Naxlex RAT 9

1. Alcohol withdrawal 
-> Diazepam
-> Thiamine supplementation
-> Carbamazepine(항경련제)
 
2. Acute pancreatitis
-> LUQ pain radiating to the back 

- appendicitis : RLQ

- cholecystitis : RUQ + murphy’s sign
 
3. Urinary tract calculi high in oxalate
-> oxalate 많은 음식 : Beets / Spinach / chocolate / nuts
 
4. Haloperidol -> Akathisia 정좌불능증
-> Restlessness 
-> Repetitive foot tapping
-> Inability to remain seated 
 
5. Preeclampsia 자간전증 
(증상) RUQ pain / Proteinuria
 
6. Third-degree burns / Full-thickness burn 가장심한 화상
(중재) Administer histamine H2 blocking medication
-> Topical Antibiotics 국소항생제 Sulfadiazine
-> Determine if a tetanus and diphtheria booster
 
7. Tracheostomy bedside prep할 
-> Extra tracheostomy tube (Same size + Half a size smaller) / Bag-valve mask / Sterile gloves
 
8. Gout 통풍 -> 저퓨린식이 
(피할 음식) : Red meat / Shellfish / soda / Sweet fruit juice
 
9. Transcranial Doppler study -> evaluate cerebral blood flow velocity / Vasospasm
 -> post hemorrhage vasospasm
 
10. Morphine 맞고 호흡수 8이하인경우 -> Naloxone (해독제)
 
11. SIADH 항이뇨호르몬 과다분비 
(1) 증상
-> water retention 수분이 많아짐.
-> Hyponatremia
-> Low serum osmolality
-> High urine osmolality 
 
(2) 중재 
-> 수분섭취제한
-> PO tolvaptan(vasopressin)
 
12. Nitrofurantoin = (UTI) 항생제, Urinary tract infections. 
(정상적인 부작용) : Brown / Rust-colored urine
** 약물중단해야하는 경우 : Paresthesia 이상감각
 
13. Meningitis - infant IICP
(증상)
** Early sign : Bulging fontanelle / irritability / vomiting
 
*** late sign : bradycardia / Dilated pupils 
 
14. Gastroparesis 위장마비 -> metoclopramide
(증상) : Nausea / vomiting / bloating
 
15. Amniocentesis 양수천자술 
-> Explain that the procedure carries a small risk of miscarriage or infection 
 
16. Meningococcal meningitis -> Droplet precautions 즉시 격리
(증상) Photophobia / red macular rash
 
17. Nephrotic syndrome 신증후군
(증상) : Severe proteinuria / edema  / Hypoalbuminemia 저알부민혈증 /  hyperlipidemia 
(치료) : Furosemide / Loop diuretic / Acetaminophen / Prednisone
 
18. Stunted growth 발육부진 
-> High unsaturated fatty diet (Avocados / nuts / olive oil)
-> High-protein diet
-> Iron-rich food + Vit.C (흡수증가)
 
19. grape fruit 피해야되는거 = Nifedipine (CCB)
 
20. STEMI 산소공급기준 : SpO2 90%미만일때 O2적용 
 
21. Post-Cleft lip repair 구개열 수술 후 간호
-> Apply antibiotic ointment on the suture line
-> Gently clean the suture line with NS as prescribed
-> Secure adhesive strips on the child's cheeks as order 
 
22. Valporic acid (anticonvulsant 항경련제) to treat Epilepsy / bipolar disorder. 
Valproic acid toxicity
-> Fine hand tremor
-> Drowsiness and difficulty concentrating
-> Unsteady gait 걸을 때 걸음걸이가 불안정함.
-> Alopecia 모발손실
-> Liver toxic / Pancreatitis
 
23. Cystic fibrosis 간호
-> Postural drainage
-> Dornase alfa -> 기도청소개선 
-> Pancreatic enzyme replacement
-> High-calorie / High protein diet 
 
24. Herpes zoster : vesicular rash on the lumbosacral area 

25. 정좌불능 Akathisia - haloperidol
- restless
- agitated
- panicked