MEDSURG

MEDICAL-SURGICAL Layer of the Heart: - Endocardium ( inner ) - facilitates blood flow, contains valve & chambers - Myocardium ( middle ) - contracting muscle, cardiac muscle - Pericardium ( outer ) o Layer of Pericardium  Visceral ( epicardium )  Pericardial ( 5-20cc of fluid ) serves as cushion, lubricant  Parietal Circulation: from to right Vena cava Lungs deoxygenated Pulmonary circulation left Pulmonary veins System oxygenated Systemic circulation Valves & Cha...

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62 pages

Written in 2023/2024

Grade B

MasterGrade

Med Surg Quick Notes S 82% or Higher on Your Next Nursing Test 8 1 Cardiology I Exam Notes 1.1 Cardiology Terms & Introduction  Preload: the 20% of blood remaining in the atria at end of diastole  80% of ventricular filling occurs before atrial kick  increase preload by inspiration or valsalva  Afterload: the volume of blood in the ventricles after atrial contraction  Cardiac output: volume of blood ejected from ventricles in one minute; normally 5 L  increased ...

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1 pages

Written in 2023/2024

Grade B

MasterGrade

Oxygenation 1-A nurse is conducting a primary survey of a client who has sustained lifethreatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take. (Move the actions into the box on the right, placing them in the selected order of performance. Use all the steps.) ANSWERS - Ordered Response Correct 1) Open the airway using a jaw-thrust maneuver. 2) Determine effectiveness of ventilator efforts. 3) Establish IV access. 4) Perform a Glasgow Com...

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180 pages

Written in 2023/2024

Grade A

MasterGrade

Module 1: HOMEOSTASIS, STRESS AND ADAPTATION Steady state ⦁ A dynamic balance which is produced so that all subsystems are in harmony with one another ⦁ The goal of the interaction of all body systems ⦁ Four concepts: constancy, homeostasis, stress, and adaptation Stress ⦁ universal phenomenon ⦁ State produced by a change in the environment that is perceived as challenging, threatening, or damaging to the person’s dynamic balance or equilibrium ⦁ In a medical or biological...

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60 pages

Written in 2023/2024

Grade B

MasterGrade

1.A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the followingfindings should the nurse report to the surgeon? 1. Heart rate 90/min 2. Absent bowel sounds → normal findings after major bowel surgery; takes several days to return tonormal. 3. Hgb 8.2 g/dl 4. Gastric pH of 3.0 Rationale: Normal Hgb is 13-18M g/dl, 12-16 g/dl. This may indicate a possible hemorrhaging. 2. A nurse is caring for a client who has diabetes insipidus. Which of t...

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27 pages

Written in 2023/2024

Grade A+

MasterGrade

MedSurg 2 1. The nurse is preparing the discontinue long term TPN therapy for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of which of the following adverse effects? a. Hyperglycemia b. Diarrhea c. Constipation d. Hypoglycemia- You taper it off to avoid this!!! Rationale PDF p.298: Never abruptly stop TPN. Speeding up/slowing down the rate is contraindicated. An abrupt rate change can alter blood glucose levels significantly. Rationale PDF nutritio...

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15 pages

Written in 2022/2023

Grade A+

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