Nursing Student Shared "Med-Surg 3 - E3" - 121 Picmonics
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Med-Surg 3 - E3
Proximal Tubule
- Characteristics
- Na+ Reabsorbed Via Active Transport
- Water Follows Na+
- Most Of Glucose Reabsorbed
- Most Of Amino Acids Reabsorbed
- Bicarbonate Exchanged For H+
- Drugs and Toxins Excreted
- Filtrate Osmolarity Same As Plasma
- Leads To Loop Of Henle
2 mins
Distal Tubule
- Characteristics
- Hormonally Regulated
- Aldosterone Causes Na+ Reabsorption
- Na+ Reabsorbed Via Active Transport
- Water follows Na+
- Parathyroid Hormone Causes Ca2+ Reabsorption
- Leads to Collecting Duct
1 min
Loop of Henle
- Characteristics
- Descending Limb
- Water Follows Na+
- Medullary Hypertonicity
- Increased Water Reabsorption
- Vasa Recta
- Na+ Reabsorbed Via Active Transport
- Ascending Limb
- Reabsorbs Na+, K+, Cl-
- Decreased Concentration of Filtrate
- Impermeable to Water
- Distal Tubule
2 mins
Renal Corpuscle
- Characteristics
- Arterioles
- Glomerulus
- Capillaries
- Fenestrations
- Plasma Solutes and Other Small Molecules Become Ultrafiltrate
- Bowman's Capsule Encapsulates Glomerulus
2 mins
Collecting Duct
- Characteristics
- Na+ Reabsorption
- Vasopressin Causes Water reabsorption
- Concentrates Filtrate
2 mins
Cephalosporins
- Starts with "Cef-"
- Mechanism of Action
- Bactericidal
- Indications
- Gram-Positive and Gram-Negative Infections
- Side Effects
- Allergic Reactions
- Thrombophlebitis
- Bleeding
- Contraindications
- Renal Impairment
- Considerations
- Avoid IV Calcium with Ceftriaxone
- No Alcohol
2 mins
Amphotericin B
- Indications
- Systemic Mycosis
- Fungal Meningitis
- Last Resort for Protozoan infections
- Mechanism
- Polyene
- Binds Ergosterol
- Forms Membrane Pores
1 min
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
Cisplatin (Platinol)
- Mechanism
- Alkylating Agent
- Cross-Links DNA
- Indications
- Testicular Cancer
- Ovarian Cancer
- Side Effects
- Nausea and Vomiting
- Myelosuppression
- Nephrotoxicity
- Ototoxicity
- Peripheral Neuropathy
- Considerations
- Antiemetics Before Administration
- Aggressive Hydration
3 mins
BUN (Blood Urea Nitrogen) Lab Values
- 10-20 mg/dL
40 secs
Pyelogram
- Indications
- Visualizes Urinary Tract
- Diagnose Urinary Disorders
- Considerations
- Bowel Prep (Enema)
- IV Contrast Media
- X-Ray (Radiopaque)
- Increase Fluid Intake
- Contraindications
- Iodine Allergy
- Decreased Renal Function
2 mins
pH - Blood and Urine Lab Value
- Blood
- 7.35 - 7.45
- Urine
- 4.0 - 8.0
1 min
Urine Specific Gravity Lab Value
- 1.003-1.030
1 min
Urinary Tract Infection Symptoms
- More Common in Elderly
- Most Common in Females and Babies
- Change in LOC
- Dehydration
- Fever
- Urgency
- Urethral Infection
- Burning
- Smelly Urine
- Dark Cloudy Urine
- Frequency of Urination
2 mins
Urinary Tract Infection Prevention and Treatment
- Prevention
- Shower after Sex
- Urinate after Sex
- Wipe front to Back
- Treatments and Considerations
- I and Os with Daily Weights
- Increase Water Intake
- Antibiotics
- Avoid Caffeine
- Dr Appointment in 2 Weeks
- Void every 2 - 4 hours
2 mins
Fluoroquinolones
- End in "-floxacin"
- Mechanism of Action
- Bactericidal
- Indications
- Variety of Infections
- Side Effects
- GI Distress
- Photosensitivity
- Achilles Tendon Rupture
- Contraindications
- Pregnancy
- Children
- Myasthenia Gravis
- Considerations
- Avoid Milk Products or Antacids
- Slow IV Infusion
2 mins
Ampicillin and Amoxicillin
- Mechanism
- Aminopenicillin
- Broad Spectrum Penicillin
- Indications
- Gram-Positive and Some Gram-Negative Infections
- Side Effects
- Rash
- Diarrhea
- Considerations
- No Effect Against Staph Aureus
- Often combined with Beta Lactamase Inhibitor
- Allergic Reaction
2 mins
Pyelonephritis Assessment
- Cause/Mechanism
- Ascending Urethral Bacteria
- Assessment
- Dysuria
- Fever
- Fatigue
- Flank Pain
- Costovertebral Tenderness
- Nausea and Vomiting
1 min
Pyelonephritis Interventions
- Urinalysis
- NSAIDs
- Antibiotics
- Increase Fluid Intake
- Avoid Catheterization
- Consideration
- Urosepsis
1 min
Nystatin
- Indications
- Candidiasis
- Vaginal
- Oral
- Cutaneous
- Mechanism
- Polyene
- Binds Ergosterol
- Forms Membrane Pores
- Topical form of Amphotericin B
- Side Effects
- Rash
1 min
