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ATI Med Surg Review For Nursing

John Marsh
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Nursing Med Surg ATI Review

Chapter 1 Health, Wellness, and Illness
• Variables
o Modifiable= can be changed, smoking, nutrition, health edu, sex practices, exercise
o Non modifiable= sex, age, developmental level, genetics

Chapter 2 Emergency Nursing Principles and Management
• Triage
o Resuscitation= level one
o Emergent= level two
o Urgent= level 3
o Less urgent= level four
o Nonurgent= level five, non life threatening condition require simple eval and care
o Airway= maintain airway, head tilt/chin lift (do NOT perform if pt has spine injuryà
do modified jaw thrust maneuver), bag valve mask w/ 100% O2, nonrebreather w/
100% O2 use for spontaneous breathers
o Breathing
o Circulation
o Disability= loc
o Exposure= clothing
• Poisoning= use activated charcoal, gastric lavage (done w/I 1hr) aspiration
• Rapid response team= respond to emergency when pt has indications of rapid decline
• Cardiac emergency
o Vfib= defibrillate, CPR, admin IV antidysrhythmic (epi, amiodarone, lidocaine,
magnesium sulfate)
o Vtach
• Epi= stimulate alpha 1 (vasoconstrict), beta 1 (increase hr), beta 2 (bronchodilate), good for
superficial bleeding, increase bp, AV block and cardiac arrest and asthma
o s/e= htn crisis, dysrhythmias, angina
• Dopamine= renal blood vessel dilation, beta 1 increase hr, good for shock, hf
o s/e= dysrhythmias, angina
• Dobutamine= beta 1 increase hr, good for hr

Chapter 3 Neurologic Diagnostic Procedures
• Cerebral angiography= visualization of cerebral blood vessels, assess blood flow within
brain, id aneurysms
o Do NOT perform if pregnant, don’t eat food or fluids for 4-6hrs prior to procedure,
assess for allergy to shellfish or iodine b/c require use of contrast media, ask about
anticoag, assess BUN and creatinine; monitor area for clotting after procedure
• CT= cross section image
• EEG= id seizure activity and sleep disorder
o Wash hair b/f procedure, be sleep deprived, expose to flashing lights, hyperventilate
for 3-4 min

Glasgow coma scale= determine loc, best score is 15, score less than 8 is associate w/
severe head injury and coma
o Eye open (E)
§ 4= eye open spontaneously
§ 3= eye open to sound
§ 2= eye open to pain
§ 1= eye does not open
o Verbal (V)
§ 5= conversation is coherent and oriented
§ 4= conversation is incoherent and disoriented
§ 3= words are spoken but inappropriate
§ 2= sound made
§ 1= no sound
o Motor (M)
§ 6= commands followed
§ 5= local reaction to pain
§ 4= general w/drawal to pain
§ 3= decorticate posture (adduction of arms, flexion of elbows and wrists)
§ 2= decerebrate posture (extension of elbows and wrists)
§ 1= no motor response
• ICP monitoring= performed by neurosurgeon in operating room, used for GCS score of 8,
complication of infection
o Intraventricular catheter
o Subarachnoid screw/bolt
o Epidural or subdural sensor
• Increased ICP (normal 10-15)= IRRITABILITY first sign, severe headache, decrease loc,
dilated/ pinpoint pupils, altered breathing pattern (Cheyne-stokes), hyperventilation, apnea,
abnormal posturing
• Lumbar puncture= w/draw CSF to diagnose MS, syphilis, meningitis, void b/f procedure,
assume cannonball position, monitor puncture site, remain lying still on back after
o Complication= headache from leaking csf, give opioids/pain meds, increase fluid
• MRI= remove jewelry, not claustrophobic, give earplugs
o w/ contrast dyes: assess for allergies for shellfish
o no jewelry, no metal implants (IUD, aneurysm clip, ortho joint, artificial heart valve,
• PET= brain injury, determine tumor activity or response to treatment
• X-ray= can reveal fracture or curvature

Chapter 4 Pain Management

Chapter 5 Meningitis

Chapter 6 Seizures and Epilepsy

Chapter 7 Parkinson’s Disease

Chapter 8 Alzheimer’s Disease

Chapter 9 Brain Tumors

Chapter 10 Multiple Sclerosis

Chapter 11 Headaches

Chapter 12 Disorders of Eye

Chapter 13 Middle and Inner ear disorder

Chapter 14 Head Injury

Chapter 15 Stroke

Chapter 16 Spinal Cord Injury

Chapter 17 Respiratory Diagnostic Procedures

Chapter 18 Chest Tube Insertion and Monitoring

Chapter 19 Respiratory Management and Mechanical ventilation

Chapter 20 Acute Respiratory Disorders

Chapter 21 Asthma

Chapter 22 Chronic Obstructive Pulmonary Disease

Chapter 23 Tuberculosis

Chapter 24 Pulmonary Embolism

Chapter 25 Pneumothorax, Hemothorax, and flail chest

Chapter 26 Respiratory Failure

Chapter 27 Cardiovascular Diagnostic and Therapeutic Procedures*

Chapter 28 Electrocardiography and Dysrhythmia Monitoring*

Chapter 29 Pacemakers *

Chapter 30 Invasive Cardiovascular procedures*

Chapter 31 Angina and Myocardial Infarction*

Chapter 32 Heart Failure and Pulmonary Edema*

Chapter 33 Valvular heart disease*

Chapter 34 Inflammatory Disorders*

Chapter 35 Peripheral Vascular Diseases*

Chapter 36 Hypertension*

Chapter 37 Hemodynamic Shock*

Chapter 38 Aneurysms*

Chapter 39 Hematologic Diagnostic Procedures*

Chapter 40 Blood and blood product transfusion*

Chapter 41 Anemias*

Chapter 42 Coagulation Disorders*

Chapter 43 Fluid Imbalances*

Chapter 44 Electrolyte imbalances

Chapter 45 Acid-Base imbalances

Chapter 46 Gastrointestinal Diagnostic Procedures

Chapter 47 Gastrointestinal Therapeutic Procedures

Chapter 48 Esophageal Disorders

Chapter 49 Peptic Ulcer Disease

Chapter 50 Acute and Chronic Gastritis

Chapter 51 Noninflammatory bowel disorders

Chapter 52 Inflammatory Bowel disease

Chapter 53 Cholecystitis and Cholelithiasis

Chapter 54 Pancreatitis

Chapter 55 Hepatitis and Cirrhosis

Chapter 56 Renal diagnostic procedures

Chapter 57 Hemodialysis and Peritoneal Dialysis

Chapter 58 Kidney Transplant

Chapter 59 Polycystic Kidney Disease, Acute Kidney Injury, Chronic Kidney Disease

Chapter 60 Infections of Renal and Urinary system

Chapter 61 Renal Calculi

Chapter 62 Diagnostic and therapeutic procedures for female reproductive disorders

Chapter 63 Menstrual Disorder and Menopause

Chapter 64 Disorders of Female Reproductive Tissue

Chapter 65 Diagnostic Procedures for Male Reproductive Disorders

Chapter 66 Benign Prostatic Hyperplasia

Chapter 67 Musculoskeletal Diagnostic Procedures

Chapter 68 Arthroplasty

Chapter 69 Amputations

Chapter 70 Osteoporosis

Chapter 71 Musculoskeletal Trauma

Chapter 72 Osteoarthritis and low back pain

Chapter 73 Integumentary Diagnostic Procedures

Chapter 74 Skin Disorders

Chapter 75 Burns

Chapter 76 Endocrine Diagnostic Procedures

Chapter 77 Pituitary Disorders

Chapter 78 Hyperthyroidism (video 84)

Chapter 79 Hypothyroidism (video 85)

Chapter 80 Cushing Disease/syndrome (video 86)

Chapter 81 Addison’s Disease (video 87)

Chapter 82 Diabetes (video 88-90)

Chapter 83 Complications of diabetes (video 91)

Chapter 84 Immune and Infectious Disorders Diagnostic Procedures

Chapter 85 Immunizations

Chapter 86 HIV/AIDS

Chapter 87 Lupus Erythematosus, Gout, fibromyalgia

Chapter 88 Rheumatoid Arthritis

Chapter 89 General Principles of Cancer

Chapter 90 Cancer screening and Diagnostic Prcedures

Chapter 91 Cancer treatment options

Chapter 92 Cancer Disorders

Chapter 93 Pain management for pt who have cancer

Chapter 94 Anesthesia and Moderate Sedation

Chapter 95 Preop Nursing Care

Chapter 96 PostOp Nursing Care




ATI Med Surg Review For Nursing

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