VATI focused assessment reviews
- ANS -ANC ranges
\ - ANS -Creatinine kinase ranges
\ - ANS -Pt teaching for Levodopa/Carbidopa
\ - ANS -pt teaching s/p cardiac cath
\ - ANS -troponin ranges
\- a + result occurs from 2 (+) results in a 3 day period
-avoid red meat, anti-inflam meds, and avoid Vit C 48h prior
-annually recommended at 50 y/o - ANS -Pt teaching for fecal occult blood testing
\- iron def anemia
- wt loss
- diarrhea
-^ HR - ANS -complications of dumping syndrome
\-^ K
-FVE
-necrotic bowel
-air emboli
-pneumothorax
-sepsis - ANS -complications of TPN
\-10 ml flush to be used for before pushing med, in b/w multiple meds, and after meds are done
(flush w/ heparin if line is not actively in use)
(flush w/ 20ml if flushing after a lab draw, CVC uses 10ml flush) - ANS -PICC line med admin
guidelines
\-a local anesthetic and IV sedation will be used
-good for 10 yrs
-airport security will alarm but doesn't impact fxn
-take daily pulses & compare to pacer
-avoid items w/ magnetic fields
-don't raise arm x's 1-2 wks - ANS -pt teaching in preparation for permanent pacemaker
\-abdominal assess't
-measure wt
-monitor albumin, VS, I&0
-check if solution is cracking
-use aseptic technique for administration, dressing changes, tubing changes - ANS -RN care for
pts on TPN
\-accelerates the heart by interfering w/ vagal impulses - ANS -how does atropine work?
\-admin HYPERTONIC solutions
-^ intake of foods with Na
-implement sz precautions - ANS -RN management for hyponatremia
\-admin HYPOTONIC solutions
,-admin diuretics
-implement sz precautions - ANS -RN management for hypernatremia
\-affected leg pointed inward
-sudden severe pain
-shorter limb - ANS -s/s of dislocation for THA
\-animal protein
-dairy
-Na - ANS -foods that contain Ca phosphate
\-annually for 50 y/o and over
-do digital rectal exams 48h prior to testing
-avoid red meat a few days before - ANS -teaching regarding PSA testing
\-antacids
-Ca
-dairy
-theo, warfarin, sucralfate - ANS -Things to avoid w/ cipro
\-anticholinergics
-antispasmodics - ANS -med categories that can help an IBS pt w/ cramps
\-avocados
-strawberries
-green leafy veg
-bananas - ANS -Foods high in K
\-avoid salt substitutes
-drink 2-3L/day - ANS -RN teaching for pts taking K-sparing diuretics (Ex: Spironolactone)
\-avoid venipunctures
-apply dressings to recent wounds
-monitor for IC bldg. (check vitals, LOC, weakness)
-monitor aPTT, PT, Hgb, Hct - ANS -RN care for Alteplase (tPA= clot dissolver)
\-avoid wool, nylon, synthetic clothing (flammable)
-use nonskid mats
-place cords against wall, behind furniture
-remove throw rugs & loos carpet
-set water heater no higher than 120 F - ANS -home safety teaching for the elderly
\-baseline eye exam + 6months
-stop if blurred vision occurs
-antimalarial med + also for methotrexate for RA - ANS -Pt teaching for hydroxychloroquine
\-baseline vitals
-daily wts
-edema assess't
-monitor K - ANS -RN care for pts on Thiazide diuretics
\-black tea
-spinach
-beets
-peanuts
-chocolate
, -Na - ANS -foods that contain Ca oxalate
\-blanching
-erythema
-desquamation
-sloughing
-hemorrhage - ANS -external radiation (teletherapy) SE on skin
\-blood tinged urine
-bruising
-gravel fragments in urine - ANS -expected findings w/ extracorporeal shockwave lithotripsy
\-bone loss
-^ BG
-PUD (dec med dose)
-adrenal gland suppression (dec med dose)
-myopathy
-infxn - ANS -adverse effects of glucocorticoids
\-bone pain
-fx
-muscle wasting - ANS -Musculoskeletal changes in Cushings
\-bounding pulses
-distended neck veins
-dyspnea
-confusion
-restlessness - ANS -s/s of circulatory overload
\-BR
-02 therapy
-corticosteroids for cerebral edema
-vasopressors + (f) replac't for shock - ANS -care for fat embolism
\-bradykinesia
-resting tremor
-muscle rigidity - ANS -s/s of dyskinesia
\-can happen w/in 10mls of infusion
-DIC, circulatory collapse
-fever, LBP, chills, flushing, chest tight, impending DOOM, low BP (other v/s elevated) - ANS
-characteristics of hemolytic reactions
\-can have intercourse 1 week after
-sperm production continues
-need 2 f/u negative sperm counts to determine tx successful - ANS -vasectomy pt teaching
\-can have intercourse in 1 wk
-need 2 f/u neg sperm tests
-sperm production continues - ANS -vasectomy pt teaching
\-can occur at any time
-can be from rapid transfusion rate, elderly
-see crackles, cough, anxiety, JVD, pulm edema - ANS -chara's of circulatory overload r/t blood
transfusions
- ANS -ANC ranges
\ - ANS -Creatinine kinase ranges
\ - ANS -Pt teaching for Levodopa/Carbidopa
\ - ANS -pt teaching s/p cardiac cath
\ - ANS -troponin ranges
\- a + result occurs from 2 (+) results in a 3 day period
-avoid red meat, anti-inflam meds, and avoid Vit C 48h prior
-annually recommended at 50 y/o - ANS -Pt teaching for fecal occult blood testing
\- iron def anemia
- wt loss
- diarrhea
-^ HR - ANS -complications of dumping syndrome
\-^ K
-FVE
-necrotic bowel
-air emboli
-pneumothorax
-sepsis - ANS -complications of TPN
\-10 ml flush to be used for before pushing med, in b/w multiple meds, and after meds are done
(flush w/ heparin if line is not actively in use)
(flush w/ 20ml if flushing after a lab draw, CVC uses 10ml flush) - ANS -PICC line med admin
guidelines
\-a local anesthetic and IV sedation will be used
-good for 10 yrs
-airport security will alarm but doesn't impact fxn
-take daily pulses & compare to pacer
-avoid items w/ magnetic fields
-don't raise arm x's 1-2 wks - ANS -pt teaching in preparation for permanent pacemaker
\-abdominal assess't
-measure wt
-monitor albumin, VS, I&0
-check if solution is cracking
-use aseptic technique for administration, dressing changes, tubing changes - ANS -RN care for
pts on TPN
\-accelerates the heart by interfering w/ vagal impulses - ANS -how does atropine work?
\-admin HYPERTONIC solutions
-^ intake of foods with Na
-implement sz precautions - ANS -RN management for hyponatremia
\-admin HYPOTONIC solutions
,-admin diuretics
-implement sz precautions - ANS -RN management for hypernatremia
\-affected leg pointed inward
-sudden severe pain
-shorter limb - ANS -s/s of dislocation for THA
\-animal protein
-dairy
-Na - ANS -foods that contain Ca phosphate
\-annually for 50 y/o and over
-do digital rectal exams 48h prior to testing
-avoid red meat a few days before - ANS -teaching regarding PSA testing
\-antacids
-Ca
-dairy
-theo, warfarin, sucralfate - ANS -Things to avoid w/ cipro
\-anticholinergics
-antispasmodics - ANS -med categories that can help an IBS pt w/ cramps
\-avocados
-strawberries
-green leafy veg
-bananas - ANS -Foods high in K
\-avoid salt substitutes
-drink 2-3L/day - ANS -RN teaching for pts taking K-sparing diuretics (Ex: Spironolactone)
\-avoid venipunctures
-apply dressings to recent wounds
-monitor for IC bldg. (check vitals, LOC, weakness)
-monitor aPTT, PT, Hgb, Hct - ANS -RN care for Alteplase (tPA= clot dissolver)
\-avoid wool, nylon, synthetic clothing (flammable)
-use nonskid mats
-place cords against wall, behind furniture
-remove throw rugs & loos carpet
-set water heater no higher than 120 F - ANS -home safety teaching for the elderly
\-baseline eye exam + 6months
-stop if blurred vision occurs
-antimalarial med + also for methotrexate for RA - ANS -Pt teaching for hydroxychloroquine
\-baseline vitals
-daily wts
-edema assess't
-monitor K - ANS -RN care for pts on Thiazide diuretics
\-black tea
-spinach
-beets
-peanuts
-chocolate
, -Na - ANS -foods that contain Ca oxalate
\-blanching
-erythema
-desquamation
-sloughing
-hemorrhage - ANS -external radiation (teletherapy) SE on skin
\-blood tinged urine
-bruising
-gravel fragments in urine - ANS -expected findings w/ extracorporeal shockwave lithotripsy
\-bone loss
-^ BG
-PUD (dec med dose)
-adrenal gland suppression (dec med dose)
-myopathy
-infxn - ANS -adverse effects of glucocorticoids
\-bone pain
-fx
-muscle wasting - ANS -Musculoskeletal changes in Cushings
\-bounding pulses
-distended neck veins
-dyspnea
-confusion
-restlessness - ANS -s/s of circulatory overload
\-BR
-02 therapy
-corticosteroids for cerebral edema
-vasopressors + (f) replac't for shock - ANS -care for fat embolism
\-bradykinesia
-resting tremor
-muscle rigidity - ANS -s/s of dyskinesia
\-can happen w/in 10mls of infusion
-DIC, circulatory collapse
-fever, LBP, chills, flushing, chest tight, impending DOOM, low BP (other v/s elevated) - ANS
-characteristics of hemolytic reactions
\-can have intercourse 1 week after
-sperm production continues
-need 2 f/u negative sperm counts to determine tx successful - ANS -vasectomy pt teaching
\-can have intercourse in 1 wk
-need 2 f/u neg sperm tests
-sperm production continues - ANS -vasectomy pt teaching
\-can occur at any time
-can be from rapid transfusion rate, elderly
-see crackles, cough, anxiety, JVD, pulm edema - ANS -chara's of circulatory overload r/t blood
transfusions
