Final Review Notes + Formal Clinical Care Plan
High-yield final notes and a formal graded care plan from Adult Health I (Med-Surg I), compiled by a top ten
BSN student.
Includes:
- Condensed final review notes
- Graded clinical care plan (HIPAA-safe)
**Bolded content reflects material emphasized and tested at a top 10 U.S. BSN program.**
Perfect for exam prep, care planning practice, and NCLEX review.
Page 1
,ADULT HEALTH FINAL
Musculoskeletal
Osteomyelitis
-3 types -
hematogenous ,
contiguous , Vascular
-
Staph-MRSA DA
-
Fever ,
chills , malaise ,
tender thrombosis necrosis
, ,
-
Mel or Done Scan +
Bloodwork
-
prophylactic antibiotics !
Fractures
-
delayed union (long to heal) ,
nonunion (non healing) ,
macunion (not
lining up
-
avascular necrosis (bolod flow to joint)
-complex regional Pain Syndrome (CRPS)
·
heterotrophic ossification
1 Hypoxemia
fat embolism
.
-
neurologic abnormalities
.
2
3
. petechiae
compartment syndrome
-
↳ swelling impinges on nerves a blood flow
↳ 6 hours =
permanent damage
↳ 6 P's
guises pallor pardly Sis
pain parasthesias poinithermia
↳
-
normal reading S
permanent damade 130
↳
FASCIOTOMY
↳
pain not relieved by meds
use of casts
cast care - hygiene
-cushion rough edges (plaster cast)
-
sas to report
gain in
Dony prominences
warm , parasthesias ,
tempa color
change
Splints
·
simple stable fractures , sprains tendon , injuries , soft tissue
allow for natural
swelling
,Disuse Syndrome
·
deterioration due to inactivity
-
a trophied muscle + contracture
isometric exercises !
-
Traction !!
-
CONTINUOUS
-do not remove weights/Lords
-
Skin traction 5-810 weight (kind of live a
sing)
↳ external
↳ BULK's extension footplate wl pulley system
↳ pelvic traction
↳ cervical traction
Sveletal traction
-
↳ requires fins through Bone
Cervical traction
-
↳ skin or skeletal
↳ for the neck/ oach !
Joint arthroplasty
severe pain disability
-
-hig knee most common
-
ambulation w/in one day after surgery w/ assistive devices
neurovascular integrity -
CSM assessment
drain post of
prevent OUT/PE
~
-post of assessment
Vitals +
pain
4 LOC
tissue perfusion
mobility
& owel sounds + elimination
outfu +
drainage
-
AnteriorPrecautions
↳ NO hig EXTENSION
o large stees
o external rotation
, -
posterior precautions
↳ leg abducted
no
turning on
operative side
* internal rotation
-
total knee replacement
> legextension !
- no knee flexion
↳ no fillow behind unl
↳ knee gatch locked
↳ might have leg immobilizer
Neurological conditions
Diagnostics
-
CT scan
↳ series of X ray radiation
↳ Dones , blood vessels ,
soft tissues
↳ S-10 mins w or who contrast
,
NOT for
pregnancy
-
Mr
↳ No metal
↳ 40-60 mins
- W or wo contrast
safe in
pregnancy
-
EEG
↳ measures electrical activity in brain
↳ electrodes on
scale
↳ Continuous
spot vs .
Seizure disorders
provoked vs unprovoked
-
.
epilepsy
-
generalized or focal
↳ generalized
-
Dilateral discharge cause ,
widespread effects
↳ Focal
-
few cells single ,
hemisphere