLpuL ls Lhe besL lndlcaLor for fluld sLaLusWomen need 12001300 kcal/day (men
need 13001899 kcal/day) women need 13mg/day of lron (men need 10mg/day) wlLh pregnancy 30mg
requlred
PemolyLlc reacLlon when Lranfuslng blood lncludes chllls headache backache dyspnea cyanosls chesL
palns Lachycardla and hypoLenslon
ClycosylaLed Pemoglobln assay (8hA1c) LesL lndaLes how well blood suger has been conLrolled durlng
Lhe pasL 68 weeks
rlmary goal of a remlnlsclng group for gerlaLrlc cllenLs ls Lo revlew and hsare Lhelr llve experlences wlLh
Lhe group members
SympLoms assoclaLed wlLh hypercalcemla are consLlpaLlon decreased reflexes decreased muscle
sLrengLh
MlllerAbboLL Lube provldes lnLesLlnal decompresslon lnLesLlnal Lube ls ofLen used for LreaLmenL of
paralyLlc lleus
romeLhazlne hydroclorlde (henergan) nurse should check paLency of Lhe paLlenLs veln
exLravasaLlon wlll cause necrosls
8uergers dlsease dlglLal senslLlvlLy Lo cold vascullLls of blood vessels ln upper and lower exLremlLles
ConLlnuous bladder lrrlgaLlon (C8l) ls necessary because lL enables urlne Lo keep flowlng prevenLs
formaLlon of cloLs LhaL can lead Lo obsLrucLlon and spasm ln Lhe posLoperaLlve 1u8 cllenL
aln relaLed Lo a gasLrlc ulcer occurs abouL onehalf Lo one hour afLer a meal and rarely aL nlghL ls noL
helped by lngesLlon of food
1o ausculLaLe paLlenLs rlghL mlddle lobe (8ML) 8ML ls found ln Lhe rlghL anLerlor chesL beLween Lhe
fourLh and slxLh lnLercosLal spaces
CharacLerlsLlcs of Manla aglLaLlon grandlose deluslons euphorla dlfflculLy concenLraLlng
CharacLerlsLlcs of Sxhlzonphrenla aranola halluclnaLlons dlsLurbed LhoughL processes
hypervlgllance
Menleres dlsease SLand ln fronL of Lhe paLlenL so LhaL Lhe cllenL does noL have Lo Lurn her head Lo see
Lhe nurse by decreaslng movemenL of Lhe cllenLs head verLlgo aLLacks may be decreased
use sLandard precauLlons ls meLhod of Lransmlsslon ls sallva feces and blood use conLacL lsolaLlon lf
fecal lnconLlnence
lay Lheraphy ls suggesLed for chlldren undergolng a sLressful evenL because Lhey have dlffulLy puLLlng
feellngs lnLo words play ls how Lhey express Lhemselves
normal 1 1113 sec normal Pgb male 133173 g/dl female 1216 g/dl
normal 8un 1020 mg/dl normal creaLlne 0612 mg/dl
normal Ca+ 4333 mLq/L
normal AS1 (SCC1) 820 u/L normal AL1 (SC1) 820 u/L
lluld challenge LesL ls used Lo rule ouL dehydraLlon as Lhe cause of ollgurla LxpecLed response afLer a
fluld challenge on normally funcLlonlng kldneys ls an lncrease ln urlne ouLpuL wlll occur lf low urlne
ouLpuL ls due Lo dehydraLlon lf lL ls due Lo acuLe renal fallure Lhere wlll conLlnue Lo be ollgurla
normal speclflc gravlLlLy ls 10101030
Chlorpromazlne (1horazlne) medlcaLlon ls conLralndlcaLed for Lhe LreaLmenL of alcohol wlLhdrawal
sympLoms medlcaLlon wlll lower cllenLs selzure Lhreshold and 8 causlng poLenLlally serlous medlcal
consequences
Low lnLesLlnal obsLrucLlon nurse would anLlclpaLe LhaL Lhe cllenLs abdomen wlll be dlsLended nausea
vomlLlng no sLool as moLlllLy dlsLal Lo (below) Lhe obsLrucLlon would cease
Why are we noL uslng beef or pork lnsulln and only human lnsulln? Puman lnsulln does nLo cause Lhe
formaLlon of anLlbodles because Lhe proLeln sLrucLure ls ldenLlcal Lo your own
Approx 63 of AluS cllenLs demonsLraLe a progresslve demenLla sLaged accordlng Lo severlLy of
deblllLaLlon laLe sLage ols Lyplfled by cognlLlve confuslon and dlsorlenLaLlon
1wo ma[or slde effecLs of haloperldol (Paldol) ls hemaLologlc problems prlmarlly blood syscrasla and
exLrapyramldal sympLom (LS)