Better peripheral perfusion? - Elevate veins, D-Angle Arteries
Airborne precautions protective equip - private room, neg pressure with 6-12 air
... [Show More] exchanges/hr mask & respirator N95 for TB;measles, chickenpox (varicella) Herpes zoster/shingles 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 precautions - 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 infections- *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.
Tube feeding with decreased LOC - Pt on Right side (promotes emptying of the stomach) Head of bed elevated (prevent aspiration)
After lumbar puncture - pt is flat SUPINE (prevent headache and leaking of CSF)
After Cataract 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.
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.
To prevent dumping syndrome - (post operative ulcer/stomach surgeries) eat in reclining position. Lie down after 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.
administration of enema - pt should be left side lying (Sim's) with knee flexed. [Show Less]