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Summary med Surg study guide

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This summary covers key nursing fundamentals essential for safe, effective patient care. It reviews proper patient positioning to prevent pressure ulcers and explains how positions like Semi-Fowler’s affect skin integrity. It outlines transmission-based precautions, including PPE for airborne diseases like TB and COVID. Pain management includes assessing pain levels, interventions, and respecting patient refusal. Bed bath types are selected based on patient mobility. In cases of dizziness, nurses ensure safety and communicate clearly. Levels of care (self, total, assisted, supervised) depend on patient independence. Foot drop, contractures, and osteoporosis require preventive care and exercises like passive or active ROM. SCD boots prevent DVT, while terms like shearing, peristalsis, and atelectasis are important for clinical understanding. Medical and surgical asepsis are distinguished, as are temperature routes, with rectal being most accurate. Vital signs—pulse, respiration, BP, and capillary refill—require specific techniques and documentation. Prevention of HAIs begins with hand hygiene. Sleep’s psychological benefits and promotion strategies are noted. Oral hygiene prevents gingivitis, thrush, and tooth decay. Pain assessment varies by age group. Different transmission modes, post-op infection signs, and standard precautions are explained. Knowledge of heart anatomy, SA/AV nodes, and BP sounds is essential. Prioritization of care, normal heart rates, fecal tests, infection chain, Joint Commission safety goals, and patient-centered care all support quality practice. Communication types, grief stages, G-tube feeding positions, special diets, bowel conditions, elderly UTI risks, and incontinence types are also addressed, emphasizing the importance of evidence-based, holistic nursing care.

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imaInnate immune system is fastest and you are born with it
B cells responsible for humoral (fluid) immunity and antibody related immunity
Function I G (antibody), I E, I M, I A
Antigen- foreign invader
Antibody- defender against foreign invader

Know neutropenic precautions
Innate fastest, then humoral, slowest cell mediated

Steroids suppress our immune system
Nucogen stimulates and grows bone marrow
Zoonotic virus animal to human

Oncology 9/18:
Fast growing Abnormal cells that don’t go through apoptosis-cancer
Unintentional and unexplained weight loss
Starts as tumor or growth in the body
Biopsy is used to confirm cancer
Cancer prevention is the key
Carcinergin- smoking
Promoter- Alcohol, smoking
Most common types of cancer, preventable, and survival- breast and testicular
Lung and bronchi cancers are the bigger killers
Skin cancers are the most common
Tumor- neoplasm-new growth
Disease of aging
Chemotherapy kills any/ALL fast growing cells including- hair, nails, skin
Clonal proliferation-expansion
​ As a result of mutation that allows cell to have selective advantages over its neighbors
​ Increased growth rate or decreased apoptosis
Tumors- benign or malignant
​ Benign- resemble normal cells but can’t control cell proliferation
​ ​ Does Not spread, stays in place (insitu/is)
​ Tissue name+ “-oma”
​ Grow slowly, surrounded by fibrous capsule, non invasive, well defined, low mitotic index
​ Do no infiltrate, invade
​ Malignant- lost the ability to control BOTH proliferation and differentiation
​ ​ epithelial tissues- tissue name+ “carcinoma”
​ May secrete signals, enzymes, toxins..
​ Can continue to mutate, grow rapidly, not encapsulated, invasive, poorly differentiated,
high mitotic index, can spread distantly
​ Can compress and or destroy the surrounding tissue
Chemotherapeutic drugs require special PPE
​ Extravasation- complication of chemotherapeutic drugs

, Angiogenesis- rob the body of nutrients, how cancer cells survive
Carcinogenesis-
Heredity- mendelian inheritance of genes
Immune system regulates cancerous cells
Cancer is disruption in DNA structure
Systemic manifestations of cancer: anemia, anorexia, bone/muscle weakness, local erosion of
blood vessels, fatigue and sleep disturbances,
Grading vs staging: bigger the number larger the tumor T0, TIS T1-4
T represents the size
N represents non regional involvement- Nx, N0, N1, N2
M represents metastasized (if it has spread) M0 & M1
Cancer treatment:
​ Surgery
​ Radiation- use ionizing radiation to kill tumors
Signs of cancer:
Unusual discharge or bleeding
Sore that doesn't heal
A change in bowel or bladder
A lump in breast or other body parts
A nagging persistent cough
An obvious change in a mole
Difficulty swallowing
Mucositis affected by chemo
Radiation therapy- time and distance is always a factor
Dosimeter badge- for caring for patients with internal radiation
Never apply anything to radiated area unless prescribed by radiologist
Brachytherapy- internal radiation
Ommaya reservoir
Vesicants- chemicals that cause tissue damage on direct contact
Caines numb pain (ex lidocaine)
Balance rest and activity
More phosphorus= more calcium pulling out of your body
​ -osteoporosis
Colchicine- used for acute gout attacks
Hemolytic reaction- causes explosion of red blood cells



Burns 9/25
When wound is dry keep dry, when wet keep it we
EAR- emergent(emergency), acute phase, rehabilitative phase
Heat- most common
Electrical- the <3, iceberg effect, at risk for dysrhythmias and bone fractures
Chemical

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Uploaded on
April 18, 2025
Number of pages
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2024/2025
Type
Summary
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