Trach care
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See ATI content mastery fundamentals pages 329- 330
,Precautions for client with influenza
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Droplet precautions
Private room
Masks for providers and visitors
Suctioning a trach tube
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Use aseptic technique
Assist client to high Fowlers or Fowler's position
Hyper-oxygenate before suctioning
Suction pressure no higher than 120 to 150 MMHG
Each section attempts should be no longer than 10-15 seconds
Limit total suction time to 5 minutes or less
only suction while withdrawing with suction catheter
Priority intervention for a client who has a terminal illness
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Assess coping mechanisms first
Then ask about support system
,Lab values to report
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Normal values for sodium, potassium, calcium, and magnesium see pages
359-363 ATI
Enteral feedings
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Prepare formula- check dates and make sure formula is the correct formula
for the client
Ensure formula is at room temp
Set up gravity feed or pump if using a continuous feed
Assist client to a Fowler's position or elevate HOB a minimum of 30 degrees
Auscultate bowel sounds
Check GI content pH to ensure placement
Check residuals every 4-6 hours; if greater than 200ml during a shift report
and hold feeding
After checking residuals-flush with 30ml of water
If continuous feeding flush tube with at least 30ml of water every 4-6 hours
Monitor blood glucose reading every 6 hours
Refrigerate unused portion of formula and discard after 24 hours
If using a syringe for enteral formula feeding- hold syringe high enough for
the formula to empty gradually via gravity
Disposing biohazard waste
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, Protect self and avoid contact with biohazardous waste
Identify hazardous material
Follow MSDS guidelines for disposal
Wear PPE
If skin is exposed to biohazard waste wash skin with copious amounts of
water and antibacterial soap
Remove any contaminated clothing
Place all contaminated materials into a large plastic bag and seal them
Intentional tort
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Doing harm (The act must be intentional, not merely reckless or careless)
Assault, battery, false imprisonment, invasion of privacy, slander
Ginkgo biloba
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Improves memory, may increase the effects of MAOIs, anticoagulant, and
antiplatelet aggregates
Client identifiers
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Give this one a try later!
See ATI content mastery fundamentals pages 329- 330
,Precautions for client with influenza
Give this one a try later!
Droplet precautions
Private room
Masks for providers and visitors
Suctioning a trach tube
Give this one a try later!
Use aseptic technique
Assist client to high Fowlers or Fowler's position
Hyper-oxygenate before suctioning
Suction pressure no higher than 120 to 150 MMHG
Each section attempts should be no longer than 10-15 seconds
Limit total suction time to 5 minutes or less
only suction while withdrawing with suction catheter
Priority intervention for a client who has a terminal illness
Give this one a try later!
Assess coping mechanisms first
Then ask about support system
,Lab values to report
Give this one a try later!
Normal values for sodium, potassium, calcium, and magnesium see pages
359-363 ATI
Enteral feedings
Give this one a try later!
Prepare formula- check dates and make sure formula is the correct formula
for the client
Ensure formula is at room temp
Set up gravity feed or pump if using a continuous feed
Assist client to a Fowler's position or elevate HOB a minimum of 30 degrees
Auscultate bowel sounds
Check GI content pH to ensure placement
Check residuals every 4-6 hours; if greater than 200ml during a shift report
and hold feeding
After checking residuals-flush with 30ml of water
If continuous feeding flush tube with at least 30ml of water every 4-6 hours
Monitor blood glucose reading every 6 hours
Refrigerate unused portion of formula and discard after 24 hours
If using a syringe for enteral formula feeding- hold syringe high enough for
the formula to empty gradually via gravity
Disposing biohazard waste
Give this one a try later!
, Protect self and avoid contact with biohazardous waste
Identify hazardous material
Follow MSDS guidelines for disposal
Wear PPE
If skin is exposed to biohazard waste wash skin with copious amounts of
water and antibacterial soap
Remove any contaminated clothing
Place all contaminated materials into a large plastic bag and seal them
Intentional tort
Give this one a try later!
Doing harm (The act must be intentional, not merely reckless or careless)
Assault, battery, false imprisonment, invasion of privacy, slander
Ginkgo biloba
Give this one a try later!
Improves memory, may increase the effects of MAOIs, anticoagulant, and
antiplatelet aggregates
Client identifiers
Give this one a try later!
