Medical-Surgical Nursing, 9th Ed., Lewis, Dirksen, Heitkemper & Bucher | Registered Nurse (RN) School Study Aid
Care for the Visually Impaired
- Decreased Visual Acuity
- Snellen Chart
- Status of Corrective Lenses
- Sighted-Guide Technique
- Communication
- Safe Environment
- Medications
- Clock Technique for Food
- Activities of Daily Living (ADL)
Varicella (Chickenpox)
- Varicella Zoster Virus (VZV)
- Red Maculopapular Rash
- Vesicles Ooze and Crust
- Pruritus
- Centripetal
- Varicella Immunization
- Skin Care to Minimize Itching
- Isolate until Vesicles Crust
Eye Medication Administration
- Supine with Neck Hyperextended
- Wash Away Crusts
- Cotton Ball on Cheekbone
- Instill Drops into Conjunctival Sac
- Repeat if Missed or Patient Blinks
- 5 Minutes Before 2nd Medication
- Thin Stream Along Inner Edge
- Inner Canthus to Outer Canthus
Cataract
- Age-related
- No Pain
- Cloudy Opaque Lens
- Decreased Visual Acuity
- Occurs Gradually
- Surgery
Detached Retina
- Flashes of Light
- Floaters
- Curtain Like Shadow
- Eye Patch
- Bed Rest
- Surgical Emergency
- No Vigorous Activity
Age-Related Macular Degeneration (AMD)
- Dry (nonexudative)
- Wet (exudative)
- Scotomas
- Blurred, Darkened Vision
- Loss of Central Vision
- Distortion of Vision
- Drug Therapy
- Surgery
- Low-vision Assistive Devices
Primary Open-Angle Glaucoma (POAG - Chronic)
- Flow of Aqueous Humor Slowed
- Slow Onset
- No Pain
- Tunnel Vision
- IOP 22-32mm Hg
- Drug Therapy
Primary Angle-Closure Glaucoma (PACG - Acute)
- Rapid Increase in IOP
- Rapid Onset
- Pain
- Blurred Vision
- Halos Around Lights
- Nausea and Vomiting
- IOP over 30 mm Hg
- Drug Therapy
- Surgery
Cardiovascular Effects of Beta-Blockers
- Cardiac Myocytes and Vasculature
- Decrease cAMP
- Decreases SA and AV Node Conduction Velocity
- Lower Blood Pressure
- Decrease O2 Consumption
- Decreases Mortality Post-MI
Pilocarpine (Pilocar)
- Direct Cholinergic Agonist
- Contracts Iris Sphincter
- Contracts Ciliary Muscle
- Xerostomia
- Glaucoma
- Detached Retina
- Decreased Visual Acuity
- Eye Irritation
- Cholinergic Effects
- Avoid with Asthma or Bradycardia
Ear Drops Medication Administration
- Earwax Buildup
- Ear Infections
- Child - Back and Downward
- Adult - Back and Upward
- Side-Lying with Ear Up
- Instill Medication
- Stay for 2-3 Minutes
- Room Temperature
- May Massage Tragus
- Perforated Eardrum
Otitis Media Assessment
- Red or Bulging Tympanic Membrane
- Ear Pain
- Pulling at Ear
- Fever
- Upper Respiratory Infection
- More Common in Young Children
- Eustachian Tube Narrower
- Conductive Hearing Loss
- Smoking Increases Risk
Otitis Media Interventions
- Antipyretics
- Analgesics
- Antibiotics
- Irrigation
- Position on Affected Side
- Myringotomy
- Tympanostomy Tube
Meniere's Disease
- Excess Endolymph
- Tinnitus
- One-sided Sensorineural Hearing Loss
- Vertigo
- Nausea and Vomiting
- Meclizine (Antivert)
- Low Salt Diet
- Surgery
Aminoglycoside Overview
- End in "-mycin"
- Gentamicin
- Neomycin
- Amikacin
- Tobramycin
- Streptomycin
- Bactericidal
- Severe Gram Negative Infections
- Bowel Surgery Prep
Aminoglycoside Side Effects
- Ototoxicity
- Nephrotoxicity
- Respiratory Paralysis
- Pregnancy
- Peak and Trough
- Never Mix with Penicillin in Same IV
Cisplatin (Platinol)
- Alkylating Agent
- Cross-Links DNA
- Testicular Cancer
- Ovarian Cancer
- Nausea and Vomiting
- Myelosuppression
- Nephrotoxicity
- Ototoxicity
- Peripheral Neuropathy
- Antiemetics Before Administration
- Aggressive Hydration
Vincristine (Oncovin)
- Vinca Alkaloid
- Inhibits Microtubules
- Leukemias
- Lymphomas
- Peripheral Neuropathy
- Paralytic Ileus
- Vesicant
Care for the Hard of Hearing
- Normal: 0-15 dB
- Rinne's Test
- Weber's Test
- Tinnitus
- Difficulty Following Conversations
- Face Patient/Speak Clearly
- Rephrase Misunderstood Statements
- Repeat Statements Back
- Hearing Aids
- Sign Language