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  • Preeclampsia

    Preeclampsia High blood pressure 1st occurring after 20 weeks of pregnancy accompanied by proteinuria and abnormal swelling Risk Factors: Diagnosed: 2 BP >140/90 taken 4 hours apart and other signs & symptoms Signs & Symptoms Nursing Interventions Treatment Antihypertensives (to lower BP) Magnesium Sulfate (to prevent seizures) Bed Rest *DELVIERY* HemolysisElevatedLiver Enzymes (AST >70 units/L ALT…

  • Magnesium Sulfate

    *CNS depressant*Decreases the amount of acetylcholine which decreases neuromuscular transmission Therapeutic level 4.8-9.6 mg/dL Toxicity Blood Pressure will be low Urine output will be low Respirations will be low Patellar reflex absent Antidote Calcium Gluconate Interventions Monitor Vital Signs (RR & BP)Draw Magnesium levels per order Monitor FHRHead to Toe Assessment (DTR, LOC) Usually on…

  • Lyme Disease

    Lyme Disease is the most common vector borne disease in the U.S. Transmitted by deer ticks In general, ticks need to be attached for 36 to 48 hours before they can transmit Lyme disease bacteria This is not contagious Early Signs and Symptoms (3 to 30 Days After Tick Bite) Erythema migrans rash o Occurs in…

  • Hypertension

    Blood pressure is determined both by the amount of blood your heart pumps and the amount of resistance to blood flow in your arteries. The more blood your heart pumps and the narrower your arteries, the higher your blood pressure. (Systolic) measures the pressure in your arteries when your heart beats / (Diastolic) measures the…

  • Kawasaki Disease

    Kawasaki Disease-Cause is unknown Kawasaki disease causes inflammation in the walls of the arteries throughout the body (including the coronary arteries). Kawasaki disease is sometimes called mucocutaneous lymph node syndrome because it also affects the lymph nodes, skin, and the mucous membranes inside the mouth, nose and throat. Risk Factors • Age less than 5 years…

  • Insomnia

    A sleep disorder in which you have trouble falling and/or staying asleep. Types of Insomnia Primary causes of insomnia include: Secondary causes of insomnia include: Insomnia Risk Factors Symptoms Diagnosis o A physical exam and ask about your medical history and sleep history o Keep a sleep diary  o Sleep study Insomnia Treatment Acute insomnia may not need…

  • Guillain Barre Syndrome

    A rare disorder in which your body’s immune system attacks your nerves. Segmented demyelination of peripheral nerves which prevents normal transmission of electrical impulses along the sensorimotor nerve roots. Myelin sheath-covers nerves axons starts to degenerate this leads to inflammation and demyelination. As the demyelination spreads, it can start to affect the autonomic nervous system.…

  • aPTT (activated partial thromboplastin time)

    Purpose: 1. To screen for clotting factor deficiencies in the intrinsic pathway. 2. To monitor Heparin therapy Range: Normal 21-35 secondsPeople on Heparin Therapy 2-25 X normal Increased Levels Decreased Levels Heparin Early Stage DICDIC CancerCirrhosis HemophiliaVitamin K deficiency Thing that can alter Results: Anticoagulants, Antihistamines, Ascorbic Acid, & Salicylates

  • PT/INR

    Prothrombin is a protein from liverOne of many clotting factorsEvaluates factors V, VII, X, prothrombin and fibrinogen extrinsic coagulation systemNormal range: 10 to 14 secondsIf on Warfarin: 1-2.5 X the normal Uses for PT Things that can alter the results: Antihistamines, Steroids, Antibiotics, & Digoxin INR (International Normalized Ratio) Normal value 1.1Warfarin Therapy 2-3Purpose: To…

  • Health History

    Health History Mnemonic Symptoms Allergies Medications Past medication history Last Intake Events Also included in the health history: