A) Measure the specific gravity of the drainage. B) Measure the spinal fluid pressure. C) Observe for a "halo" around a spot of drainage. D) Measure the quantity of the drainage. Nursing Plans and Interventions: The nurse applies a sterile nasal drip pad and initiates interventions to prevent increased intracranial pressure (ICP).
2. Describe different approaches to alleviate pain and minimise discomfort. Repositioning individuals and adjustments to bedding, heating, lighting or noise can also be a factor and the use of specialised mattresses such as air mattresses and equipment and pressure reducing aids can help to alleviate pain. There are many options to minimise discomfort such as : - Doctors most often use conventional methods such as drugs. - Physiotherapists rely on physical means of treatment such as; massages, electrical therapies, hot or cold packs and complementary therapists use methods such as: acupuncture, herbal medication, aromatherapy or chiropractic.
5. Discuss each treatment for asthma and note when each is indicated: . Aerosolized medications by nebulizer: ix. Children who has difficulties using MDIs or other inhalers x. Administers the meds via compressed air or oxygen xi. Children are instructed to breathe normally with mouth open to provide a direct route to the trachea.
This enables the medicine to be delivered to the site where it is most needed – the lungs. Inhalers and nebules (for use in a nebuliser) are common examples of this route of delivery. A variety of inhalers are available on the market. Aerosols and dry powder inhalers are marketed. Compliance aids such as ‘spacers’ can be prescribed to help with the delivery of the medicine from an inhaler.
Identify priority nursing care to prevent potential complications following this type of surgery. * Maintain respiratory function * Maintain circulatory function * Promote elimination and adequate nutrition * Promote urinary elimination * Promote wound healing * Achieve rest and comfort 3. Discuss treatment modalities for potential complications as identified above * Push fluids to promote elimination * Hemorrhages may need surgical correction * Apply O₂ 4. Discuss the standard of nursing care when transfusing any blood product. * Verify that an order for the transfusion exists.
Her airway should be assessed by listening for stridor or gurgling sounds, checking for obstruction, performing a jaw thrust, removing loose fitting dentures. Breathing should be checked with listening with a stethoscope, feeling for her breathing and watching the rise and fall of her chest. Circulation
Unit 2024 Outcome 1 Understand the anatomy and physiology of the skin in relation to pressure area care. 1.1 Decribe the anatomy and physiology of the skin breakdown and the development of pressure sores. 2.1 Identify pressure sites of the body. · · · · · · · 1.3 Identify factors which might put an individual at risk of skin breakdown and pressure sores. · · · · · · 1.4 Describe how incorrect handling and moving techniques can damage the skin.
Medicines should be checked regularly to make sure that they are within their use-by dates. A basic first aid kit may contain: * Plasters, in a variety of different sizes and shapes * Small, medium and large sterile gauze dressings * At least two sterile eye dressings * Triangular bandages * Crêpe rolled bandages * Safety pins * Disposable sterile gloves * Tweezers * Scissors * Alcohol-free cleansing wipes * Sticky tape * Thermometer, preferably digital * Skin rash cream such as hydrocortisone or calendula * Cream or spray to relieve insect bites and stings * Antiseptic cream * Painkillers such as paracetamol (or infant paracetamol for children), aspirin (not to be given to children under 16), or ibuprofen * Cough medicine * Antihistamine tablets * Distilled water, for cleaning wounds and as an eye bath How to use these items would be: * Absorbent Gauze: Use these to clean a wound or to apply first-aid or antiseptic cream * Bandages: Different sizes and shapes are provided to protect minor scrapes and cuts after they have been cleaned * Tape: For securing wound dressings or giving additional protection over bandages * Bandage Compresses: Use these for applying pressure to a large wound or scrape that is bleeding. Place the compress over the wound and apply pressure to reduce bleeding * Disposable Latex
The NP swab is collected by having a person tip their head back, then a Dacron swab (like a long Q-tip) is gently inserted into one of the nostrils until resistance is met (about 1 to 2 inches in), then rotated several times and withdrawn. This is not painful, but it may tickle a bit and cause the person's eyes to tear. 5. Discuss the rationale for the following interventions in the clinical management of RSV-bronchiolitis: humidified oxygen, oxygen saturation monitoring, nasopharyngeal suctioning and intravenous fluid administration (include the formula for calculating maintenance fluid requirements for a pediatric patient) p. 1400 – 1402 Humidified Oxygen: promote adequate gas exchange & liquefy secretions for ease in clearance; addition of moisture to inspired air Oxygen Saturation Monitoring: detect alterations in oxygenation; infants & children can deteriorate quickly as the disease progresses. Supplemental oxygen need to be adjusted as needed based on their current O2 saturation Nasopharyngeal Suctioning: promote clearance of secretions; improve gas exchange; removal of secretions via bulb syringe or suction catheter; maintains a patent airway p.
At least 2 points in each quadrant, listen for hyper or hypoactive bowel sounds Palpation and percussion are performed AFTER Auscultation. Skin: Color, texture, wounds, smell, temperature, texture and any other abnormalities. Document where the abnormalities are on the body and their size in centimeters. Turgor test - Skin elasticity Edema- checklist: __ 2mm +1 __6mm +3 __ 4mm +2 __ 8mm 4+ None__ NAME:_____________________________