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Patient with the highest priority?
- TKR w/ scant serous drainage
- COPD with cough
- Pneumonia pt who is experiencing thick yellow secretions w/ low pulse ox
-Pneumonia patient with low pulse ox
What type of medical condition may potentially need a amputation?
Severe peripheral vascular disease w/ open lesions
Who can successfully use a single point cane?
CVA patient with mild weakness
A post operative patient just entered PACU, would be your immediate assessments? What complication may happen immediate to the patient?
How do you determine the appropriate size TEDS?
From the heel to gluteal fold
Which lab result would indicate a left shift in the differential?
elevated band neutrophils
What medications would be held if a patient was preparing to have bone marrow aspiration done?
Who has lowest risk for electrolyte imbalance?
patient who has an estimated blood loss of 1/2 pint due to traumatic injury
Which patient would you check first?
patient with CHF with IVF running at 125 ml/hr
Which blood product would be given for a coumadin overdose?
fresh frozen plasma
Order: 0.5 g q8hrs
how much would you give?
after you draw up med and in the syringe there is a bubble, what would you do?
tap the barrel to float the bubble towards the needle
1L D5W over 8 hours
whats the rate?
250 ml D5W, with drip factor of 10 gtt to infuse over 2 hours; whats the gtts per minute?
Characteristics of veins?
- carry blood back to the heart
- have valves
- they are superficial
What length of time would you leave a tourniquet on after drawing blood specimen?
none, you immediately release after completing draw
describe the characteristics of phlebitis?
- swelling and redness
- burning along vein
- vein feels cordlike
Which drug classification is used for seizures?
describe how you would give medications to a dysphagia patient?
crush meds and mix with a small amount of applesauce or ice cream
what are the early signs of ICP?
Your patient is having a tonic clonic seizure, what should you do?
- lower them to the floor
- and maintain the airway
What meds would a newly diagnosed seizure patient be placed on upon discharge?
SCI patient in the ECU, the patient cannot move or sense any of his extremities, the injury is most likely to be in which area of spinal cord?
Signs and symptoms of Parkinson's disease?
- slow shuffling gait
- difficulty swallowing
- pill rolling tremor
what assessment findings would indicate the patient is entering the early stages of Alzheimer's disease?
The patient has just been diagnosed with an ischemic stroke, what meds should be available for the MD?
What are several risk factors for exacerbation of MS.?
- exposure to prolonged sun/cold
What emergency equipment must you have at the bedside for a patient experiencing dysphagia and difficulty handling their own secretions
What supplies would have on hand to wash your patients face that is experiencing trigeminal neuralgia?
luke warm water and cotton balls
What signs and symptoms are associated with Bells Palsy
unable to close affected eye
pupils are equal, round, reactive to light, accomodation
What reading would represent normal vision?
20/20 in both eyes
When given several post op patient scenarios, which precaution would warrent more teaching?
rolling THR on their operative side