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Med Surg: Endocrine

DKA vs. HHNSMed Surg: EndocrineFRUITY BREATHABDOMINAL PAINNO FRUITY BREATHHEADACHE &CONFUSIONNO ABDOMINAL PAINDKAHHNST reatmentRe-AssessmentPotassium Pumps MusclesPatho & Causes:Patho & Causes:Signs & SymptomsTreatmentSigns & SymptomsTYPE 1 FASTER & YOUNGER D COMES 1ST IN ALPHABET S SEPSIS (INFECTION) S SICKNESS "STOMACH VIRUS & FLU" (MOST COMMOM)S STRESS (SURGERY)S SKIP INSULIN EASIER FIXD DRY & HIGH SUGAR K KETONES & KUSSMAUL RESP. (DEEP/RAPID/REGULAR RESPIRATIONS AND FRUITY BREATH) A ABDOMINAL PAIN A ACIDOSIS METABOLIC LESS THAN (NORMAL ) HYPERKALEMIA (ABNORMALLY HIGH K+)250-500+D Dehydration FIRST! ( normal saline)K Kill the sugar (SLOWLY) prevent low sugar *Hourly BS checks* land the plane slow & smooth Over 250: IV Regular insulin ONLY (bolus 1st) Below 200 (or ketones resolve): SQ insulin + 1/2 NS with D5W IV A Add Potassium K+ (Yes even if norm: - ) During IV Insulin IN-sulin = sugar & K+ IN the cellH Hydration NS 1st.

Re-Assessment Potassium Pumps Muscles Patho & Causes: Patho & Causes: Signs & Symptoms ... H–Head change–LOC, Confusion, Neurological Manifestations N–No ketones No Acid, (NO fruity breath/ ketones) ... NOT Apical pulse NOT Lung sounds NOT Pupils Potassium IV (Normal 3.5 - 5.0) • First Action = Heart monitor

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Stroke ‘’CVA’’ II

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of care for a patient with suspected embolic stroke? Select All that Apply Obtain a STAT CT of the head Perform neuro assessment Prepare to initiate alteplase within 4.5 hours of symptoms onset Question 2: Priority nursing action for a patient with left-sided weakness, lack of verbal response, and drooping face? Maintain patent airway Stats CT scan

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Irritable Bowel Syndrome (IBS) Notes Pathophysiology IBS is an intestinal disorder that affects the large intestines, causing cramping, pain, bloating & either diarrhea or constipation. Keep in mind that IBS is NOT IBD (Inflammatory bowel disease: UC & Chron’s) Perform exercise 3 x per week Keep a journal of symptoms, diet, & stress levels ...

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Endocarditis / Pericarditis

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RENAL FAILURE Acute MI Uremia (High BUN) Causes Signs & Symptoms Treatment Pathophysiology Education Causes Signs & Symptoms + Labs Treatment Pathophysiology • C - Clots in the heart & brain • Risk for stroke CVA - monitor for “agitation” “change in level of consciousness” • Splinter hemorrhages (clots under fingernails) • L ...

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Pupils, Assessment, Neurological, TRAUMATIC BRAIN INJURY, Neurological assessment, Neurological Examination, PROGRESS NOTE, Pediatric