alexys Shared "RolesMT" - 70 Picmonics
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RolesMT
Systemic Effects of Beta-Blockers
- Respiratory
- Bronchoconstriction
- Metabolic
- Decreased Insulin
- Decreased Glycolysis and Lipolysis
- Eye
- Reduces Intraocular Pressure
1 min
Beta Blockers
- "-olol" suffix
- Mechanism
- Decreases Heart Rate and Contractility
- Decreases Peripheral Vascular Resistance
- Decreases Renin Release
- Indications
- Hypertension
- Heart Failure
- Angina Pectoris
- Contraindications
- Asthma and Heart Block Patients
- Nursing Considerations
- Assess Blood Pressure and Heart Rate
- Masking Signs of Hypoglycemia
- Do Not Stop Abruptly
2 mins
Beta Blocker Antidote
- Antidote
- Glucagon
29 secs
Digoxin (Lanoxin)
- Mechanism of Action
- Increases Inotropy
- Indications
- Heart Failure
- Atrial Fibrillation
- Side Effects
- Bradycardia
- Fatigue
- Contraindications
- Heart Block
- Nursing Considerations
- Heart Rate Below 60
- Hypokalemia
- Monitor for Toxicity and Visual Changes
- Digibind
2 mins
Digoxin Toxicity Treatment
- Activated Charcoal
- Slowly Normalize K+
- Digibind (Anti-Digoxin Fab)
- Magnesium Sulfate
- Lidocaine
- Cardiac Pacing
2 mins
Acute Digoxin Toxicity
- Clinical Symptoms
- Hyperkalemia
- Cholinergic (Nausea, Vomiting, Diarrhea)
- Blurry Yellow Green Vision with Halo of Light
- Arrhythmia
- Bradycardia
- EKG Changes
- Prolonged PR interval
- Decreased QT
- Scooping on EKG
- T Wave Inversion
2 mins
Rifampin
- Tuberculosis (TB)
- Blocks RNA Polymerization
- Haemophilus influenzae Type B
- Leprosy
- Meningitis
- P450 inducer
- Red-orange urine
55 secs
Lithium
- Mechanism of Action
- Mood Stabilizer
- Unknown Mechanism
- Indications
- Bipolar Disorder
- Side Effects
- Nephrogenic Diabetes Insipidus
- Hypothyroidism
- Tremor
- Heart Block
- Contraindication
- Pregnancy
- Considerations
- Monitor Plasma Levels
2 mins
Bipolar Disorder Interventions
- Drug Therapy
- Lithium
- Valproic Acid (Valproate)
- Lamotrigine
- Manic Episode
- Hospitalization
- Nutrition
- Hygiene
- Depressive Episode
- Monitor for Vegetative Signs
- Suicide Precautions
2 mins
Total Parenteral Nutrition (TPN)
- Mechanism
- Nutrition Given Outside GI
- Side Effects
- Hyperglycemia
- Hyperlipidemia
- Refeeding Syndrome
- Nausea and Vomiting
- Considerations
- Slow IV Infusion
- Use Large Central Vein
- No Added Meds to TPN Line
2 mins
Spina Bifida Assessment
- Cause
- Congenital Malformation of Vertebrae
- Assessment
- Dimple With or Without Hair Tuft
- Lumbar Sac
- Hydrocephalus
- Paralysis
- Considerations
- Identify Type
2 mins
Spina Bifida Interventions
- Surgery
- Prone Position
- Cover Sac with Moist (Sterile) Dressing
- Measure Head Circumference
- Bulging Fontanel
- Considerations
- Other Congenital Malformations Common
- Bowel Control
- Neurogenic Bladder
2 mins
Hirschsprung's Disease
- Mechanism
- Congenital Aganglionic Megacolon
- No Peristalsis
- Assessment
- No Meconium Within 24 Hours
- Refusal to Feed
- Abdominal Distention
- No Stool on Rectal Exam
- Forceful Expulsion of Fecal Material After Exam
- Interventions
- Surgical Resection
- Colostomy
2 mins
Wilms' Tumor (Nephroblastoma)
- Cause
- Malignant Renal Tumor
- Assessment
- Abdominal Mass
- Hematuria
- Fever
- Hypertension
- Interventions
- Nephrectomy
- Chemotherapy
- Radiation
- Considerations
- Do Not Palpate Abdomen
- Children Under 5 Years Old
2 mins
Enema Administration
- Types
- Tap Water/Soapsuds
- Normal Saline
- Hypertonic Solution
- Medication
- Oil Retention
- Administration
- Procedure Education
- Wear PPE
- Put Patient in Sims Position
- Insert Tip
- Start Flow Slowly
- Stop With Discomfort
- Potential for Vagus Response
2 mins
Venous Thromboembolism (DVT) Interventions
- Anticoagulants
- Prevention Education
- Frequent Ambulation
- Leg Exercises
- Compression Stockings or SCD's
- Avoid Nicotine and Oral Contraceptives
- Surgery
1 min
Venous Thromboembolism (DVT) Assessment
- Mechanism
- Venous Wall Inflammation caused by Thrombus
- Assessment
- Tenderness
- Edema
- Warmth
- Asymmetry
- Considerations
- Could be Asymptomatic
- Monitor for Pulmonary Embolism
58 secs
Cushing's Syndrome Assessment
- Assessment
- Increased Cortisol Levels
- Truncal Obesity
- Purple Abdominal Striae
- Buffalo Hump
- Decreased Bone Density
- Moon Face
- Thinning Skin
- Hyperglycemia
- Hypertension
- Considerations
- Long Term Glucocorticoid Use
- Immunosuppression
2 mins
Addison's Disease Assessment
- Assessment
- Deficiency of Cortisol and Aldosterone
- Irritability
- Hyperkalemia
- Muscle Weakness
- Skin Hyperpigmentation
- Hyponatremia
- Hypotension
- Hypoglycemia
- Considerations
- Addisonian Crisis
2 mins
Addison's Disease Intervention
- Drug Therapy
- Hydrocortisone
- 2/3 Dose in Morning
- 1/3 Dose in Late Afternoon
- Fludrocortisone
- Androgen Replacement Therapy
- Considerations
- Salt Additives
- Increase Dosage During Stress and Infection
- Medic Alert Bracelet
- Lifelong Hormone Therapy
2 mins
