ATI MEDSURG FOCUSED REVIEW
CHAPTE R 4 Pain Management: Use of
Nonpharmacologi c Methods of Pain Relief (RN QSEN - Patient-centered Care, Active
... [Show More] Learning Template - Basic Concept, RM AMS RN 10.0 Chp 4) 1. relaxation
2. distraction
3. cutaneous stimulation (ie acupressure, massage, thermal therapy, contralat stimulation)
4. guided imagery
5. hypnosis
6. biofeedback
7. music therapy
8. exercise
NSAIDS have analgesic, anti-inflammatory, antiplatelet, & antipyretic effects.
- Be aware of Hepatotoxic effects of Acetiminophen. Pt w/ a healthy liver should take no more than 4g/day.
- prevent GI upset in pt by admin the Rx w/ food or antacids.
- Monitor pt for bleeding w/ long term NSAID use.
- Monitor pt for "Salicylism" (tinnitus, vertigo, decreased hearing acuity).
More notes on management of pain
https://skillsmodules.atitesting.com/SkillsModulesConten t/pain-management/ap7.html
CHAPTE R 16 Spinal Cord Injury: Care of a Client who has a Halo Device (RN QSEN - Safety , Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 16) - Application of Immobilization Devices & Traction -
*Pts who have cervical fractures may be placed in a halo fixation
device or cervical tongs. Purpose is to provide traction &/or
immobilize the spinal column.
- NURSING ACTIONS -
*maintain body alignment & ensure cervical tong weights hang freely.
*Monitor skin integrity by providing pin care & assessing the skin under the halo fixation vest as appropriate.
- PT EDUCATION -
*if the pt goes home w/ a Halo fixation device on,
provide instruction on pin & vest care.
*Teach the pt signs of infection & skin breakdown. Surgical Interventions
CHAPTE R 23 Tuberculosis: Priority Action for a Client in the Emergency Department (RN QSEN - Safety , Active Learning Template - System Disorder, RM AMS RN 10.0
Chp 23) Tuberculosis: Priority Action for a Client in the Emergency Department
• Heated humidified oxygen administration
• N95 HEPA filtered mask for staff /transportation of client surgical mask
• Negative pressure room.
The client should be transported using the shortest and least busy route.
Cough and expectorate sputum into tissues that are disposed of by the client should be put into provided plastic bags or no-touch receptacles.
Clients are no longer considered infectious after 3 consecutive negative sputum cultures.
CHAPTE R 24 Pulmonary Embolism: Risk Factors for Deep- Vein Thrombosis (Active Learning Template - System Disorder, RM AMS RN 10.0
Chp 24) RISK FACTORS
Long-term immobility
Oral contraceptive use and estrogen therapy Pregnancy
Tobacco use
Hypercoagulability (elevated platelet count) Obesity
Surgery (especially orthopedic surgery of the lower extremities or pelvis)
Central venous catheters
Heart failure or chronic atrial fibrillation Autoimmune hemolytic anemia (sickle cell) Long bone fractures
Cancer Trauma Advanced age
`` Electrocardiograp hy and
Dysrhythmia Monitoring: Analyzing ECG (Active Learning Template -
Diagnostic https://quizlet.com/67972984/ati-chapter-28- electrocardiography-and-dysrhythmia-monitoring-flash- cards/
Procedure, RM AMS RN 10.0 Chp 28)
CHAPTE R 36 Hypertension: Evaluating a Client Who Takes
Lisinopril (RN QSEN - Safety , Active Learning Template - Medication, RM AMS RN 10.0 Chp 36) Beta blockers
Metroprolol and atenolol. For patients with unstable angina or myocardial infarction. Decreases cardiac output and blocks the release of renin, subsequently decreasing vasoconstriction in the peripheral vasculature
Side effects of beta blockers
Fatigue, weakness, depression, sexual dysfunction. Stopping abruptly can cause rebound hypertension. Can mask hypoglycemia
Adverse effect of Lisinopril is persistent dry cough.
CHAPTE R 40 Blood and Blood Product Transfusions: Treatment for Circulatory Overload (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 40) For blood transfusion on the elderly, use no larger than a 19- gauge needle is used
Assess kidney function, fluid status, and circulation prior to blood product administration. Older adult patient are at an increased risk for fluid overload
Use blood products that are less than 1 week old.
Assess vital signs every 15 min throughout the transfusion for fluid overload
Administer the blood transfusion over 2 to 4 hr for older adult clients.
Without giving other IV fluid to prevent fluid overload Risk for HF and fluid overload
1. Stop transfusion immediately if reaction is suspected
2. Start infusion of NS with separate line
3. Save and send bag and lines of blood to testing lab
4. Maintain patent airway,administer oxygen
5. Give antibiotic and administer vasopressors (dopamine)
1. Monitor daily weights, I and O, edema- may be indication of worsening condition.
2. Monitor for cardiac output, blood pressure, and ejection fraction.
3. Hemodynamic monitoring using arterial line can tell us more about patient's condition.
4. Harder for heart failure patient to receive transfusions- worsening condition is manifested as dyspnea, chest tightness, tachycardia, tachypnea, headache, hypertension, jugular vein distention, peripheral edema, orthopnea, anxiety and crackles in
the bases of the lungs
5. nursing interventions are to give O2, monitor VS, slow infusion, give diuretics and contact provider. [Show Less]