Why teach patient to deep breath and cough after surgery
- prevent pneumonia
Normal drainage for surgical site?
- Clear (serous) or pale/red/watery (serosanguineous)
Worrisome sign of post op patient??
- Restlessness
Clearly if patient is presenting to ER with heat exhaustion, what is the priority action of the nurse?
- IV Fluids
Action is patient has bee sting. . if available?
- Epi
Community disaster preparedness, what would be an organization to help?
, - *Medical Reserve Corporation*
FEMA
Red Cross
DMAT??
- Disaster Medical Assistance Team Federal employees
License is good in ALL 50 states
How many days of medical supplies should you have if needed for a disaster, just making a
disaster plan?
- 3 days
Cimetidine for burn patients?? Why??
- Help with gastric ulcers
Triage tags. . . what would we put on them to help??
- Name
Age
Injury
(Anything to help identify)
Any treatments we did
Who we can contact/who has been contacted. Triage
colors
Gave double dose of medication, what to do first?
- Assess patient
What to do when patient comes back from surgery, and they're declining (rapid, shallow
respirations, elevated heart rate, blood pressure dropping), what do you do??
- Call rapid response team
Allergy exposure situation
, - more exposure to allergen the more risk to developing a reaction
Patient in lithotomy position for surgery, where would their experience post op discomfort??
- Shoulders
Why do we have drainage tubes/what's the purpose??
- To help prevent infection
Why do we give a patient with multiple sclerosis Baclofen??
- To treat muscle spasms
Patient with Parkinson's, when should you schedule their most demanding activities???
- When the drug therapy/medication peaks for them.
Somebody that has a thrombotic stroke, what is important assessment item, especially in the first
24 hours??
- Pupil response to light/size
Someone had an ischemic stroke and getting thrombolytic treatment, what are we trying to
control in the first 24 hours??
- Blood pressure
How to determine if patient can have tPA after stroke AFTER CT??
- Onset of symptoms within 3 hours.
Long term Phenytoin therapy (seizures), what do we expect to see/a side effect, but we wouldn't
stop the medication? (Expected side effect)
- Excessive gum tissue growth
, *DO NOT STOP MEDICATION SUDDENLY*
What would be a potential finding in postical phase of a generalized tonic clonic seizure what we
would want to monitor for??
- Drowsiness
Priority intervention in postical phase of tonic clonic seizure??
- Airway - assess breathing pattern
Prep for an EEG?? They know they'll have one in the morning, so what prep do they need to do or
not do beforehand??
- Can eat
NO Caffeine
What do you expect to see in a patient in ictal phase of generalized tonic clonic seizure??
- Jerking
Stiffness
Loss of consciousness
Loss of bowel/bladder
What to do when someone is coming out of a coma - had head injury and they're starting to wake
up now after a few days ....what would we want to do???
- Orient them
Decerebrate assessment
- rigid arms, wrists/hands c shaped & flexed outward possible arched back
Patient is getting IV heparin for a PE, what would PTT be at for therapeutic levels??
- Higher --> like if its at 25, we would want to increase the rate of heparin
Gene Alteration CYP2C19 and history of PE, what to do to prevent further issues?
- IVCF - Inferior Vena Cava Filter
- prevent pneumonia
Normal drainage for surgical site?
- Clear (serous) or pale/red/watery (serosanguineous)
Worrisome sign of post op patient??
- Restlessness
Clearly if patient is presenting to ER with heat exhaustion, what is the priority action of the nurse?
- IV Fluids
Action is patient has bee sting. . if available?
- Epi
Community disaster preparedness, what would be an organization to help?
, - *Medical Reserve Corporation*
FEMA
Red Cross
DMAT??
- Disaster Medical Assistance Team Federal employees
License is good in ALL 50 states
How many days of medical supplies should you have if needed for a disaster, just making a
disaster plan?
- 3 days
Cimetidine for burn patients?? Why??
- Help with gastric ulcers
Triage tags. . . what would we put on them to help??
- Name
Age
Injury
(Anything to help identify)
Any treatments we did
Who we can contact/who has been contacted. Triage
colors
Gave double dose of medication, what to do first?
- Assess patient
What to do when patient comes back from surgery, and they're declining (rapid, shallow
respirations, elevated heart rate, blood pressure dropping), what do you do??
- Call rapid response team
Allergy exposure situation
, - more exposure to allergen the more risk to developing a reaction
Patient in lithotomy position for surgery, where would their experience post op discomfort??
- Shoulders
Why do we have drainage tubes/what's the purpose??
- To help prevent infection
Why do we give a patient with multiple sclerosis Baclofen??
- To treat muscle spasms
Patient with Parkinson's, when should you schedule their most demanding activities???
- When the drug therapy/medication peaks for them.
Somebody that has a thrombotic stroke, what is important assessment item, especially in the first
24 hours??
- Pupil response to light/size
Someone had an ischemic stroke and getting thrombolytic treatment, what are we trying to
control in the first 24 hours??
- Blood pressure
How to determine if patient can have tPA after stroke AFTER CT??
- Onset of symptoms within 3 hours.
Long term Phenytoin therapy (seizures), what do we expect to see/a side effect, but we wouldn't
stop the medication? (Expected side effect)
- Excessive gum tissue growth
, *DO NOT STOP MEDICATION SUDDENLY*
What would be a potential finding in postical phase of a generalized tonic clonic seizure what we
would want to monitor for??
- Drowsiness
Priority intervention in postical phase of tonic clonic seizure??
- Airway - assess breathing pattern
Prep for an EEG?? They know they'll have one in the morning, so what prep do they need to do or
not do beforehand??
- Can eat
NO Caffeine
What do you expect to see in a patient in ictal phase of generalized tonic clonic seizure??
- Jerking
Stiffness
Loss of consciousness
Loss of bowel/bladder
What to do when someone is coming out of a coma - had head injury and they're starting to wake
up now after a few days ....what would we want to do???
- Orient them
Decerebrate assessment
- rigid arms, wrists/hands c shaped & flexed outward possible arched back
Patient is getting IV heparin for a PE, what would PTT be at for therapeutic levels??
- Higher --> like if its at 25, we would want to increase the rate of heparin
Gene Alteration CYP2C19 and history of PE, what to do to prevent further issues?
- IVCF - Inferior Vena Cava Filter
