This study source was downloaded by 100000802239920 from CourseHero com on 02 07 2022 19 41 25 GMT 06 00 https www coursehero com file 75429082 Adult Health Midterm THings to KNowdocx Mid term Adult HealthThings to know Systemic Lupus Butterfly rash complaint of EXTREME FATIGUEWhat it isAffects KIDNEYGout Allopurinol drug of choice Diet modification low purine organ beets alcohol adequate hydration KIDNEY STONESBig toes joints painHIV vs AIDS 2 questions Someone can have HIV and still have normal CD4 sometimes have opportunistic infection to getfull blown AIDSLook at CD4 count when that drops and get infection AIDSHAART Therapy take same time every day where pts are noncomplianceWhen viral load changes go from HIV to AIDSViral load must lower with AIDSCD4 stay very low CD4 dropsOpportunistic infection candiMust susceptible Kaposi s sarcoma PCP Pneumocystis pneumonia Hypersensitivity Know 4 types 5th type not on exam Type 1Caused by inhalation or ingestion Anaphylactic shock pollen animal dust Type 3Autoimmune disorder SLE RA Type 2Nothing on goodpasture sInfection 1 2 questions Understand drug resistance MDROCancer PatientsChemotherapy drugs delivered by IV port Receiving via peripheral line Assess phlebitisGet combination of 2 drugsChemotherapy drugs affect all cells systemicTargeted PO medsAssess TOXICITY This study source was downloaded by 100000802239920 from CourseHero com on 02 07 2022 19 41 25 GMT 06 00 https www coursehero com file 75429082 Adult Health Midterm THings to KNowdocx Major side effects of chemo nausea and vomiting Assess for nausea Don t stop therapy b c of nausea If they get too immunosuppressed way too bad WBC counts then stop therapy Do not stop because of side effects Alopecia major side effectsRadiationRadiation to the site where that tumor isDamage to that skinAssessmentNo sun exposureWatch skin area with soap and waterSide effects GI nausea and vomiting if radiation in lower GI get diarrhea from that radiation if in esophagus swelling issue Think where radiation is going What problem they can have BIGGEST SIDE EFFECT FATIGUE extremely EXHAUSTEDImplantable cause more problemsDifferent ppl get diff doses of radiationFluid Electrolytes and Acid BaseIn conjunction to heart failure ptsHyperkalemic pts cardiac dysrthymias What do we have to do for these pts Do we report Or what do we do early on LOW NA level important and why Seizures and confusion esp In heart failure ptsDefinitive test BNP for cardiacIdentify respiratory acidosis metabolic Look at worksheet Know if someone is hypoxic or not from looking at those blood gases Will have s and figure out what they are 2 Main tumor lysis syndrome ppl with chemotherapy always hydrate them and hypercalcemia complications bone fractures specifically in cancer ptsKnow acute vs chronic leukemia symptoms Nothing on lymphomaSickle Cell PAIN management Pain due to vasoocclusion Hydrate them TracheostomyImportant thing to assess check airway do they have humidified oxygen If they have O2 going then having problem Need suction airway obstruction Assess pts watchfor saturation always something that could affect airwayThey could effective cough if we don t get anything something is clogging This study source was downloaded by 100000802239920 from CourseHero com on 02 07 2022 19 41 25 GMT 06 00 https www coursehero com file 75429082 Adult Health Midterm THings to KNowdocx When suctioning have to HYPEROXYGENATE first before Suction Catheter should be down 10 15 seconds When somebody comes back from surgery if perfusely bleeding get help Don t want to see swollen especially 3 4 days out and still having problems Assess pts Obstructive Sleep ApneaHow the pt is assessed Give signs and symptoms Go for testing Assessing pt medicationHead Neck CancerHow to wash soap and waterRegular gentle soap and waterProphylactic Pulmonary Emboli symptomsTB 1 question Nothing about medsBasic questionPneumoniaHow ppl contract pneumonia why they get how we vaccinatted them with flu vaccine and pneumonia vaccineNothing on Pleural EffusionKnow OsteomalaciaVIT D deficiencyPaget s DiseaseBones break and new bones from over itBone is damaged then heal from the pathological OsteomyelitisChronic or acute infectionGet MRSA due to to long term antibioticsDevelop VRE on top of itMuscle SkeletalMostly assessmentEducationTreatment ModalityDoes someone have a cast on does it start to swell Nothing on specific fractures mostly assessing ptsAnybody with an infection of any sort always teach them about antibiotics and why they re getting and why they re not Viral can t be treated with antibiotics This study source was downloaded by 100000802239920 from CourseHero com on 02 07 2022 19 41 25 GMT 06 00 https www coursehero com file 75429082 Adult Health Midterm THings to KNowdocx Powered by TCPDF www tcpdf org Have to know DIFFERENCES between right and left side heart failureLife Side Heart Failure main s s congestion in lungs because fluid is backing up into lungs from left side If someone has pulmonary HTN right side is affected first S3 gallop in mostly left side sometimes S4 Crackles in the lungsPulmonary congestion and pulmonary edema with fluids in those spacesOliguria they re holding onto fluid and not peeingCant sleep well at night cant breath well ParApical pulse moved because all the fluids in the heart will move it down should be between 3rd ad 4th intercostal space but moved to 5th DyspneaRight Side Heart FailureJVD fluid is on the other sideEdemaPulmonary HTNWhat thing could they say Cant put shoes on ring on cant put belt onWeight gain 1L of liquid 2 lbs early sign Weigh themselves same day same time everydayCardiomyopathyDilated one just need to know this oneSee in OB more common in pregnancyInfections Pericarditis and EndocarditisKnow differencesHTNKnow nutrition and diet thing tooSodium sodium substitutes with potassiumKnow arterial vs venousKnow Raynaud s vs Buerger sKnow the 5Ps