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1. What does the LPN do before suctioning a vent patient?: - Set up sterile field - Hyperoxygenate
2. What should the LPN do if the alarm on the vent keeps ringing?: - Check pump
- Check for kinks
- Disconnect
- Ambu bag on patient
3. Vent care: - SCDs
- Suction for 10 seconds
- Suction at bedside
- No NS into endo tube or trach
- No peroxide
- Hyperoxygenate before suction
- HOB 30-40 degrees
- Mouth care
- Apply suction pulling out
, - VS frequently
4. Prevention of VAP: - HOB 30-45 degrees
- Oral care
- Peptic ulcer prophylaxis (decrease bacterial growth) using Pepcid, Zantac, Protonix
5. Respiratory acidosis: - COPD
- Asthma
- Emphysema
- Chronic bronchitis
- Apply O2
- S/S anxious, SOB, cyanotic, increased respirations
6. Respiratory alkalosis: Hyperventilation
7. Metabolic acidosis: - Diarrhea
- DKA
8. Metabolic alkalosis: - Vomiting
- NG tube
9. Metabolic syndrome: - Quit smoking
- Lose weight
- Carb control, no fatty food
, - Take statins (Lipitor)
- Check BS if diabetic
10. Interventions for a patient w/ burns on 80% of body: - Fluids
- Reverse isolation
- Antibiotics
- Pain meds
- Foley to monitor I&O's
- Tetanus toxoid injection
11. Emergent stage of burns: - 1st 48 hrs
- Hypovolemic shock
- Acute RF
- Hyperkalemia
- Insert IV
- LR
- Antibiotics
- Indwelling foley cath
- Pain meds
, 12. Acute/diuretic phase of burns: - 72 hrs - 10 days
- Circulatory overload
- Hypokalemia
- Will have high urine output
13. Rehabilitation phase of burns: Goal to prevent infection
14. Interventions for 3rd degree burns: - Reverse isolation
- Pain control
- Escharotomy
- Skin graft
15. 1st degree burn appearance: - Superficial
- Sunburn
- Red
- Dry
No vesicles
Blanches
16. 2nd degree burn appearance: - Partial thickness
- Blisters
- Large, moist vesicles