HESI MED SURG NEW
1. Math- IM-mg/ml
2. Basic Nursing Skills/Nutrition-DASH diet- [med surg page 715-
716]
Plan emphasizes fruits, vegetables,
... [Show More] fat-free or low-fat milk and milk products, whole grains, fish, poultry, beans, seeds, and nuts.
Compared with the typical American diet, the plan contains less red meat, salt, sweets, added sugars, and sugar-containing beverages. The DASH eating plan significantly lowers BP, and these decreases compare those achieved with BP-lowering medication. Additional benefits also include lowering of low-density lipoprotein (LDL)
cholesterol.
3. Basic Nursing Skills/Nutrition- Esophageal Varices
Other students’ notes:
• No red foods or red dyed foods
• No pointy foods like crackers
• No hot beverages
• Luke warm broth, popsicle
[Lewis book pg. 1019]
F.Y.I. Esophageal Varices are a complex of tortuous veins at the lower end of the esophagus, which are enlarged and swollen as a result of portal hypertension. Page 1022: the main therapeutic goal for esophageal and gastric varices is to prevent bleeding and hemorrhage. The patient should avoid ingesting alcohol, aspirin, and NSAIDS. So make sure you choose a diet that prevent bleeding or hemorrhage, so think SAFETY
4. Basic Nursing Skills/Safety-Hemodialysis-Low BP
Other student’s notes and also in book Lewis page 1122
• Hypotension occurs as a result of rapid removal of vascular volume, decreased cardiac output, decreased systemic vascular resistance. S/S: lightheadedness, vomiting, seizures, vision changes, CP and cardiac ischemia. Treatment is a bolus of 0.9%
NS and slowing the volume being removed.
• Stop dialysis
• Notify MD
• Lay them flat raise feet higher than head- Trendelenburg
5. IV-ml/hour-heparin
6. GI/Hepatic/Oncology- Colon cancer-intestinal polyps
Other student Notes:
Polyps increases the risk for colon cancer.
[Lewis book pg. 985]
Adenomatous polyps are neoplastic. They are closely linked to colorectal adenocarcinoma. The risk increases with polyp size.
7. Integumentary-Shingles-Chronic pain
Other student notes:
• Unilateral clustered skin vesicles along peripheral sensory nerves on the trunk, thorax or face. Fever malaise, burning, pain, paresthesia, pruritus. Assess for s/s of infection and skin
necrosis, neurovascular status, Bell’s palsy is a complication.
• Asses patient’s pain first [Show Less]