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Incentive Spirometer Use
- Sit up
- Insert Mouthpiece
- Inhale for 3 seconds
- Hold for 10 seconds
Contact & Airborne, private room, doors closed, negative pressure.
Blood Transfusion Reaction Sx
- Flank pain
- Freq swallowing
- Soft bristled toothbrush
- No insertion (suppositories, douche)
- No IM injections
Iron should be given how?
P.O. with O.J. on an empty stomach.
- 1st: Red/Painful
- 2nd: Blisters
- 3rd: No pain/blocked nerves.
Pernicious Anemia Sx:
Red, beefy tongue, will take B12 for the rest of their life.
Meniere's Disease Sx & Tx
- Sx: Vertigo, Tinnitus, N/V.
- Tx: Diuretics, lay on affected ear.
Gastric Ulcer Pain:
Occurs 30-90 mins after eating (not at night) doesn't go away with food.
Sickle Cell Crisis Interventions?
Fluids and Pain management
- Mon: BP
- Rest: Dietary: higher fluids, protien, sodium.
Labs show high hematocrit, high hemoglobin, high RBC's. Indication?
Hypoxia due to congenital heart defect.
Meningitis CSF Labs:
High protein, low glucose.
No nasogastral suctioning.
How to avoid Otitis Media in babies?
Feed in upright position.
Ribavirin is being administered. Precautions?
No contact lenses, no pregnant staff.
No milk, fresh fruit/veggies.
- What does Neutropenic mean?
- Low WBC's
Ideal IM site for adults & infants?
IM injection site (thigh)
Used for irritating drugs, pull skin to the side before performing injection.
How many mL in 1 TBSP?
How many mL in 1 tsp?
How many oz in 1 cup?
How many oz in 1 lb?
Headache, dizziness, nosebleed.
GI upset. Give with food.
Pursed lipped breathing promotes?
High fluids, high fowlers, leaning forward, pursed lipped breathing.
*What is emphysema? Pt has trouble breathing, stimulus to breathe is low PO2, not build up of CO2.
GERD positioning for adult
lay on left side with HOB elevated 30 degrees.
Nonfat milk increases lower esophageal sphincter pressure, reducing reflux.
Steroids can cause?
- Increased glucose.
- Diabetic Pt may need more insulin than normal.
Synthroid should be given...
on an empty stomach.
Used to treat hyperthyroid, may cause burning sensation in the mouth and brassy taste.
- Used as a vasoconstrictor.
Hyperparathyroidism can cause? Which can cause?
Hypercalcemia, and Polyuria.
- Up: good leg, then crutches.
- Down: crutches, then good leg.
- Turned blue by amniotic fluid, which is alkaline.
- Turned pink by urine/normal discharge which is acidic.
If you found another nurse made a mistake?
Speak to that nurse, your manager, then agency.
Wheelchair placement when moving Pt to bed?
Wheelchair should be parallel to the bed on the side of weakness.
Assesses how well BS has been controlled over the last 90-120 days. Score can be 4-7, 7 being ideal (BS of 130).
- 5 mm in an immunocompromised Pt
- 10 mm in normal Pt
- 15 mm in Pt who lives in area where Tb is very rare.
Precaution with newly diagnosed HTN Pt
BP should be taken in both arms.
What could cause bounding pulses? How?
Coarctation (narrowing) of the aorta-through inc blood flow.
Depressed Pt Priorities?
Safety over nutrition.
- Pain relief
- Cough/deep breathe to avoid fluid pushing up in diaphragm.
Reduce stress! Addison's can cause hypotension, check BP.
How to mobilize edema?
Have Pt ambulate then sit with legs elevated.
Give laxative the night before to better visualize organs.
- *What is IVP?
- Intravenous Pyelogram
Dark stools? Lab values?
Indicate bleeding. Lab values would show low hemoglobin and/or hematocrit.