Solutions
NGN - BOWTIE - Hemorrhagic Stroke
Condition - hemorrhagic stroke
Actions - CT & seizure precautions
Parameters to monitor - PT/INR & Blood pressure
Priority of assessing burns to face & neck
Location of the burns
Burns on front and back of both legs and arms - rule of nines
54 percent
Fluids administered after burns
Lactated Ringers
Priority intervention for emergent phase of burn to chest and
upper arms
Maintain airway
Lab values to expect w/ burn injury
Hyperkalemia (burn)
Actions to take for addison's disease
Teach parents about cortisol replacement therapy
Insulin used for DKA
Regular insulin
,Actions to prevent thyroid crisis
Provide a quiet, low-stimulus environment
Interventions for cushing's syndrome
Weight client daily, Assess blood glucose, Assess for neck vein
distention
Client identifies the following as manifestations of
hypoglycemia
Blurred/double vision, Tachycardia, Moist/clammy skin
DI w/ vasopressin - what indicate med was effective
Decrease in urine output
Client blood glucose level is 48 - give client which of following
3 graham crackers
Client should take which of following actions for radiation
treatment markings
Apply hydrating lotions
Findings w/ myxedema
Facial edema
Diet for cushings
Restrict sodium intake
Order from provider for fluid for DKA
0.9% NS for DKA
Desmopressin therapeutic effect for DI
, Urine specific gravity 1.015
Actions for myxedema coma
Place client on aspiration precautions
DKA manifestations
Acetone odor of breath, Kussmaul RR
Findings for DI
Urine specific gravity 1.002, Increased urine output
DKA - blood glucose down to 182 but anion gap still high -
what order from provider
Start D5 & 0.45 NaCl, Continue IV insulin drip
Priority action for hyperglycemia hyperosmolar syndrome
(HHS)
Fluid and electrolyte replacement
Manifestations progressing to myxedema coma
Hypothermia, Hypotension, RR failure
Intervention for thyroid storm
Admin beta blockers to reduce HR, interventions to reduce temp
Decrease in what lab value during hemodialysis
Potassium (hemo)
Client w/ ESRD - indication of fluid overload
5 pound weight gain since yesterday