Common drugs and antidotes

2,809 views
2,575 views

Published on

Tubes, Diagnostic Procedures, Tests, Common Drugs, Antidotes.. :))

Published in: Health & Medicine, Technology
0 Comments
3 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
2,809
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
116
Comments
0
Likes
3
Embeds 0
No embeds

No notes for slide

Common drugs and antidotes

  1. 1. Commonly Asked Emergency Drugs Emergency Drug Initial Dose Indications Adenosine 6 mg Atropine sulfate 0.5 – 1 mg.q 3-5 min Bradycardia Epinephrine 1 mg.q 3-5 min Cardiac arrest Lasix 0.5-1 mg/kg Pulmonary edema Lidocaine 1-1.5 mg/kg Ventricular fibrillation, Ventricular tachycardia Magnesium sulfate 1-2 g Ventricular tachycardia r/t hypomagnesemia Morphine Sulfate 1-3 mg Chest pain, pulmonary edema Narcan 0.02-2mg Narcotic – respiratory depression Nitroglycerine 0.4 mg SL Chest pain, pulmonary edema Vasopressin 40 units Cardiac arrest Antidotes Agents Antidotes Acetaminophen Acetylcysteine (Mucomyst) Anticholinesterase Atropine So4 Anticholinergics Physostigmine Benzodiazepines Flumazenil Coumadine Vitamin K Cyanide Sodium nitrate Digoxin Digoxin immune fab (Digibind) Dopamine Phentolamine Heparin Protamine sulfate Iron Deferoxamine Lead Dimercaprol, edentate disodium and succimer Magnesium Sulfate Calcium gluconate Narcotics Naloxone Drug Name Endings: What they can suggest you!!! Endings class *cain Local anesthetics *cillin Antibiotics *dine Antiulcer agent *done Opiod analgesics *ide Oral hypoglycemics *lam/ *pam Antianxiety *micin/ *mycin Antibiotics *mine/ *zide Diuretics *olol Beta blockers *pril ACE inhibitors *sone Steroids
  2. 2. FREQUENTLY ASKED MEDICATIONS Drugs Trade /(generics) Classification Desired Effects Best Time to be Taken Other Considerations 1 Aminophylline (theophylline) Bronchodilator To case breathing AM / empty stomach • No smoking • No caffeine • Check heart rate 2 Amphogel (aluminum hydroxide) Antacid phosphate level Between meals and HS • Give with glass of w • Report melena 3 Antabuse (disulfiram) Antialcoholic agent Avoidance of alcohol After 12 hrs. stoppage from alcohol • No alcohol in any m 4 Aspirin (ASA) Anti-inflammatory Anti-pyretic Analgesic  temperature  pain and inflammation Full stomach • Check for bleeding • Syrup of inpecae in 5 Atropine SO4 Anticholinergic and Vagolytic  heart rate and decrease secretion s 30 PC • Observe facial flus • Avoid hot environm 6 Bacterium (cotrimoxazole) Antibiotic (-) infection PC • Reddish urine • Rashes • Assess for signs of 7 Benadryl (diphenhydramine hcl) Antihistamine Anti – EPS (-) allergy (-) movement syndrome Best taken with food • Avoid alcohol 8 Celestone (betamethazone) Steroids respiratory distress in newborn Best taken with food • Monitor weight 9 Cytoxan (cyclophosphamide) Antineoplastic size of tumor AM • Increase fluids • Monitor CBC 10 Diabinase (chlorpropaminde) Antidiabetic agent Normal glucose range AM • Monitor for hypog 11 Diamox (acetazolamide) Antiglaucoma antidiuretics  urine output  vertigo AM with meals • Photosensitivity 12 Digoxin (lanoxin) Cardiac glycoside Normal heart rate AM • Assess pulse rate • Monitor serum K 13 Dilantin (phenytoin) Anti-convulsant (-) seizure Best taken with food • Taper dosage 14 Diuril (chlorothiazide) Diuretics  urine output Best taken with food • Report weakness i • Increase K in the d 15 Epinephrine Bronchodilator  heart rate AM • Don’t operate mac • Assess for increase 16 Flagyl (metronidazole) Antihelmintic (-) helminth Best taken with food • Avoid alcohol • Not to give with an • Tetratogenic 17 Haldol (haloperidol) Antipsychotic  (+) symptoms of psychosis AC • Assess BP • Photosensitivity 18 Kayexalate Promote excretions of K  serum K • May cause constip • Monitor serum po 19 Lasix (furosemide) Diuretic  urine output AM • Increase intake of 20 Lithane (LiCO3) Antimanic  hyperactivity PC • Monitor lithium to • Decrease activity 21 Lovenox (mevacor) Antithrombotic (-) thrombosis • Soft bristle toothb • No razor • Keep protamine SO 22 Magnesium SO4 Anticonvulsant (-) convulsion • Assess DTR and PR • Antidote is Calcium 23 Mastinon (pyridostigmine) Cholinesterase inhibitor  muscle strength PC • Monitor for muscl • Antidote is atropin 24 Mathergine (methylergonovine maleate) Oxytocic for post partum atony Firmly contracted uterus • Monitor BP • Report dyspnea 25 Monoamine oxidase inhibitor Antidepressant Improved sleeping pattern PC • No tyramine rich f • Assess for hyperte • Monitor BP 26 Nitroglycerin Antiangina (-) chest pain Best taken before any strenuous activity • Taken SL; don’t ch • Keep tablets in dar 27 Pancrease (pancreatin) Pancreatic enzyme (-) fat in the stool Between meal and snacks • Preparation is ente • Observe for diarrh 28 Phenergan (promethazine hyrochloride) Antihistamine (-) allergy Empty stomach • Antidote is epinep 29 Reserpine (serpasil) Antihypertensive  BP Best taken with meals • No sudden change • Monitor BP and PR 30 Ritalin (methylphenidate) Stimulant  hyperactivity AM / PC • Monitor growth an 31 Robaxin (methocarbamol) Skeletal muscle relaxant (-) muscle spasm AM • No alcohol • Antidote : Epineph 32 Synthroid (levothyroxine sodium) Thyroid hormone supplement Normal T4 level AM • Monitor BP and PR 33 Tagamet (cimetidine) Antiacidity (-) heartburn Best taken with food • Avoid smoking 34 Thorazine (chlorpromazine hcl) Antipsychotic (-) positive signs of psychosis PC • Photosensitivity • Monitor BP
  3. 3. 35 Valium (diazepam) Antianxiety (-) anxiety AC • No alcohol, caffein 36 Xylocaine (lidocaine) Antiarrythmic Normal heart rate • Monitor for toxicit • S / E : tinnitus 37 Zyloprim (allopurinol) Antigout  uric acid Best taken with food • Increase fluid intak
  4. 4. Common Tubes Table or Apparatus Purpose Examples of Use Key points Miller-Abbott tube Longer than Levin tube; has mercury of air in bags so tube can be used to decompress the lower intestinal tract 1. Small-bowel obstructions 2. Intussusception 3. Volvulus 1. Care similar to that Levin NG tube irrigated. 2. connected to suction, not sterile technique 3. orders will be written on how to advance the tube gently pushing tube a few inches each hour, patient position may affect advancement of tube 4. X-rays determine the desired location of tube Cantor Tube To drain bile from the common bile duct until edema has subscribed Cholecystectomy when a common duct exploration (CDE) or choledochostomy was also done 1. Bile drainage is influenced by position of the drainage bag. 2. Clamp tubes as ordered to see if bile will flow into duodenum, normally. T-tube A type of closed-wound drainage connected to suction-used to drain, a large amount of serosa`nguineous drainage from under an incision 1. Mastectomy 2. Total hip procedure 3. Total knee procedure 1. May compress unit, and have portable vacuum or connect to wall suction. 2. Small drainage tube may get clogged physician may irrigate these at times Hemovac A method of closed wound suction drainage indicate when tissue displacement and tissue trauma may occur with rigid drain tubes (e.g Hemovac) 1. Neurosurgery 2. Neck surgery 3. Mastectomy 4. Total knee and hip replacement 5. Abdominal surgery 6. Urological procedure Empty reservoir when full, to prevent loss of wound drainage and back contamination Jackson-Pratt See Hemovac See Hemovac See Hemovac Three-way Foley To provide avenues for constant irrigation and constant drainage of urinary bladder 1. Transurethral resection (TUR) 2. Bladder infection Watch for blocking by clots causes bladder spasms Irrigant solution often has antibiotic added to normal salin or sterile water Sterile water rather than normal saline may be used for lysis of clots Suprapubic catheter To drain bladder via an opening through the abdominal wall above the pubic bone Suprapubic prostatectomy May have orders to irrigate prn or continuously Ureteral catheter To drain urine feom the pelvis of one kidney, or for splinting ureter 1. Cystoscopy for diagnostic workups 2. Ureteral surgery 3. Pyelotomy Never clamp the tube-pelvis of kidney only holds 4-8 mL Use only 5 mL sterile normal saline if ordered to irrigate Common Diagnostics Procedures Noninvasive Diagnostic Procedures Characteristics: 1. it provides an indirect assessment of organ size, shape, and / or function 2. it is safe 3. it is easily reproducible 4. it requires less complex equipment for recording 5. it does not require the written consent of patient or guardian General Nursing Tasks: 1. Decrease patients anxieties and offer support by a. Explain purpose and procedure of test b. Acknowledge questions regarding safety of the procedure c. Remain with the patient while the procedure is going on 2. Use procedure in the collection of specimens that avoids contamination A. Graphic studies of Heart and brain 1. Electrocardiogram (ECG) – graphic record of electrical activity generated by the heart during depolarization and repolarazation. - diagnose abnormal cardiac rhythms and coronary heart disease 2. Echocardiography (ultrasound cadiography) – graphic record of motions produced by cardiac structure as high-frequency sound vibrations are echoed though chest wall into the heart. - used to demonstrate valvular or other structural deformities, detect pericardial effudion, diagnose tumors and cardiomegaly, evaluate prosthetic valve function. 3. Electroencephalogram (ECG) – graphic record of the electrical potentials generated by the physiological activity of the brain - used to detect surface lesions or tumors of the brain and presence of epilepsy. 4. Echoencephalogram – beam of ultrasound is passed though the head, and returning echoes are graphically recorded.
  5. 5. - used to detect subdural hematomas, intracerebral hemorrhage, or tumors. B. Roentgenological studies (X-ray) 1. Chest – used to determine size, contour of the heart; size, location, and nature of pulmonary lesions: pleural thickening and effusions: pulmonary vasculature: disorder of thoracic ones and soft tissues. - used lead shield to protect pregnant woman 2. Kidney, Ureter, and Bladder (KUB) – used to determine size, shape, and position of kidney, ureter and bladder - No special consideration 3. Breast (Mammography) – examination of the breast with or without the injection of the radiopaque substance into the duct of mammary gland. - used to determined the presence of tumor or cyst (best done a week after menstruation) - no deodorant, perfume, powder, or ointment in underarm area on the day of X-ray (contains Calcium oxalate) - May be uncomfortable due to the pressure on the breast. (uses two x-ray plates) C. Roentgenological studies (FLUOROSCOPY) – requires the ingestion or injection of a contrast medium to visualize the target organ. Additional Nursing Task: a. Administration of enemies or cathartics before the procedure and laxative after. b. Keeping the patient NPO 6-12 hours before examination c. Ascertain patient’s allergy and allergic reactions d. Observing for allergic reactions to contrast medium e. Providing fluid and food after procedure to prevent dehydration f. Observe stool for color and consistency until barium passes 1. Upper GI (Barium swallow) – ingestion of barium sulfate or meglumine diatrizoate (Gastrografin [white and chalky substance], followed by fluoroscopic and x-ray examination) - used to determine patency and caliber of the esophagus and to detect esophageal varices, mobility of gastric wall, presence of ulcer, filling defects due to tumor, patency of pyloric valve and presence of structural abnormalities 2. Lower GI (Barium Enema) – rectal instillation of barium sulfate followed by glouroscopic and x-ray examination - used to determine contour and mobility of colon and presence of any space-occupying tumors. Perform before upper GI Patients preparations: - no food after evening meal the evening before the test - stool softener laxatives and enema suppositories to cleanse the bowel before the test - NPO after midnight before the test After care: - increased fluid intake, food and rest - laxatives for at least two days or until stools are normal in color and consistency 3. Cholecystogram – ingestion of organic iodine contrast medium (Telepaque) followed in 12 hour by x-ray visualization - gallbladder disease is indicated with poor or no visualization of the bladder - accurate only if GI and liver function is intact - perform before barium swallow and barium enema Patients preparations: - administer large amount of water with contrast capsule - low-fat meal before evening before x-ray - oral laxative of stool softener after meal - no food allowed after contrast capsule After care: - increased fluid intake, food and rest - observe for any untoward reactions 4. Intravenous Pyelography (IVP) – injection of a radiopaque contrast medium in the vein of the client to visualize ureter, bladder and kidney Patients preparations: - Laxative in the evening before the examination - NPO for 12 hours - Cleaning enema morning of the procedure After care: - increased fluid intake, food and rest; - observe for any untoward reactions
  6. 6. D. Computed Tomography (CT) – an x-ray beam sweeps around the body, allowing measuring of various tissue densities. Provides clear radiographic deficition of structures that are not visible by other techniques. - initial scan may be followed by “contrast enhancement” using an injection of contrast agent iodine via vein, followed by a repeat scan. Patients preparations: - instructions for eating before test vary - clear liquids up to 2 hours before the procedure are permitted E. Magnetic resonance imaging (MRI) – noninvasive technique that produces cross sectional images by exposure to magnetic energy sources. It uses no contrast medium; takes 30-0 minutes to complete. Patient may still for periods of 5-20 minutes at a time. Patients preparations: - patient can take food and medications except for low abdominal and pelvic studies (food and fluid withheld) 4-6 hr to decrease peristalsis) - Restrictions a. those who have metal implants b. those with permanent pacemakers c. those who are pregnant F. Ultrasound (sonogram) – uses sound waves to diagnose disorders of the thyroid, kidney, liver, uterus, gallbladder, fetus and intracranial structures of the neonate. Patients preparations: - advise client not to chew gum or smoke before the procedure - no x-ray - for gallbladder studies; NPO for 8 hours - for lower abdomen and uterus ; 32 ounces of water PO 30 minutes before the procedure G. Pulmonary function studies • Ventilatory studies – use of incentive spirometer to determine how well the lung is ventilating. 1. Vital capacity (VC) – largest amount of air that can be expelled after maximal inspiration Normal = 4000 – 5000 mL. Decrease = indicate lung disease Increase or decrease = indicate chronic obstructive lung disease 2. Forced expiratory volume (FEV) – percentage of vital capacity that can be forcibly expired in 1, 2, or 3 seconds. Normal = 80 – 83% in 1 sec 90 – 94% in 2 sec 95 – 97% in 3 sec decrease = indicate expiratory airway obstruction H. Sputum Studies 1. Gross sputum evaluations – collection of sputum samples to ascertain quantity, consistency, color and odor 2. Sputum smear – sputum is smeared thinly on a slide so that it can be studied microscopically. - used to determine cytological changes or presence of pathogenic microorganism 3. Sputum culture – sputum samples are implanted or inoculated into special media. - used to diagnosed pulmonary infection I. Examination of the gastric contents 1. Gastric analysis – aspiration of the contents of the fasting stomach analysis of free and total acid Gastric acidity increase : duodenal ulcer Gastric acidity decrease : pernicious anemia an cancer of the stomach J. Doppler ultrasound – measures blood flow in the major veins and arteries. The transducer of the test instrument is placed on the skin, sending ultra-high- frequency sound. - sound varies with respiration and valsalva maneuver - no discomfort to the patient. K. Glucose Testing – to detect disorder of glucose metabolism, such as diabetes. 1. Fasting blood sugar (FBS) – blood sample is drawn after a 12 fast (usually midnight). Water is allowed. Normal blood glucose ; 60 – 120 mg/dL Diabetic patient = 126 mg/dL
  7. 7. 2. 2 hr postprandial (PPBS) – blood is taken after meal Patients preparations: - offer a high-carbohydrate diet for 2-4 days before testing - patient fast overnight - eats a high-carbohydrate breakfast - blood sample is drawn 2 hr interval - no cigarette smoking and caffeine for these may increase glucose level Common Diagnostics Procedures Invasive Diagnostics Procedures Characteristics: 1. it directly records the size, shape and function of an organ; 2. it requires the written consent of the patient or guardian; 3. it may result in morbidity and occasionally death. General Nursing Task: 1. Before procedure: a. have patient sing permit to procedure b. ascertain and repot any patient history of allergy or allergic reaction c. explain procedure briefly and accurately d. explain that contrast medium might cause flushing or warm feeling e. keep patient NPO 6-12 hour before procedure if anesthesia is to be used f. allow patient to verbalize concerns g. administer preprocedure sedatives, as ordered h. if procedure done at bed side: - remain with patient and offer reassurance - assist with optimal positioning of patient - observe for indication of complications – shock, pain and dyspnea 2. After procedure: a. observe and record vital signs b. check injection or biopsy sites for bleeding, infection, tenderness, or thrombosis • report untoward reaction to the physician • apply warm compress to ease discomfort, as ordered c. if tropical anesthesia is used during procedure, do not give food or fluid until gag reflex returns d. encourage relaxation by allowing patient to discuss experience and verbalize feelings. A. Procedures to evaluate the cardiovascular system 1. Angiography – intravenous injection of radiopaque solution or contrast for the purpose of studying its circulation through the patient’s heart, lungs and great vessels. - Used to check the competency of the heart valves, diagnose congenital septal defects, study heart function and structure before cardiac surgery, detect occlusions of coronary arteries. 2. Cardiac catheterization – insertion of a radiopaque catheter into a vein to study the heart great vessels. - Used to confirm diagnosis of heart disease and determine extent of disease, measure pressures in the heart chamber and great vessels, obtain estimate of cardiac output, and obtain blood samples to measure oxygen content. a. Right heart catheterization – catheter is inserted through a cut-down in the antecubital vein into the superior vena cava, through the right atrium and ventricle and into the pulmonary activity. b. Left-heart catheterization- catheter maybe passed retrograde to the left ventricle through the brachial and femoral artery, it can be passed through the left atrium after right-heart catherization by means of a special needle that punctures the septa; or it may be passed directly into the left ventricle by means of a posterior puncture. Specific nursing considerations: 1. Preprocedure patient teaching: a. Fatigue is a common complaint due to lying still for 3 hr b. Feeling of fluttery sensation while the catheter is passed back into the left ventricle c. Flushed, warm feeling may occur when contrast medium is injected. 2. Postprocedure observations: a. monitor ECG pattern for arrhythmias b. check extremities for color and temperature, peripheral pulses for quality. 3. Angiography (Arteriography) – injection of a contrast medium in to the arteries to study the vascular tree.
  8. 8. - Used to determine obstructions or narrowing of peripheral arteries. B. Procedure to evaluate the respiratory system 1. Lung scan – injection of radioactive isotope into the body, followed by lung scintiscan, which produces a graphic record of gamma rays emitted by the isotopes in the tissues. - used to determine lung perfusion when pulmonary emboli and infarctions are suspected. 2. Pulmonary angioghraphy – x – ray visualization of the pulmonary vasculature after the injection of a radiopaque contrast medium. - used to evaluate pulmonary disorders such as pulmonary embolism, lung tumor and aneurysms, and changes in the pulmonary vasculature due to such conditions as emphysema. 3. Bronchoscopy – introduction of a fiberoptic scope into the trachea and bronchi - used to inspect tracheobronchial tree for pathological changes, remove foreign bodies or mucous plugs causing airway obstruction, and apply chemotherapeutic agents. a. Prebronchoscopy interventions: • oral hygiene • postural drainage as indicated b. Postbronchoscopy interventions: • Instruct patient not to swallow oral secretions • Save expectorated sputum for laboratory analysis • NPO till gag reflex returns • Observe for subcutaneous emphysema and dyspnea • Apply ice collar to reduce throat discomfort 4. Thoracentesis – needle puncture through the chest wall and into the pleura - used to remove fluid and occasionally air from the pleural space - nursing considerations a. position : high fowler’s position or sitting upon edge of the bed, with feet supported on the chair. b. If the patient is unable to sit up – turn unto unaffected side a. Position: high fowler’s position or sitting upon edge of the bed, with feet supported on the chair. b. If the patient’ is unable to sit up-turn unto unaffected side C. Procedures to evaluate the renal system 1. Renal angiogram – small catheter is inserted into the femoral artery and passed into the aorta or renal artery, radiopaque fluid is in stilled, and serial films are taken. - Used to diagnose renal hypertension and pheochromocytoma and differentiate renal cyst from tumors. Postangiogram nursing actions: 1. Check pedal pulse for signs of decreased circulation. 2. Cystoscopy – Visualization of bladder, urethra, and prostatic urethra by insertion of a tubular, lighted, telescopic lens (cystoscope) through the urinary meatus. - Used to directly inspect the bladder; collect urine from the renal pelvis; obtain biopsy specimens from bladder and urethra; remove calculi; and treat lesions in the bladder, urethra, and prostate. Nursing actions following procedure: • Observe for urinary retention • Warm sitz baths to relieve discomfort 3. Renal biopsy – needle aspiration of tissue from the kidney for the purpose of microscopic examination. Procedures to evaluate the digestive system: 1. Esophagoscopy and gastroscopy – visualization of the esophagus, the stomach, and sometimes the duodenum by means of a lighted tube inserted through the mouth. 2. Proctoscopy – visualization of rectum and colon by means of a lighted tube inserted through the anus. 3. Peritoneoscopy – direct visualization of the liver and peritoneum by means of a peritoneoscope inserted through an abdominal stab wound. 4. Liver biospsy – needle aspiration of tissue for the purpose of microscopic examination; used to determine tissue changes, facilitate diagnosis, and provide information regarding a disease course.
  9. 9. Nursing action: 1. Place patient on right side and position pillow for pressure, to prevent bleeding. 5. Paracentesis – needle aspiration of fluid from the peritoneal cavity used to relieve excess fluid accumulation or for diagnostic studies. a. Specific nursing actions before paracentesis: a. Have patient void - to prevent possible injury to bladder during procedure b. Position – sitting up on side of bed, with feet supported by chair. c. Check vital signs and peripheral circulation frequently throughout procedure d. Observe for signs of hypovolemic shock – may occur due to fluid shift from vascular compartment following removal of protein – rich ascitic fluid. b. Specific nursing actions following paracentesis: a. Apply pressure to injection site and cover with sterile dressing. b. Measure and record amount and color of ascitic fluid; send specimens to lab for diagnostic studies. D. Procedures to evaluate the reproductive system in women 1. Culdoscopy – surgical procedure in which a culdoscope is inserted into the posterior vaginal cul-de-sac - Used to visualize uterus, fallopian tube, and peritoneal contents. 2. Breast biopsy – needle aspiration or incisional removal of breast tissue for microscopic examination. - used to differentiate among benign tumors, cysts, and malignant tumor in the breast. 3. Uterotubal insufflation (Rubin’s Test) – injection of carbon dioxide into the cervical canal. - Used to determin fallopian tube patency E. Procedure to evaluate the neuroendocrine system 1. Cerebral angiography – fluoroscopic visualization of the brain vasculature after injection of a contrast medium into the carotid or vertebral arteries - used to localize lesions (tumors, abscesses, and occlusions) that are large enough to distort cerebrovascular blood flow. 2. Myelogram – through a lumbar-puncture needle, a contrast medium is injected into the subarachnoid space of the spinal column to visualize the spinal cord. - Used to detect herniated or ruptured intervertebral disks, tumors and cysts that compress or distort spinal cord. Nursing consideration: • Elevate head of bed = with water soluble contrast • Flat position – with oil contrast • V/s every 4 hr for 24 hr. 3. Lumbar puncture – puncture of the lumbar subarachnoid space of the spinal cordwith a needle to withdraw samples of cerebrospinal fluid. - Used to evaluate CSF for infections and determine presence of hemorrhage. Note: not done if increased ICP is suspected Position: Before : fetal position / knee chest position After : flat or supine Test Indication Antigen skin Test to rule-out cancer of the lungs Benedict’s test For glucose monitoring Bentonite Flacculation Test Test for filariasis Beutler’s test Test for galactosemia Blanching test Determines the impairment in circulation Bronsulpthalein test Liver angiography Caloric test Test done by placing water in the ear canal causes nystagmus. A test for inner ear CD4 determination Checking the immune status to AIDS patient Cerebral perfusion test Test used to check the cerebral function Coomb’s test Determines the production of the antibodies. RhoGAM is given (1st 72 hours) CPK BB Test for brain muscles CPK MB Test for cardiac muscles: for MI CPK MM Test for muscle injury Dark field illumination test and kalm test Determination for the presence of syphilis Dick test Detect scarlet fever Dull’s eye test Determines the presence of blindness. Done in 1st ten days (+) normal (-) abnormal
  10. 10. ELISA test Determines presence of HIV Gram staining and Culture of cervical and urethral smear Determination for the presence of gonorrhea Gross hearing test Test used by whispering words or spoken voice test Guthrie test Test for PKU Heat and Acetic acid test For protein or albumin detection Immunochromatographic test A rapid assessment method done for filariasis. The antigen test that can be done at daytime Jones Criteria One way of diagnosing Rheumatic heart fever Lepronin test A screening test for leprosy Liver enzyme test For SGOT and SGPT Liver profile test Determines Hepa-b surface antigen Lumbar puncture Determines for the presence of meningitis and encephalitis. Position the patient in side lying position Malaria smear Test to confirm malaria; specimen is taken at the height or peak of fever Mantoux test Determination for TB exposure Meniere’s test Test for vestibular function Methylene blue test For ketone detection Moloney test Hypersensitivity test for Diphtheria Oxytocin challege test Determines if the fetus can tolerate uterine contraction; (+) CS is necessary Pandy’s test Determines the presence of protein in the CSF Phenosulpthalein test Kidney angiogram Queckkenstedt’s test Test that involve the compression of jugular veins Rectal swab Done in patient with cholera, pinworm detection Rinne Test Shifted between mastoid bone and two inches from the ear canal opening Romberg’s test Assess gait and station such as ataxia Schick test Susceptibility test for diphtheria (+) no immunity (-) with immunity Schiller’s test Staining the cervix with an iodine solution. Healthy tissues will turn brown, while cancerous tissue resist the stain Schilling test Used to patient with severe chilling sensation; for confirmation of pernicious anemia Schwabach test Differentiate between conductive and sensorineural deafness, mastoid of patient and examiner Shake test Determines the amount of surfactant in the lungs. Skin test Purpose it to produce antigen reaction Slit skin smear A confirmatory test for leprosy Specific gravity test For diabetes mellitus and insipidus as well as for dehydration Sperm count test For male infertility (low sperm count-oversex) Sputum exam For defection and sensitivity of causative microorganism, for pneumonia and TB Sulkowitch test Urine test detection for calcium deficiency and calcium in the urine Sweat chloride test Used to diagnosed cystic fibrosis Tensilon (Endophonium) test For rapid detection of myasthenia gravis Tonometer Test used to measure ocular tension and helping in detecting early glaucoma N=12-20 mmHg Torniquet test Done to determine presence of petechiae in Dengue Hemorrhagic fever TZANK test Determination for the presence of herpes simplex Weber test Evaluation of bone conduction. Tuning fork is placed on patient’s forehead or teeth Wedal’s Test For typhoid fever determination Western blot test A confirmatory for AIDS Arterial Blood Gases Type Causes Manifestations Management Respiratory Acidosis pH<7.35; PaCO2>45 . COPD . Respiratory . Overdose . Atelectasis . Pulmonary edema . Aspiration . Weakness . Tachycardia . Decreased LOC . Headache . Assess VS . Monitor . ABG . CPT . TCDB
  11. 11. Respiratory Alkalosis pH>7.45; PaCO2<35 . Hyperventilation . Anxiety . Pain . Ventilators . Lightheadedness . Ringing of the ears . Tingling . Slow breathing . Paper bag Metabolic Acidosis pH<7.35; HCO3,22 . DKA . Diarrhea . ASA poisoning . Renal failure . Headache . N/V . Kussmaul respiration . Dysrhythmias . Administer sodium bicarbonate . Monitor I/O . Use seizure Precautions Metabolic Alkalosis PH>7.45; HCO3>26 . Vomiting . NGT . Diuretics and Antacids . Tingling . Dizziness . Bradypnea . Monitor VS . I/O . ABG Remember : Respiratory Opposite; Metabolic Equal Facts : pH = 7.35 – 7.45 PCO2 = 34 – 45 HCO3=22-26

×