Mz.Anticholinergic and cholinergic effects anticholinergic cholinergic * слиз mucus * bronchorrhea (a huge amount of mucus in the * bronchodilatory airways) • dry mouth • bronchoconstriction • salivation • dry eyes • lacrimation • urinary retention • urination • dry skin • sweating/diarrhea • constipation • digestive system disorder • turning off the digestive system • vomiting • prevents v if desired intubation of acid gases a.
i used to be so beautiful song interpretation of abg a. Rule of the first "b". If ph and bicarbonate (hco3) ii. Are available in a specific direction, iii. At that time, it was a metabolic b. 7.35 - 7.45 b. 95-100% c. Symptoms and signs of acid-base imbalance a. * Tachycardia • bradycardia • tachypnea • bradypnea • diarrhea • hypotension • tremor • clarity of consciousness • seizure • anorexia • hyperreflexia • coma • agitation • lethargy • borborigmi (↑bowel sounds) • cardiac arrest • hypertension • suppression, decrease, fall • palpitation • tetany • anxiety/panic * poly d. Causes of acid-base imbalance a. First ask “ " is it a lung? ” I. If yes...! Respiratory b. Then ask yourself: i am. Can they be considered excessive or insufficient? 1. If you overexert yourself ! Alkalosis 2. With low breathing ! Acidosis c. When you are not a lung, then it is a metabolic self. For example, if a patient has prolonged gastric vomiting or absorption, choose metabolic alkalosis ii. In general, for the rest, which is not considered easy, choose metabolic acidosis 1. In addition, when you can not decide what to choose, choose a ventilator alarm with metabolic acidosis 1. High-pressure alarms are triggered due to ↑ air flow resistance and are ready to be triggered by three types of obstacles: a. Bent tube i. Nrs action: unpin it b. Water in the tube (caused by condensation) i. Nrs action: empty it/remove the h2o c. Mucus in the respiratory tract i. Nrs action: turn, c & db; use suction only in case of c&db failure, as a last resort 2. Low pressure alarms are triggered due to ↓ resistance to air flow and can be caused by disconnecting: a. Tubes i. Nrs action: pay attention to where the tube is located.... If on the floor, change the iii. If on the chest, clean with alcohol, and then put it back on 3. Respiratory alkalosis (overvoltage) means that the fan settings may be too high. 4. Respiratory acidosis (insufficient ventilation of the lungs) means that the ventilation parameters may be too low. 5. " Wean” In order to gradually and gradually decrease in order to get rid of alcoholism together note: remember that in a psychological question, if you are asked to prioritize, do not forget maslow! Use the following priorities: 1. Physiological 2. Safety 3. Comfort 4. Psychological 5. Social 6. Spiritual in addition, all mental patients start as patients of medical surgery... Exclude all possible medical answers before choosing psychological answers 1. Psychodynamics of alcoholism a. 1 the psychological problem with abuse is denial. Definition: 1. Refusal to accept the reality of your problem. Treatment: 1. Face this by pointing out to the person the difference between what he says and what he does. 2. On the contrary, support the denial of loss and grief (bc, the use of negation serves a functioning person) b. Dependence/codependency i. Dependence: when the rapist forces the other half to shave after shaving. Treatment: 1. The beginning and duration of effectiveness: 2 weeks i. Set limits and ensure compliance with 2. Including: i.Mouthwash. Perfume/cologne. The symptoms of dementia do not improve-they only get worse 3. Insect repellent. Disulfiram (drugs used for alcoholism). Take medications for 2 weeks and accumulate in the blood to a level that will become terribly sick if you drink alcohol. Patient education: avoid all forms of alcohol to avoid nausea. The nature of the act is dangerous or harmful to a significant other ii. It can stop getting worse. Agree in advance on what requests are allowed, and then ensure compliance with the agreement 2. Wernicke (korsakov) syndrome a. The main symptom: amnesia with confabulation (inventing stories to compensate for memory loss-believe as the truth) c. It is easier to treat than addiction/codependency, because no one likes to be manipulated 2. Irreversible 1. Characteristics: i. By administration of vitamins b1 ii. Set boundaries (restrictions) and ensure that they are observed. Definition: when the rapist forces the other half to do something for him/her that is not in the best interests of the other half. Work on the self-esteem of a codependent person. Aversion therapy c. Amenable to arrest 1. Treatment: 1. Psychosis caused by a deficiency of vitamin b1 (thiamine). Preventable 1. Antabuse/revia a. Codependency: when a significant other receives a positive self-esteem from doing other things or making decisions for the abuser. Manipulation i. Ii. Elixirs (contains alch-otc med). • * It is difficult to console . Withdraw funds first ask yourself. Upper↓ lower↓ names: names: * caffeine • everything else • cocaine * pcp/lsd (psychedelic hallucinogens) * methamphetamines-speed • adhd-adderall/ritalin • bath salts (kat-kat) signs/symptoms: signs/symptoms: * tachycardia • bradycardia • hypertension • hypotension • diarrhea • constipation • excitement • constricted pupils • tremor • lethargy • clonus • respiratory arrest • aggressiveness • decrease in body temperature • convulsions • exaggeration. Vinaigrettes (salad dressings). Vanilla extract. A tampon for the preparation of alcohol. An overdose of alch disinfectants against. Delirium tremens 1” " too much top: too little top: ! Everything is ready!! Everything collapsed ↓ too much collapsed, too little collapsed: ! Everything has collapsed!! Everything is fine↑ drug addiction in a newborn always involves intoxication (the first 24 hours after birth). Every alcoholic goes through alcohol withdrawal syndrome (aws) (after 24 hours) b. Then, after this time. Patients with dt are dangerous for themselves and others. Dt can kill you. Differences: a. Then ask yourself. Patients with aws do not pose a danger to themselves or to others. Only a minority suffer from delusional tremors (dt) c. Aws is not life-threatening. One upper limb and one opposite lower limb . Assume that alcohol withdrawal syndrome against aws dt as semi-closed-in any private place-near the nurses ' station antihypertensive drugs regular diet clear liquids or a tranquilizer npo (no activity restriction (no multivitamins b1 (to prevent restrictions) bathroom privileges) dementia) do not restrain you should restrain (2 leather belts pt) 2 limbs are limited-an arm on one side and a leg on one. “Are they talking about overdose or withdrawal? " Overdose/cancellation of intoxication “i have too much... ” "I don't have enough.. Reason for drawing tap levels: a narrow therapeutic range . Due to the high level of ammonia ii. Kanmitsin c. Toxic effects: a. Azithromycin. Toxic effect: nephrotoxicity ii. 0. Low and peak levels a. The number 8 drawn inside the ear reminds you of: i. Gentamicin. Remember this military sound: a. Preoperative bowel surgery 1. The most famous feature of the world's most famous mouse (ears) i. Ammonia-induced encephalopathy 2. The human ear has the shape of a kidney i. Examples of aminoglycosides: streptomycin. Monitor: creatinine 1. Powerful antibiotics - for the treatment of severe. Toxic effect: ototoxicity ii. 3. Method of administration a.. The best indicator of kidney function 2. All aminoglycosides end in "mykin". When a sterile intestine is needed 3. Vancomycin. 6-1. But not all drugs that end with mycine are aminoglycosides. Aminoglycosides 1. Frequency of administration: every 8 hours 6. Erythromycin tromycin! Not 4. It is also called a hepatic coma. Do not give po (not absorbed), except for these two cases: i think that "sneaky old mikin" 2. Cranial nerve 8 (the drug is toxic to) ii. Tobramycin. 2 intestinal sterilizers 7. Hepatic encephalopathy 1.2 mg/dl c. Cleomycin. I have to watch my hearing. Give im or iv b. Clindamycin 5. For example. Neomycin b. Who can sterilize my intestines? Software. Botolism b. The rash first begins around the mouth (early detection and isolation are crucial for containment) b. Blood poisoning. A long list. Nipeh virus 2. Anthrax iv. Categories of biological agents a. Category a (most serious) i. Plague v. B. Smallpox i. A who dies from it. Tularemia i .Inhaled. Category b i. Hunt virus ii. He's dying of sepsis. Smallpox ii. Transmission by inhalation/precautions for inhalation ii. Category c i. Biological agents of category a. Spread by inhalation ii. Treat with sodium thiosulfate iv b. Chemical agents a. Botolism i. Cyanide ! Respiratory arrest. Mustard gas ! Blisters (bubbly. Bronchoconstriction 3. Phosgine chloride ! Lacrimation . And streptoicin d. The main symptoms are petehir and ecchymosis iii. No longer contagious after 24 hours of treatment e. Hematochaesia (bloody diarrhea) iii. Symptoms in the chest (cough. A high percentage of deaths iv. Bronchorrhea 2. Spreads by inhalation ii. Symptoms (cholinergic effects) 1. Dies of respiratory failure iv. 21-day period ii. Hematemesis (vomiting of blood) 3. Treatment with doxycycline and mycines v. Dies from dic syndrome f. Dies from respiratory failure 3. Descending paralysis (starts from the head-falls to the diaphragm) 2. Has 3 main symptoms: 1. Hemoptysis (coughing up blood) 2. Dies of respiratory failure iv. Treat with cipro. Treat with streptomycin (watch your hearing and creatinine) c. Sarin ! A nerve agent. Anthrax i. But on the alert iii. He dies of respiratory failure and dic-syndrome of the iv degree. Swallowed (drink/eat) ii. Has 3 hours: 1.Ii. Remove all clothing iii. Send all suspicious cases to the decontamination center ii. Antibiotics b. Effects. Chrono. Names of calcium channel blockers a. Headache b. Antihypertensive agents (increased blood pressure-relaxes blood vessels) b. Bradycardia 4. Sweating/diarrhea 7. Take a shower with soap and water (bleach. Urination 6. Double bag with chemical hazard iv. All chemicals require cleaning only with soap and water, with the exception of sarin. What do calcium channel blockers treat? 3. Isolation. Chemical substance: disinfection i. Side effects (↑): a. - Soptin (verapeunil) b. Determination of the action is positive↑ negative↓ inotropic strength of a strong weak heartbeat chronotropic heart rate fast slow dromotropic conduction excitable blocks / slows down conduction 2. Gi is upset 8. Sarin) vi. Vomiting 4. Nurses ' actions: bioterrorism. 6 in a row 3. If 6. The perfect combination: food with sugar and protein (and possibly starch) 3. The pulse is weak. Acidodic. Problems with tissue perfusion ii. High blood sugar levels
https://mp3juices.red/ in type i diabetes. Ketones (in the urine and blood). Signs and symptoms are similar to the symptoms of dehydration 1. Dehydration (seems dry. Which laboratory test is the best indicator of lt bgm control (compliance/effectiveness)? Hemoglobin a1c i. Low blood sugar in type ii diabetes (hypoglycemia) i. Dextrose iv. Rinse it out. High blood sugar in type ii diabetes (hyperglycemia) i. Treatment 1. Hyperosmolar. Including: elevated temperature iv. Reasons: 1. Kussmaul's breath 3.Threadlike. 1 cause-acute viral infection of the upper respiratory tract during the last week or two ii. Long-term complications are associated with two problems: i. Insufficient amount of insulin 3. Peripheral neuropathy (nerve damage) f. 20 in the brain affected by csf, causes encephalitis, meningitis, opisthosis • the extension position observed in kernicterus • irritation of d/t bili in the brain • put this child on his side • total bilirubin: 0-1, 3 mg/dl . Hypercalcemia гип hypocalcemia ↑ two signs of neuromuscular irritability associated with low calcium content: 1. Without exceptions. Dowry sign ↑ put on the bp cuff, and the hand falls into a wrist spasm( the hand looks like a swan's neck) . Calcium. Never choose mg. Hypermagnesemia of potassium гип hypomagnesemia ia ↑ natremia hypernatremia hyponatremia ia “e" ” Oh" Overload • bad skin turgor • increased weight • dark urine • edema • hot reddened skin • increased specific gravity of urine * weakness. If the symptom affects a nerve or skeletal muscle. For any other symptom. Magnezems do the opposite of the prefix note: in a tie. The earliest sign of any electrolyte disorder is numbness (paresthesia) and tingling a universal sign/symptom of an electrolyte imbalance is muscle weakness (paresis) treatment with electrolyte 1. Na is captured by the bloodstream. B/c is slow ! Introduces the drug into the intestines. The problem is hyperthyroidism. 104 f b. Endocrine review of the thyroid gland 1. With / with hypocalcemia: tetany a. Education. Radioactive iodine a. Hyperthyroidism (hyper metabolism) i. At risk of thyroid disease 2. The earliest sign: paresthesia ii. Use the private bathroom ii. Cancer medicine-eliminates the problem of cell metastasis. S / s thyroid storm: a. Agranulocytosis (w wbc) b. At risk of hypocalcemia (bc at risk of parathyroid gland loss) 3. Very high v/s c. Signs and symptoms 1. Surgical removal a. Thyroidectomy (removal of the thyroid gland) i.
