NURS 233 (MED SURG III) STUDY GUIDE LATEST
UPDATED HERZING UNIVERSITY.
Carbon Monoxide management
Carry the pt to fresh air immediately; open all doors & windows.
Loosen all tight clothing.
Initiate traditional CPR.
Prevent chilling; wrap the pt in blankets.
Keep the pt as quiet as possible.
Do not give alcohol in any form or permit the pt to smoke.
When unintentional CO2 poisoning occurs, the health department should be
contacted so that the dwelling or building in question can be inspected.
Aspirin overdose treatment
supportive tx
gastric lavage or whole bowel irrigation
IV sodium bicarbonate or hemodialysis
Alcohol withdrawal Tx!
Mild alcohol withdrawal: symptoms similar to other depressants.
Severe alcohol withdrawal can cause autonomic hyperactivity and DTs (5-15%
mortality rate).
Treatment for DTs: benzodiazepines.
Treatment of suspected Intimate Partner violence
Whenever abuse, maltreatment, or neglect is suspected, the (HCP) main
concern should be the safety & welfare of the pt. Tx focuses on the
consequences of the abuse, violence, or neglect & on prevention of further
, injury.
If the pt is in immediate danger, he or she should be separated from the person
who is abusive or neglectful whenever possible. Referral to a shelter may be the
most appropriate action, but many shelters are inaccessible to people w/
mobility limitations.
Treatment of suspected IPV
Mandatory reporting laws in most states require health care workers to report
suspected child abuse or abuse of older adults to an official agency, usually
Adult (or Child) Protective Services.
Triage Patients in the ED question
A basic & widely used triage system that had been in use for many yrs utilized
three categories: emergent, urgent, & nonurgent.
In this system, emergent pts had the highest priority, urgent pts had serious
health problems but not immediately life-threatening ones, & nonurgent pts
had episodic illnesses.
Medications for the management of sexual assault
Infections caused by Neisseria gonorrhoeae, at one time susceptible to
penicillin, are now Tx w/ a third-generation cephalosporin such as ceftriaxone.
Pneumothorax care
Chest tube insertion with flutter valve or chest drainage system
Pneumothorax treatment
· The goal of treatment is to evacuate the air or blood from the pleural space. A
small chest tube (28 Fr) is inserted near the second intercostal space; this
UPDATED HERZING UNIVERSITY.
Carbon Monoxide management
Carry the pt to fresh air immediately; open all doors & windows.
Loosen all tight clothing.
Initiate traditional CPR.
Prevent chilling; wrap the pt in blankets.
Keep the pt as quiet as possible.
Do not give alcohol in any form or permit the pt to smoke.
When unintentional CO2 poisoning occurs, the health department should be
contacted so that the dwelling or building in question can be inspected.
Aspirin overdose treatment
supportive tx
gastric lavage or whole bowel irrigation
IV sodium bicarbonate or hemodialysis
Alcohol withdrawal Tx!
Mild alcohol withdrawal: symptoms similar to other depressants.
Severe alcohol withdrawal can cause autonomic hyperactivity and DTs (5-15%
mortality rate).
Treatment for DTs: benzodiazepines.
Treatment of suspected Intimate Partner violence
Whenever abuse, maltreatment, or neglect is suspected, the (HCP) main
concern should be the safety & welfare of the pt. Tx focuses on the
consequences of the abuse, violence, or neglect & on prevention of further
, injury.
If the pt is in immediate danger, he or she should be separated from the person
who is abusive or neglectful whenever possible. Referral to a shelter may be the
most appropriate action, but many shelters are inaccessible to people w/
mobility limitations.
Treatment of suspected IPV
Mandatory reporting laws in most states require health care workers to report
suspected child abuse or abuse of older adults to an official agency, usually
Adult (or Child) Protective Services.
Triage Patients in the ED question
A basic & widely used triage system that had been in use for many yrs utilized
three categories: emergent, urgent, & nonurgent.
In this system, emergent pts had the highest priority, urgent pts had serious
health problems but not immediately life-threatening ones, & nonurgent pts
had episodic illnesses.
Medications for the management of sexual assault
Infections caused by Neisseria gonorrhoeae, at one time susceptible to
penicillin, are now Tx w/ a third-generation cephalosporin such as ceftriaxone.
Pneumothorax care
Chest tube insertion with flutter valve or chest drainage system
Pneumothorax treatment
· The goal of treatment is to evacuate the air or blood from the pleural space. A
small chest tube (28 Fr) is inserted near the second intercostal space; this
