benefits of heat
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increase blood flow; increase tissue metabolism; relaxes muscles; eases
joint stiffness and pain
nursing interventions for mobility are designed to...
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maintain mobility and prevent or minimize complications of immobility
interventions to increase activity tolerance and prevent thrombus formation for cardio
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increase activity ASAP; change position as often as possible; stool
softener-no straining; no Valsalva; teach ROM; no pillows under the knees
or lower extremities, no crossing legs, no tight clothes around waist or on
the legs, no sitting for long periods, no massaging the legs; use elastic
stockings; use sequential compression devices; increase fluid intake if no
restrictions; give low-dose heparin prophylactically
SSA of respiratory
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complete every 2 hrs; observe chest wall for movement and symmetry;
auscultate breath sounds; observe for cough and note any secretions
thrombus clinical manifestations
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pain, edema, warmth, erythema at site
, UTIs
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can be caused by poor fluid intake, poor perineal care, and indwelling
urinary catheters
sequential compression device (SCD) or IPC
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device to prevent thrombus formation; sleeves or stockings wrapped
around leg that inflate intermittently
discontinue heat/cold if any of the following occur...
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redness/pallor; pain/burning; numbness; shivering; blisters; decreased
sensation; cyanosis
assessment and documentation of heat/cold
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make sure that you have a very specific order i.e. location, duration and
frequency, specific type (moist or dry), temp; site before application; every
Give this one a try later!
increase blood flow; increase tissue metabolism; relaxes muscles; eases
joint stiffness and pain
nursing interventions for mobility are designed to...
,Give this one a try later!
maintain mobility and prevent or minimize complications of immobility
interventions to increase activity tolerance and prevent thrombus formation for cardio
Give this one a try later!
increase activity ASAP; change position as often as possible; stool
softener-no straining; no Valsalva; teach ROM; no pillows under the knees
or lower extremities, no crossing legs, no tight clothes around waist or on
the legs, no sitting for long periods, no massaging the legs; use elastic
stockings; use sequential compression devices; increase fluid intake if no
restrictions; give low-dose heparin prophylactically
SSA of respiratory
Give this one a try later!
complete every 2 hrs; observe chest wall for movement and symmetry;
auscultate breath sounds; observe for cough and note any secretions
thrombus clinical manifestations
Give this one a try later!
pain, edema, warmth, erythema at site
, UTIs
Give this one a try later!
can be caused by poor fluid intake, poor perineal care, and indwelling
urinary catheters
sequential compression device (SCD) or IPC
Give this one a try later!
device to prevent thrombus formation; sleeves or stockings wrapped
around leg that inflate intermittently
discontinue heat/cold if any of the following occur...
Give this one a try later!
redness/pallor; pain/burning; numbness; shivering; blisters; decreased
sensation; cyanosis
assessment and documentation of heat/cold
Give this one a try later!
make sure that you have a very specific order i.e. location, duration and
frequency, specific type (moist or dry), temp; site before application; every
