Medsurg HESI
- Check ft regular; make certain you dry your ft
- Wear right shoes
- Don't need them strolling around bearfoot
- Make positive tub water is not too hot - ANS-Education wished concerning foot care on
diabetic patients.
- check for expanded HR, respirations, & temp
- BP will drop
- May have hemolytic rash & be itching
- May see flushing
- Chest or flank ache
- Blood has to run off on a pump
TIME FRAME FOR GIVING BLOOD HAS TO BE LESS THAN 4 HOURS; IF STILL BLOOD IN
AFTER four HOURS, YOU HAVE TO TAKE IT DOWN - ANS-S/S of blood transfusion reaction?
- Expect to peer no BP or sticks in that arm
- Cannot use proper away b/c it has to have time to heal
- Auscultate to bruit
- Palpate for thrill - ANS-Care of a newly inserted AV fistula
- Monitor glucose
- Check amylase & lipase levels
- May need to placed an NG down & placed it to suction
- *one of the maximum not unusual causes of pancreatitis is alcohol abuse, so communicate
about that*
- * They will constantly be NPO*
- Ultrasound - ANS-List all nursing interventions for a patient recognized with pancreatitis:
- No heavy lifting (no extra pressure)
-Will constantly have to use eyedrops for the rest in their lives
-S/S of open attitude glaucoma: could have decreased peripheral vision, additionally it occurs
very slowly, you use lose vision before you ever even understand there may be a trouble
(Chronic) - ANS-Teaching plan for the client with open angle glaucoma
- Prep the room & make certain you have all of the gadget
- They help with transfering & positioning the patient for surgical treatment
- Anybody wishes anything, they go and get it
, - *They are liable for calling the surgical TIME-OUT* (primary position) - ANS-Goal of the
surgery circulating nurse:
- Smoking
- Spicy meals
- Alcohol
- *Milk/Milk merchandise*
- Caffiene, Coffee, Tea, Chocolate - ANS-Things to keep away from with duodenal ulcers
- Stool can be crimson (bloody diarrhea) (decrease)
- rectal bleeding
- Blood count number may also display low H&H, can be anemic - ANS-S/S of ulcerative colitis
-> remedy of High K+ degrees
a. Watch for DIARRHEA (pulls out potassium and excretes thru the bowels)
b. If query asks what to look for INITIALLY à Diarrhea
c. If diarrhea has already handed, look for POTASSIUM degrees or EKG adjustments -
ANS-Kayexalate
-ambulation
-compression hose (leg stockings)
-give Heparin, Lovenox (but least invasive first) - ANS-Nursing motion to lower clot formation
-Going to returned up into the lungs (respiratory machine)
-SOB
-dyspnea
-wheezing
-pulmonary edema
-crackles
-coughing (coughing up red tinged secretions)
-fatigued/susceptible - ANS-Left ventricular diastolic function S/S:
-Immediately submit-op you do not take off the primary one till the doctor does (never take off
the primary one)
- Look at drainage & improve the dressing - ANS-Nursing duties for post-op surgical dressing
adjustments
-RBC matter: four.2-6.1 (Anemia)
-Urinalysis: UTI (checking for WBC, blood, RBCs)
for Diabetics we may be checking for ketones or protein
-Na level: one hundred thirty five-a hundred forty five (Conjestive Heart Failure; checking for
electrolyte imbalance; Also take a look at BNP for HF)
-WBC rely: 5,000-10,000 (infection, wound, or sepsis)
BUN: 10-20 (Kidney/Renal Failure) - ANS-Normal lab values & number one analysis:
- Check ft regular; make certain you dry your ft
- Wear right shoes
- Don't need them strolling around bearfoot
- Make positive tub water is not too hot - ANS-Education wished concerning foot care on
diabetic patients.
- check for expanded HR, respirations, & temp
- BP will drop
- May have hemolytic rash & be itching
- May see flushing
- Chest or flank ache
- Blood has to run off on a pump
TIME FRAME FOR GIVING BLOOD HAS TO BE LESS THAN 4 HOURS; IF STILL BLOOD IN
AFTER four HOURS, YOU HAVE TO TAKE IT DOWN - ANS-S/S of blood transfusion reaction?
- Expect to peer no BP or sticks in that arm
- Cannot use proper away b/c it has to have time to heal
- Auscultate to bruit
- Palpate for thrill - ANS-Care of a newly inserted AV fistula
- Monitor glucose
- Check amylase & lipase levels
- May need to placed an NG down & placed it to suction
- *one of the maximum not unusual causes of pancreatitis is alcohol abuse, so communicate
about that*
- * They will constantly be NPO*
- Ultrasound - ANS-List all nursing interventions for a patient recognized with pancreatitis:
- No heavy lifting (no extra pressure)
-Will constantly have to use eyedrops for the rest in their lives
-S/S of open attitude glaucoma: could have decreased peripheral vision, additionally it occurs
very slowly, you use lose vision before you ever even understand there may be a trouble
(Chronic) - ANS-Teaching plan for the client with open angle glaucoma
- Prep the room & make certain you have all of the gadget
- They help with transfering & positioning the patient for surgical treatment
- Anybody wishes anything, they go and get it
, - *They are liable for calling the surgical TIME-OUT* (primary position) - ANS-Goal of the
surgery circulating nurse:
- Smoking
- Spicy meals
- Alcohol
- *Milk/Milk merchandise*
- Caffiene, Coffee, Tea, Chocolate - ANS-Things to keep away from with duodenal ulcers
- Stool can be crimson (bloody diarrhea) (decrease)
- rectal bleeding
- Blood count number may also display low H&H, can be anemic - ANS-S/S of ulcerative colitis
-> remedy of High K+ degrees
a. Watch for DIARRHEA (pulls out potassium and excretes thru the bowels)
b. If query asks what to look for INITIALLY à Diarrhea
c. If diarrhea has already handed, look for POTASSIUM degrees or EKG adjustments -
ANS-Kayexalate
-ambulation
-compression hose (leg stockings)
-give Heparin, Lovenox (but least invasive first) - ANS-Nursing motion to lower clot formation
-Going to returned up into the lungs (respiratory machine)
-SOB
-dyspnea
-wheezing
-pulmonary edema
-crackles
-coughing (coughing up red tinged secretions)
-fatigued/susceptible - ANS-Left ventricular diastolic function S/S:
-Immediately submit-op you do not take off the primary one till the doctor does (never take off
the primary one)
- Look at drainage & improve the dressing - ANS-Nursing duties for post-op surgical dressing
adjustments
-RBC matter: four.2-6.1 (Anemia)
-Urinalysis: UTI (checking for WBC, blood, RBCs)
for Diabetics we may be checking for ketones or protein
-Na level: one hundred thirty five-a hundred forty five (Conjestive Heart Failure; checking for
electrolyte imbalance; Also take a look at BNP for HF)
-WBC rely: 5,000-10,000 (infection, wound, or sepsis)
BUN: 10-20 (Kidney/Renal Failure) - ANS-Normal lab values & number one analysis:
