Cultural & Religious Considerations & More

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Author:
jborlongan8626
ID:
155539
Filename:
Cultural & Religious Considerations & More
Updated:
2012-05-24 12:46:43
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NCLEX
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Description:
Cultural & Religious Considerations in Health Care & other NCLEX need to know's
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  1. Arab American cultural attributes
    • *Females avoid eye contact with males.
    • *Touch is accepted if done by the same-sex HCP.
    • *Most decisions are made by males.
    • *Muslims (Sunni) refuse organ donation.
    • *Most Arabs DO NOT eat pork
    • *Avoid hot/cold drinks when sick.
    • *Colostrum might be considered harmful to the newborn.
  2. Asian American cultural attributes
    • *Avoid direct eye contact.
    • *Feet are considered dirty (touch last during assessment)
    • *Males make most decisions.
    • *Usually refuse organ donation.
    • *Believe in the "hot-cold" theory of illness.
    • *Most likely be distressed by blood sampling because Asians believe life is in the blood & that part of the body is taken when blood is withdrawn.
  3. Native American cultural attributes
    • *Sustain eye contact.
    • *Blood & organ donation is generally refused.
    • *Might refuse circumcision.
    • *May prefer care from tribal shaman rather than using western medicine.
  4. Mexican American cultural attributes
    • *Might avoid eye contact with authorities.
    • *Might refuse organ donation.
    • *Most are very emotional during bereavement.
    • *Believe in the "hot-cold" theory of illness.
  5. Jehovah's Witness
    NO blood products should be used.
  6. Hindu
    NO beef or items containing gelatin.
  7. Jewish
    Special dietary restrictions, use of kosher foods.
  8. Renal diet
    • *High calorie
    • *High carbs
    • *Low protein
    • *Low potassium
    • *Low sodium
    • *Fluid restricted to intake = output + 500 ml
  9. Gout diet
    • *Low purine
    • *Omit poultry ("cold chicken") medication for acute episodes: Colchicine
    • *Maintenance medication: Zyloprim
  10. Heart Healthy diet
    *Low fat (less than 30% of calories should be from fat).
  11. ROME
    Respiratory Opposite Metabolic Equal

    *Respiratory acid/base disorders the pH is opposite to the other components.

    *Metabolic disorders, the components of the lab values are the same.
  12. Respiratory acidosis
    • *pH down
    • *CO2 up
    • *HCO3 up
  13. Metabolic acidosis
    • *pH down
    • *CO2 down
    • *HCO3 down
  14. Respiratory alkalosis
    • *pH up
    • *CO2 down
    • *HCO3 down
  15. Metabolic alkalosis
    • *pH up
    • *CO2 up
    • *HCO2 up
  16. Addison's vs. Cushing's
    Addison's & Cushing's are diseases of the endocrine system involving either overproduction or inadequate production of cortisol.
  17. Tx of Addison's
    • *Increase sodium intake
    • *Medications: cortisone preparations
  18. Tx of Cushing's
    • *Restrict sodium
    • *Observe for signs of infection
  19. Tx of spider bites/bleeding
    • RICE
    • Rest
    • Ice
    • Compression
    • Elevate extremity
  20. Tx of sickle cell crises
    • HHOP
    • Heat
    • Hydration
    • Oxygen
    • Pain medications
  21. 5 P's of fractures and compartment syndrome
    • Pain
    • Pallor
    • Pulselessness
    • Paresthesia
    • Pallor
  22. Hip Fractures
    commonly hemorrhage
  23. Femur fractures
    risk for fat emboli
  24. Profile of gallbladder disease
    • Female
    • Forty
    • Fat
    • Five pregnancies
    • Flatulent

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