ATI Comp Predictor-Study Guide
Do not delegate What you can EAT E-evaluate A-assess T-teach
Addison's = down down down up down
Cushings= up up up down up
Addison's & Cushings
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia,
hypo/hyperglycemia
Better peripheral perfusion? EleVate Veins, DAngle Arteries
Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
APGAR Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
Airborne precautions My chicken hez tb (measles, chickenpox (varicella) Herpes zoster/shingles TB
Airborne precautions protective equip private room, neg pressure with 6-12 air exchanges/hr mask N95 for TB
spiderman! sepsis, scarlet fever, streptococcal pharyngitis, parvovirus, pneumonia,
pertussis,
influenza,
diptheria,
Droplet precautions
epiglottitis,
rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus (Private room
or cohort mask!)
, MRS WEE
Multidrug resistant organism
Rresiratory infection
Contact precaution Skin infection
Wound infection
Enteric infection (C diff)
Eye infection (conjunctivitis)
VCHIPS
Varicella zoster
Cutaneous diptheria
Skin infection Herpes simplez
Impetigo
Peduculosis
Scabies
S/S chest pain, dyspnea, tachycardia, pale/cyanotic, sense of impending doom. (turn
Air or Pulmonary Embolism
pt to LEFT side and LOWER the head of bed.)
(late decels, decreased variability, fetal bradycardia, etc) Turn pt on Left side, give
Woman in labor (un-reassuring FHR)
O2, stop pitocin, Increase IV fluids!
Pt on Right side (promotes emptying of the stomach) Head of bed elevated (prevent
Tube feeding with decreased LOC
aspiration)
After lumbar puncture and oil based pt is flat SUPINE (prevent headache and leaking of CSF)
myelogram
Pt with heat stroke flat with legs elevated
during Continuous Bladder Irrigation (CBI) catheter is taped to the thigh. leg must be kept straight.
After Myringotomy position on the side of AFFECTED ear, allows drainage.
After Cateract surgery pt sleep on UNAFFECTED side with a night shield for 1-4 weeks
after Thyroidectomy low or semi-fowler's position, support head, neck and shoulders.
Infant with Spina Bifida Prone so that sac does not rupture
Buck's Traction (skin) elevate foot of bed for counter traction
don't sleep on side of surgery, don't flex hip more than 45-60 degress, don't elevate
After total hip replacement Head Of Bed more than 45 degrees. Maintain hip abduction by separating thighs
with pillows.
Prolapsed cord Knee to chest or Trendelenburg
position on back or in infant seat to prevent trauma to the suture line. while feeding
Cleft Lip
hold in upright position.
(post operative ulcer/stomach surgeries) eat in reclining position. Lie down after
To prevent dumping syndrome meals for 20-30 min. also restrict fluids during meals, low CHO and fiber diet. small,
frequent meals.
AKA (above knee amputation) elevate for first 24 hours on pillow. position prone daily to maintain hip extension.
BKA (below knee amputation) foot of bed elevated for first 24 hours. position prone to provide hip extension.
detached retina area of detachment should be in the dependent position
administration of enema pt should be left side lying (Sim's) with knee flexed.
After supratentorial surgery (incision behind hairline on forhead) elevate HOB 30-40 degrees
After infratentorial surgery (incision at the nape of neck) position pt flat and lateral on either side.
During internal radiation on bed rest while implant in place
Do not delegate What you can EAT E-evaluate A-assess T-teach
Addison's = down down down up down
Cushings= up up up down up
Addison's & Cushings
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia,
hypo/hyperglycemia
Better peripheral perfusion? EleVate Veins, DAngle Arteries
Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
APGAR Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
Airborne precautions My chicken hez tb (measles, chickenpox (varicella) Herpes zoster/shingles TB
Airborne precautions protective equip private room, neg pressure with 6-12 air exchanges/hr mask N95 for TB
spiderman! sepsis, scarlet fever, streptococcal pharyngitis, parvovirus, pneumonia,
pertussis,
influenza,
diptheria,
Droplet precautions
epiglottitis,
rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus (Private room
or cohort mask!)
, MRS WEE
Multidrug resistant organism
Rresiratory infection
Contact precaution Skin infection
Wound infection
Enteric infection (C diff)
Eye infection (conjunctivitis)
VCHIPS
Varicella zoster
Cutaneous diptheria
Skin infection Herpes simplez
Impetigo
Peduculosis
Scabies
S/S chest pain, dyspnea, tachycardia, pale/cyanotic, sense of impending doom. (turn
Air or Pulmonary Embolism
pt to LEFT side and LOWER the head of bed.)
(late decels, decreased variability, fetal bradycardia, etc) Turn pt on Left side, give
Woman in labor (un-reassuring FHR)
O2, stop pitocin, Increase IV fluids!
Pt on Right side (promotes emptying of the stomach) Head of bed elevated (prevent
Tube feeding with decreased LOC
aspiration)
After lumbar puncture and oil based pt is flat SUPINE (prevent headache and leaking of CSF)
myelogram
Pt with heat stroke flat with legs elevated
during Continuous Bladder Irrigation (CBI) catheter is taped to the thigh. leg must be kept straight.
After Myringotomy position on the side of AFFECTED ear, allows drainage.
After Cateract surgery pt sleep on UNAFFECTED side with a night shield for 1-4 weeks
after Thyroidectomy low or semi-fowler's position, support head, neck and shoulders.
Infant with Spina Bifida Prone so that sac does not rupture
Buck's Traction (skin) elevate foot of bed for counter traction
don't sleep on side of surgery, don't flex hip more than 45-60 degress, don't elevate
After total hip replacement Head Of Bed more than 45 degrees. Maintain hip abduction by separating thighs
with pillows.
Prolapsed cord Knee to chest or Trendelenburg
position on back or in infant seat to prevent trauma to the suture line. while feeding
Cleft Lip
hold in upright position.
(post operative ulcer/stomach surgeries) eat in reclining position. Lie down after
To prevent dumping syndrome meals for 20-30 min. also restrict fluids during meals, low CHO and fiber diet. small,
frequent meals.
AKA (above knee amputation) elevate for first 24 hours on pillow. position prone daily to maintain hip extension.
BKA (below knee amputation) foot of bed elevated for first 24 hours. position prone to provide hip extension.
detached retina area of detachment should be in the dependent position
administration of enema pt should be left side lying (Sim's) with knee flexed.
After supratentorial surgery (incision behind hairline on forhead) elevate HOB 30-40 degrees
After infratentorial surgery (incision at the nape of neck) position pt flat and lateral on either side.
During internal radiation on bed rest while implant in place
