MEDSURGE 3-4-09

KNOW FOR NCLEX- chvostek’s sign

Trousseall’s sign

Hypothyroid ism- hypo cat #1

Hyperthyroid ism- hypo cat #2

PARATHYROID- secretes parathyroide

-calcium is not a static thing in the body. As you get older and the body’s things are not working the amount of calcium is reduced. Hunchbacks are an example of not being able to absorb calcium.

-can’t keep strong bones

-important for females to eat increased levels of calcium in their young age to prevent osteoporosis.

Calcium channels run the heart- when giving calcium channel blocker they will decrease the heart rate and example is dilatezam

-if the word para is not in the word hyperparathyroidism, it doesn’t have to do with a calcium disorder.

HYPERTHYROIDISM- tachycardia, nervousness, bulging eyes

-is treated by I-131 which is a radioactive iodine.

-when giving this medication- it kills part of the thyroid. If you give too much meds, they will die without a thyroid function

-poop from patients taking 1-131 needs to be flushed twice because of the radioactivity

-with graves disease, put In a dark room and protect the eyes.

NCLEX QUESTIONS ON I-131

-with goiters check ABC’s

CRITNISM- mentally retarded

-the heart needs 720 ml of oxygen a min to run

DIABETES TYPE ONE- body doesn’t make insulin and you need insulin injections to control blood glucose

DIABETES TYPE TWO- body doesn’t make sufficient insulin you can control blood glucose through diet or medications or both.

PEDS 3-4-09 (GI)

CLASSIC TEST QUESTION- current jelly stools are caused by intussusception

CLASSIC TEST QUESTION- a barium enema is often used to diagnose and used as a main line treatment before IV.

INGUINAL HERNIAS- reducible- can be reduced by pushing it up

-Incarcentate - cannot be reduced

-strangulate –cuts off blood supply and is a medical emergency

CLASSIC TEST QUESTION- gastro inflammation (gastroenteritis) the patient will become alkalosis because of the persistent vomiting of the body’s acidic components

-YOU WILL SEE- phenegram used sometimes as a medication

-babies in respiratory distress can lead to dehydration status

HYPOTONIC- the amount of electrolytes left in blood is low

HYPERTONIC- the amount of electrolytes left in blood is high

ORGANIC FAILURE TO THRIVE- examples pyloric stenosis, GERD

NON-ORGANIC- not being fed enough

Pg 653 on ringworms

-teach parents to make a speed dial in their phone for poison control center

MYCOMYST –is antidote for acetaminophen poisoning

AZARCON- is a natural pathic remedy found more in south end of mexico

TEST REVIEW- know about iron on babies

-give iron with vitamic c, not with milk and through a straw. Given only by Z trac

DEFEROXAMINE –is antidote for iron, also antidote for thalasemia patients

SICKLE CELL- know that blood doesn’t pass through the capillaries, adhere’s to the wall and causes pile-up. Vasooclusion. The life span of the cell is 30-40 and patient has decreased oxygen. Has pain in joints

¼ chance of having disease trait

¼ chance of not having disease

2/4 chance of being a carrier

Spleen- abdominal pain

Triggers- dehydration

HEMOSEDEROSIS- iron in blood

HYDROXYREA- a new med for the Sickle cell anemia

KNOW- hemophilia is on the x chromosome

Christmas disease is factor (9)

“A” is factor (8)

DISCLAIMER: THESE ARE STUDENT NOTES TAKEN OF LECTURE INFORMATION PRESENTED IN CLASS AND IS NOT AN OFFICIAL DOCUMENT FROM THE INSTRUCTORS OR THE FACULTY OF RTC. THE INFORMATION PRESENTED MAY NOT BE 100% COMPLETE OF WHAT WAS LECTURED IN CLASS AND SHOULD NOT BE USED AS AN ONLY SOURCE OF INFORMATION FOR ANY TESTS, QUIZ, OR FINAL EXAMS.