Renal Calculi - Pain: Flank pain C Kidney or Ureter (if pain radiates C stones in ureter or bladder)
Performing Ear Irrigation: Sterile technique, warm
... [Show More] meds, pull up & back, tilt toward affected ear
Thrombolytic Therapy (Stroke): Reteplase recombinant (rTPA 3 clot buster) w/ in 4.5 hours of initial symptoms
Trach care: Dressing &, inner cannula ½ hydrogen peroxide, & stoma ¥ knot
Head injury (changes in LOC): Length of time unconscious & GCS
General anesthesia (post-op): ABC9s 3 full body assessment, Vitals every 15 minutes, Lateral position (if unresponsive or unconscious - monitor LOC), Fluids/Electrolytes
Superficial Burns: Painful, pink, red, mild edema (3-6 day healing), damage to epidermis
Dialysis (reporting unexpected findings): Temp of 100 degrees, M BP, bleeding, 1 L of fluid = 1Kg, clotting, H/A, Nausea, Disequilibrium syndrome (rapid M BUN & Fluid volume), anemia, peritonitis, ± BG, ± cholesterol
Pacemaker (complications): Infection, hematoma, pneumothorax, hemo-thorax, arrhythmias, pacer spikes before P or QRS, hiccups / muscle twitching
Magnesium (Mg) Sulfate C Increase Mg+ > 1.3 Mg/dL
± Mg foods = (Dairy, dark leafy greens veges)
M Mg causes ³ Hyperactive deep tendon reflexes
* Paresthesia9s, muscle tetany, positive chvostek9s & Trousseau9s sign, hypoactive bowels, constipation, abdominal distention, paralytic Ileus.
TPN Admin: (Total parenteral nutrition) -feeding that bypasses the GI tract. Fluids are given into a vein to provide most of the nutrients the body needs. Given when person cannot/ should not receive feedings or fluids by mouth.
Hypertonic (20-50% dextrose), Used in chronic pain, peritonitis, burns, Infection, etc
No more than 10% hourly, ± in rate for body adjustment, check BG
Hyperglycemia, hypoglycemia, vitamin deficiencies, air embolism (clamp, place in Trendelenburg pos.,
O2)
Fluid imbalance C Fluid volume excess [Show Less]