Do not delegate

Do not delegate - ANSWER -What you can *EAT* *E*-evaluate *A*-assess * T-*teach Addison's & Cushings - ANSWER -Addison's = down down down up down Cushings= up up up down up hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia, hypo/hyperglycemia Better peripheral perfusion? - ANSWER -Elevate veins, D-Angle Arteries APGAR - ANSWER -Appearance (all pink, pink and blue, blue (pale) Pulse (100, 100, absent) Grimace (cough, grimace, no response) Activity (flexed, flaccid, limp) Respirations (strong cry, weak cry, absent) Airborne precautions - ANSWER -MTV or My chicken hez tb measles, chickenpox (varicella) Herpes zoster/shingles TB Airborne precautions protective equip - ANSWER -private room, neg pressure with 6-12 air exchanges/hr mask & respirator N95 for TB Droplet precautions - ANSWER -spiderman! sepsis, scarlet fever, streptococcal pharyngitis, parvovirus, pneumonia, pertussis, influenza, diptheria, epiglottitis, rubella, mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus (Private room and mask) Contact precaution - ANSWER -MRS WHISE protect visitors & caregivers when 3 ft of the pt. Multidrug-resistant organisms RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric diseases caused by microorganisms (C diff), Gloves and gowns worn by the caregivers and visitors Disposal of infectious dressing material into a single, nonporous bag without touching the outside of the bag PMGG= Private room/ share same illness, mask, gown and gloves Skin infection- *VCHIPS* - ANSWER -Varicella zoster Cutaneous diptheria Herpes simplez Impetigo Peduculosis Scabies Air or Pulmonary Embolism - ANSWER -S/S chest pain, dyspnea, tachycardia, pale/cyanotic, sense of impending doom. (turn pt to LEFT side and LOWER the head of bed.) Woman in labor (un-reassuring FHR) - ANSWER -(late decels, decreased variability, fetal bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids! Tube feeding with decreased LOC - ANSWER -Pt on Right side (promotes emptying of the stomach) Head of bed elevated (prevent aspiration) LOC - ANSWER -Level of Consciousness After lumbar puncture and oil based myelogram - ANSWER -pt is flat SUPINE (prevent headache and leaking of CSF) Pt with heat stroke - ANSWER -flat with legs elevated during Continuous Bladder Irrigation (CBI) - ANSWER -catheter is taped to the thigh. leg must be kept straight. After Myringotomy - ANSWER -position on the side of AFFECTED ear, allows drainage. Myringotomy - ANSWER -surgical incision into the eardrum, to relieve pressure or drain fluid. After Cateract surgery - ANSWER -pt sleep on UNAFFECTED side with a night shield for *1-4 weeks* after Thyroidectomy - ANSWER -low or semi-fowler's position, support head, neck and shoulders. Infant with Spina Bifida - ANSWER -Prone so that sac does not rupture Buck's Traction (skin) - ANSWER -elevate foot of bed for counter traction