CARDIAC Catheterization * Insertion of a catheter into the heart and surrounding vessels * Determines the structure and performance of the heart valves and surrounding vessels * Used to diagnose CAD, assess coronary patency, and determine the extent of atherosclerosis. * Pretest: Ensure Consent, assess for allergy to seafood and iodine, NPO, document weight and height, baseline VS, blood tests and document the peripheral pulses * Fast for 8-12 hrs, health teaching, medications to allay anxiety. * Intra-test: inform patient of a fluttery feeling as the catheter passes through the heart; inform the patient that a feeling of warmth and metallic taste may occur when dye is administered * Post-test: Monitor VS and cardiac rhythm * Monitor peripheral pulses, color and warmth and sensation of the extremity distal to insertion
2. Which assessment takes priority while the nurse provides oral care?A) Assess the sides of the oral cavity for any open sores. Feedback: INCORRECT Considering the client’s recent history of nausea and vomiting, another assessment takes priority at this time. B) Observe for excessive dryness of the mucus membranes. Feedback: CORRECT Because the client has a recent
ICP catheter- to decrease ICP Vitamin therapy/ Nutritional referral- because of her BMI and nutritional status r/t her pathologies. PPI- Esophageal varices are likely with cirrhosis and it is necessary to decrease stomach acid to prevent rupture of varices. IV fluids- Because of the ascites it is necessary to replace the fluid into the vascular space. Inotropics such as Dopamine- They will improve the BP and Cardiac
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.
If this fails, a pancrelipase and sodium bicarbonate solution may be instilled in order to "digest" the clog. Metabolic complications: Metabolic complications of enteral nutrition are similar to those that occur during PN, although the incidence and severity may be less. Careful monitoring can minimize or prevent metabolic complications. Refeeding syndrome: Refeeding of severely malnourished patients may result in "refeeding syndrome" in which there are acute decreases in circulating levels of potassium, magnesium, and phosphate. The sequel of refeeding syndrome adversely affect nearly every organ system and include cardiac dysrhythmias, heart failure, acute respiratory failure, coma, paralysis, nephropathy, and liver dysfunction.
5. Describe the medical management and nursing management of a patient in DKA? a) Monitor the administration of IV fluids to correct dehydration, b) Give insulin therapy to reduce blood glucose and serum acetone, and c) Electrolytes are given to correct electrolyte imbalance. d) Assess renal status and the cardiopulmonary status related to hydration and electrolyte levels. e) Monitor the level of consciousness/mental status f) Monitor the signs of potassium imbalance resulting from hypoinsulinemia and osmotic diuresis.
Which nursing intervention should be initiated to prevent increased ICP? B) Administer a prescribed stool softener as needed (PRN). 4. Which medication is best for the nurse to administer to Jeff for his complaint of headache? D) Acetaminophen (Tylenol).
* REDUCE STRESS – TRY TO AVOID THINGS THAT CAUSE YOU STRESS. OFTEN, A SINGLE BLOOD PRESSURE DRUG MAY NOT BE ENOUGH TO CONTROL YOUR BLOOD PRESSURE, AND YOU MAY NEED TO TAKE TWO OR MORE DRUGS. IT IS VERY IMPORTANT THAT YOU TAKE THE MEDICATIONS PRESCRIBED TO YOU. FOLLOW YOUR HEALTH CARE PROVIDERS RECOMMENDATIONS TO MODIFY, TREAT, OR CONTROL POSSIBLE CAUSES OF HIGH BLOOD PRESSURE. WRITE A CONCLUSION IN WHICH YOU EXPLAIN IN ONE PARAGRAPH WHAT YOU HAVE LEARNT IN DOING THIS ASSIGNMENT AND HOW IT HAS CHANGED THE WAY IN WHICH YOU WILL VIEW LIFESTYLE DISEASE OR BEHAVIOUR IN THE FUTURE FROM THIS ASSIGNMENT, I HAVE LEARNT THAT BLOOD PRESSURE IS THE PRESSURE THE BLOOD EXERTS AGAINST THE BLOOD VESSEL WALLS AS THE HEART PUMPS.
* Epidural Steroid Injection Overview * Types of Epidural Steroid Injections * Epidural Steroid Injection Preparation * Epidural Steroid Injection Procedure * After the Procedure * Epidural Steroid Injection Risks * When to Seek Medical Care * Next Steps * Follow-up * Outlook * Synonyms and Keywords * Author and Editor Epidural Steroid Injection Overview An epidural steroid injection is performed to help reduce the inflammation and pain associated with nerve root compression. Nerve roots can be compressed by aherniated disc, spinal stenosis, and bone spurs. When the nerve is compressed it becomes inflamed. This can lead to pain, numbness, tingling or weakness along the course of the nerve. This
Case Study – Vital Signs Glen Glines Learning Objectives: 1. Identify abnormal vital signs (T, P, RR, BP, O2Sat, Pain) 2. Identify factors that affect body temperature, pulse, and respirations 3. Discuss possible rationales for altered vital signs (T, P, RR, BP, O2Sat, Pain) 4. Identify sites where a pulse may be taken in the hospitalized patient 5.