Do not delegate - ✔✔ What you can *EAT*
*E*-evaluate
*A*-assess
*T*-teach
Addison's & Cushings - ✔✔ Addison's = down down down up
... [Show More] down
Cushings= up up up down up
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia, hypo/hyperglycemia
Better peripheral perfusion? - ✔✔ Elevate veins, D-Angle Arteries
APGAR
(Score 1-10)
(2,1,0) - ✔✔ Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
Airborne precautions - ✔✔ MTV or 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 & respirator N95 for TB
Droplet precautions - ✔✔ spiderman! sepsis, scarlet fever, streptococcal pharyngitis, parvovirus, pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus
(Private room and mask)
Contact precaution - ✔✔ MRS WHISE
protect visitors & caregivers when 3 ft of the pt.
Multidrug-resistant organisms
RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric diseases caused by micro-organisms (C diff),
Gloves and gowns worn by the caregivers and visitors
Disposal of infectious dressing material into a single, nonporous bag without touching the outside of the bag
PMGG= Private room/ share same illness, mask, gown and gloves
Skin infection- *VCHIPS* - ✔✔ Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
Air or Pulmonary Embolism - ✔✔ S/S chest pain, dyspnea, tachycardia, pale/cyanotic, sense of impending doom. (turn pt to LEFT side and LOWER the head of bed.)
Woman in labor (un-reassuring FHR) - ✔✔ (late decels, decreased variability, fetal bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids! - FLIP, FLOAT, FLOW
Tube feeding with decreased LOC - ✔✔ Pt on Right side (promotes emptying of the stomach) Head of bed elevated (prevent aspiration)
LOC - ✔✔ Level of Consciousness
After lumbar puncture and oil based myelogram - ✔✔ pt is flat SUPINE (prevent headache and leaking of CSF)
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.
Myringotomy - ✔✔ surgical incision into the eardrum, to relieve pressure or drain fluid.
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
After total hip replacement - ✔✔ don't sleep on side of surgery, don't flex hip more than 45-60 degress, don't elevate Head Of Bed more than 45 degrees. Maintain hip abduction by separating thighs with pillows.
Prolapsed cord - ✔✔ Knee to chest or Trendelenburg
oxygen 8 to 10 L
Cleft Lip - ✔✔ position on back or in infant seat to prevent trauma to the suture line. while feeding hold in upright position.
To prevent dumping syndrome - ✔✔ Dumping syndrome is a condition that can develop after surgery to remove all or part of your stomach or after surgery to bypass your stomach to help you lose weight. Also called rapid gastric emptying, dumping syndrome occurs when food, especially sugar, moves from your stomach into your small bowel too quickly.(post operative ulcer/stomach surgeries) eat in reclining position. Lie down after meals for 20-30 min. also restrict fluids during meals, low carb and fiber diet. small, frequent meals. avoid simple sugars.
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. S&S: blurred vision, inability to see in dim light, partial loss of vision, seeing flashes of light, seeing spots, sensitivity to light, temporary loss of vision in one eye, tunnel vision, or vision loss
dependent position - ✔✔ supported. Placement of a limb so that its distal end is lower than the level of the heart. to prevent edema. [Show Less]