how long do you surgical scrub
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3-5 min, followed by a rinse
rinsing hands and arms are positioned water runs off the arms
3 types of aphasia
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, brocas: expressive -management-using communication board or clipboard
for writing if able
wernickes-receptive
global-both types
s/s of migraines
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episodic,headpainthatisthrobbingandunilateral,photophobia,osmophobia,st
eadyacheto
violent throbbing.
s/s of malignant hyperthermia
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tachycardia, skin mottling, cyanosis, myoglobinuria (monitor urine output
for blood or myoglobin), rise in end tidal carbon dioxide, elevated
temperature
nursing consideration for guillen barre
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, emergency interventions
abcs
airway management -priority
aspiration precautions(HOB up 45/assess swallowing ability/suction
equipment)
managing cardiac dysfunction
Cardiac monitor/VS trends
Hypertension- beta blocker/nitroprusside
Hypotension- IVFs and flat
Bradycardia- atropine
Respiratory function- assess q1-2 hrs in acute phase
Preventing complications of immobility
PT/OT/ST- address self-care deficits
Manage pain- PCA (opiates), Neurontin
Psychosocial support- assess/educate patient and family
increased intracranial pressure
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most at risk during first 72 hours after onset of stroke.
managing ICP
Give this one a try later!
1.Positioning- HOB elevated 30 degrees, limit to 1 pillow to keep head and
neck midline to prevent compression of the jugular veins, limit hip flexion
2.Activity management- distribution of care procedures over a longer time
frame to decrease oxygen demand
3. Airway management- suctioning only when indicated since ETT
suctioning can increase ICP
4.Hyperventilation- not recommended with TBI because it decreases
perfusion
5.Bowel management- stool softeners or laxatives are recommended to
Give this one a try later!
3-5 min, followed by a rinse
rinsing hands and arms are positioned water runs off the arms
3 types of aphasia
Give this one a try later!
, brocas: expressive -management-using communication board or clipboard
for writing if able
wernickes-receptive
global-both types
s/s of migraines
Give this one a try later!
episodic,headpainthatisthrobbingandunilateral,photophobia,osmophobia,st
eadyacheto
violent throbbing.
s/s of malignant hyperthermia
Give this one a try later!
tachycardia, skin mottling, cyanosis, myoglobinuria (monitor urine output
for blood or myoglobin), rise in end tidal carbon dioxide, elevated
temperature
nursing consideration for guillen barre
Give this one a try later!
, emergency interventions
abcs
airway management -priority
aspiration precautions(HOB up 45/assess swallowing ability/suction
equipment)
managing cardiac dysfunction
Cardiac monitor/VS trends
Hypertension- beta blocker/nitroprusside
Hypotension- IVFs and flat
Bradycardia- atropine
Respiratory function- assess q1-2 hrs in acute phase
Preventing complications of immobility
PT/OT/ST- address self-care deficits
Manage pain- PCA (opiates), Neurontin
Psychosocial support- assess/educate patient and family
increased intracranial pressure
Give this one a try later!
most at risk during first 72 hours after onset of stroke.
managing ICP
Give this one a try later!
1.Positioning- HOB elevated 30 degrees, limit to 1 pillow to keep head and
neck midline to prevent compression of the jugular veins, limit hip flexion
2.Activity management- distribution of care procedures over a longer time
frame to decrease oxygen demand
3. Airway management- suctioning only when indicated since ETT
suctioning can increase ICP
4.Hyperventilation- not recommended with TBI because it decreases
perfusion
5.Bowel management- stool softeners or laxatives are recommended to
