Focused Review
Above the knee amputation: - ANS· Assist patient to prone position every 4 hours
· Wrap limb in distal to proximal direction
·Do not elevate after 48hrs to prevent flexion contractures
Aphasia: - ANS· Limits ability to communicate
·Does not affect swallowing and eating
Radiation therapy: - ANS· Can wash irradiated area with mild soap and water
· Avoid applying lotion to irradiated area
·Diarrhea is an expected side effect
Oxygen therapy: - ANS· Apply a water based lubricant to nares as needed
· Wear cotton clothes during oxygen therapy because do not cause static electricity
·Check oxygen equipment daily for proper functioning
Stages of change: - ANS· First educate staff members about problem
·Develop goals, encourage staff input, and do a trial run of new system or change
Severe preeclampsia: - ANS· Blurred vision
· Facial edema
·Proteinuria
TB: - ANS· Will take medications for 6 months
· Diet should consist of good amount of iron, protein, and calories
, ·No mask needed while in public
Glomerulonephritis: - ANS· Proteinuria
· Decreased GFR
·Causes increased nitrates in the blood (not urine)
Newborn apnea monitoring: - ANS· Remove leads when not monitoring
· Avoid co-sleeping with baby
· Do not adjust monitor
· Make sure alarms can be heard throughout the house
·Keep monitor outside of the crib
Newborn cold stress: - ANS· Axillary temp under 36.5 (97.5)
Uric acid calculi diet: - ANS· Oranges and other citric fruits
· Avoid chicken and organ meats
·Avoid alcohol
Opioids: - ANS· Can cause urinary retention
· Decrease in vision at night due to constriction of pupils (miosis)
·Constipation
Heparin: - ANS· Normal aPTT is 40 seconds
· Therapeutic dose can increase aPTT to 60-80 seconds
·Elevated aPTT- hold heparin
Anemia: - ANS· Low hgb
· Low hct
· Dyspnea on exertion