1-137 of 137
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Signs and symptoms of infiltration
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blanching, edema, coolness and pain or numbness
Nursing Management Assessment of VTE
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- Assessments: History (lifestyle, prolonged immobility, meds), Peripheral
vascular(peripheral pulses), Skin assessment (redness, warmpth), pain
PQRSTU
Assessments for stroke
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General appearance, Behavior, LOC, GCS, Ox X3, PERRLA, Dizziness,
vision, tremors, Body position, posture, gait, Pain or headache- PQRSTU,
MSK - equal?
Pneumothorax
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Accumulation of air in the pleural cavity that leads to partial or complete
lung collapse
Infection
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S&S: pain warmth redness, drainage
,Angina Presentation
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- caused by a mismatch in the myocardial oxygen demand and supply, this
can be caused by increased activity, or a blockage
- Chest pain is the classic symptom, but pain can radiate to other areas
such as the arm, jaw, toothache, diaphoresis, N&V, fear, and sense of doom
(lack of oxygen to the brain)
- Chest pain is treated as heart pain until it is ruled out (by an ECG)
Symptoms of VTE:
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- Almost half of patients are clinically asymptomatic
- Symptoms can include: Pain, Fever (usually low grade) - chills, lethargy,
Positive Homan's sign (classic but unreliable), May be described as a dull
aching pain, Feels like a 'pulled muscle'
What about Anti-embolic stockings (AES) for stroke?
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- No longer recommended, PCS instead for first early treatment
, Nursing Management of PE
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- ABCs, O2 therapy, airway management, ventilation PRN
- Medical history, presenting complaint, pleuritic pain (sharp stabbing pain
with movement)
- Pulmonary, cardiac, and peripheral vascular assessments
- Anticoagulation, thrombolytics therapy as indicated, labs
Open fracture
Closed fracture
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- (breaks through the skin)
- (skin remains intact)
Physical Assessment Angina
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