Increased ICP
Distended JV
Sleepiness
s/s Cushings triad
Widening pulse pressure
Decerebrate posturing
Stroke
Unilateral weakness
N/tingling lips & tongue
s/s Aphasia (speech)
Visual changes
Frontal lobe > expressive aphasia
Location of stroke
Occipital > vision disturbances
Temporal > speech comprehension
Limbic > memory & learning
Migraine
Risk factors Family history
Unilateral weakness (hand grasps)
N/tingling lips & tongue
s/s
Aphasia (speech)
Visual changes
Death
Cold extremities
Urinary incontinence
Imminent signs
Hypotension
Slow weak pulse
Arterial Line
No medications can be given through this
Care
HOB at 60 degrees
Place pressure bag around NSS-flush
solution
Peripheral Arterial Disease- PAD
Hairless legs
Pain when resting
s/s
Redness/rubor with ambulation
Painful ulcerations on toes
Pulmonary embolus
This study source was downloaded by 100000889787716 from CourseHero.com on 09-03-2024 07:07:14 GMT -05:00
https://www.coursehero.com/file/235660636/Ati-dynamicdocx/
, SOB
Stabbing chest pain
Feeling of doom
s/s
Tachycardia
Chest petechiae
Low SaO2
Asthma
Breathe in slowly & deeply while
administering
Metered dose inhaler
Hold breath for 10 seconds after inhaling
Wait 1 minute between puffs
Pneumonia
Productive cough
s/s
Pleural pain
Mechanical Ventilation
Stress ulcers
Fluid retention
Complications of long-term use
Hyponatremia
hypotension
Chest tube
Indications Hemothorax, pneumothorax
High fowlers
Place 2-rubber tipped hemostats at
Care bedside
Palpate insertion site for subcutaneous
emphysema
Lung re-expansion, therapeutically, is
Improvement indicated when bubbling in the water
seal chamber has stopped.
Tuberculosis
Night sweats
Chest tightness
s/s Hemoptysis
Anorexia
fatigue
negative air pressure- 6-12 exchanges
per minute
Care
N95 mask
Air-borne precautions
Teaching Dispose tissues in a plastic bag
This study source was downloaded by 100000889787716 from CourseHero.com on 09-03-2024 07:07:14 GMT -05:00
https://www.coursehero.com/file/235660636/Ati-dynamicdocx/
Distended JV
Sleepiness
s/s Cushings triad
Widening pulse pressure
Decerebrate posturing
Stroke
Unilateral weakness
N/tingling lips & tongue
s/s Aphasia (speech)
Visual changes
Frontal lobe > expressive aphasia
Location of stroke
Occipital > vision disturbances
Temporal > speech comprehension
Limbic > memory & learning
Migraine
Risk factors Family history
Unilateral weakness (hand grasps)
N/tingling lips & tongue
s/s
Aphasia (speech)
Visual changes
Death
Cold extremities
Urinary incontinence
Imminent signs
Hypotension
Slow weak pulse
Arterial Line
No medications can be given through this
Care
HOB at 60 degrees
Place pressure bag around NSS-flush
solution
Peripheral Arterial Disease- PAD
Hairless legs
Pain when resting
s/s
Redness/rubor with ambulation
Painful ulcerations on toes
Pulmonary embolus
This study source was downloaded by 100000889787716 from CourseHero.com on 09-03-2024 07:07:14 GMT -05:00
https://www.coursehero.com/file/235660636/Ati-dynamicdocx/
, SOB
Stabbing chest pain
Feeling of doom
s/s
Tachycardia
Chest petechiae
Low SaO2
Asthma
Breathe in slowly & deeply while
administering
Metered dose inhaler
Hold breath for 10 seconds after inhaling
Wait 1 minute between puffs
Pneumonia
Productive cough
s/s
Pleural pain
Mechanical Ventilation
Stress ulcers
Fluid retention
Complications of long-term use
Hyponatremia
hypotension
Chest tube
Indications Hemothorax, pneumothorax
High fowlers
Place 2-rubber tipped hemostats at
Care bedside
Palpate insertion site for subcutaneous
emphysema
Lung re-expansion, therapeutically, is
Improvement indicated when bubbling in the water
seal chamber has stopped.
Tuberculosis
Night sweats
Chest tightness
s/s Hemoptysis
Anorexia
fatigue
negative air pressure- 6-12 exchanges
per minute
Care
N95 mask
Air-borne precautions
Teaching Dispose tissues in a plastic bag
This study source was downloaded by 100000889787716 from CourseHero.com on 09-03-2024 07:07:14 GMT -05:00
https://www.coursehero.com/file/235660636/Ati-dynamicdocx/
