NUR 224 MED - SURG Packet - Southern technical College | NUR224 MED - SURG Packet

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NUR 224 MED - SURG Packet - Southern technical College | NUR224 MED - SURG Packet Ex a m p le s o f E n te ra lA c c e s s n g R o u te ı T ınr o u g h T h e N o ı e a lte m a tiv e ı y m a y ... be o r a l» � N a s o ga s tńc @ N a s o d u o d e n a ı @ N a s o je jtm a l G a « r o ı to m y O p tio n s * * P e rc u ta n e o u s En d o s c o p ic G a s tro s to m y (P EG ) * P e rc u ta n e o u s R a d io b g ic G a s tro s to m y (P RG ) * P e rc u ta n e o u s En do s c o p ic k ju n o sto m y «P U ) * Pe rc u ta n e o u s R a d io lo g ie k ju n o s to m y (P R J) * Pe rc u ta n e o u s En d o s c o p ic G a s tro je ju n o s to m y (P EG /J) B u t ton � https://www.coursehero.com/file/28078875/med-Surg-packetpdf/ This study resource was shared via CourseHero.comC ı fe t R e d u c e h a rın a s s o c ıa te d w ıth c lin ic a la la rm s y s te m s :re s o u r c e s fo r c ris is in te rv e n tio n to N u rs e s & R e s p ira to ry T h e ra p is ts c o m p le te : A la rm ı T h is a p p lie s to p a tie n ts be in g tr e a te d F a ti g u e C a n E n d a n g e r P a tıe n ts C E 7 0 4 In c E D Ir e c t fo r e m o tio n a ıo r b e h a v io ra ld is o rd e rs P a tie n t ıd e n tific a tio n ı = 国 图 P s y c h ia tri. . . Ge ' " ' " . . p ita l, ? t e w h e n p ro v id in ß c a re , - - - - - - - - - - - - - - - - - - - rile fie ld , ın a lı p r o c e d u r a ıa re a s ı mm e d l at e* y dı sc a r d an y � m e d ic a tio n o r so lu tio n fo u n d u n ıa b e ıe d R e v i ew ıf the r e ıs a ha n d of f of � c a re g iv e r s A n d c o a s u l an t the r ap y ï Us e� a p p ro v e d p ro to c o ıs fo r ın ıtıa tıo n a n d m a in te n a n c e · U s e o n ıy u n it d o s e s p re fllıe d U n iv e rs a l P r o to c o l C o n d u c t a pr ep r oc e d u r e ve r ıfıca t ı on � p r o c e s s M a r k the pr oc e d u r e sı te wi th pa t ıen t � In v o ıv e m e n t ıf p o s s ıb ıe T h e sı te ls ma r ked by an LıP, T h ı s aı so ap p l ıes to be d s ı de pr o c e d u r es . C o n d u c t a rob u s t " ı me Ou t " ı gh t be f or e� th e p ro c e d u re to v a lıd a te c o rre c t p a tıe n t s ıte a n d p ro c e d u re R e d u c e In fe c tio n s · M a in ta in a n d c o m m u n ic a te a c c u ra te p a tie n t m e d ic a tio n in fo rm a tio n o n a d m is s io n � E n s u r e the pa t ien t kn o w s wh i ch me d i ci ne s � tra n s fe r ıe v e lo f c a r e a n d a t d is c h a rg e to- - - - - - - - - - - - - - - - t nļ e as s i st yo u to the � o 1f th e b a thr opo amtie nWt sea wysi,ll" bn eo "c h eScakyin" O k a y. Be s u r e to u s e y o u r c a ll tig h t if y o u n e e d to g o to the g o s i tion l ng (Co m f or t )- A r e yo u co m ı or tgabolne?y"o" u"Cr eagnu lIa rrely p o's i tion yo u ? ·� o A s k a bo u t r o o n ı te m p e ra tu r e , s u n g la r e , lig hts , tv , e tc o A s s e s s a iıd ıw s itio n a s n e e de d tó p r o te c t p r e s s u r e p o in ts g o s a e s s l on a /Sa f et y- D o yo u ha v e ev e r yt hi ng yo u ne e d wi thi n re a c h ? ", " D o -n n u ı + = hu . ņI l yo u ne e d me to mo v e � o C o n d u c t a saty a iıd c le a n liııe s s s w e e p o E n su re e s s e n tia ln e e ds a r e w ithin re a c h (i e E y e g la s s e s , h e a rin g a id s , c a ll li g h t, w a te r p itc h e r , o R e m in d p a tie n t a bo u t m a c h in e r y th a t is a t t a e d to the p a tim t o r b e d (i S C D w s . c a the te r) * E Q £ Ç o K e e p p a tie n t In fo n ıred o U tiliz e w u te bo a rd :ax a n d tc a n ı n ıra n be r a d v a n ta g e s In c lu d e F e w e r c a ll li g hta H a p p i er , mo r e sa t isf ied pa t ien t s an d tea m ırt em b c r s � Q u i et er un i t throu g bo u t the da y � 0 R e d u c d o n in p a tlc n t fa llß https://www.coursehero.com/file/28078875/med-Surg-packetpdf/ This study resource was shared via CourseHero.comdBaycar e A lıia n t H o s p ita ı A s p ir a tıo n P r e c a u tio n s A s p ira tio n is w h e n s e c re tio n s , fo o d , d rin ks , o r s to m a c h c o n te n ts g o in to th e re s p ira to ry t ra c t, o r w h a t w e c a lıs o m e tim e s ° s o e s th ro u ß h th e w ro n g p ip e " A s p ir a tio n is ty p ic a lıy id e n tifıe d in th e R t ıu n g b y a u s c u lta tio n o r a n X ra y O n e o f th e re a s o n s fo r a s p ira tio n is a s a re s u lt o f d y s p h a g ia o r im p a ir m e n t in s w a ılo w in ß O n e o f th e ris ks o f d y s p h a g ia is a s p ira tio n p n e u m o n ia w h ic h c a n b e fa ta l, e s p e c ia ııy in e ld e rly p a tie n ts C a u s e s o f s w a ılo w in g p ro b ıe m s c a n b e > W e a kn e s s fr o m s tro ke , h e a d in ju ry o r m u ıtip le s c ıe ro s is > R i g id ity fr o m P a r k in s o n s D is e a s e o r ra d ia tio n S tr u c tu r e c h a n g e s a fte r s u rg e ry o r c e rv ic a ls p in e p ro b le m s > M e d ic a tio n s > E s o p h a g e a ld y s fu n c tio n > V e n tila to r d e p e n d e n c y S o m e c h a ra c te ris tic s o f d y s p h a g ia th a t c a n le a d to a s p ira tio n a re th e fo ııo w in g > A w e t v o ic e > W e a k v o lu n ta ry c o u g h C o u g h in g o r c h o kin g o n fo o d > P r o lo n g e d s w a ııo w > ın c o m p le te o ra lc ıe a ra n c e S y m p to m s w h ic h c a n b e s ig n s o f a s p ir a tio n > C h o kin g N o t a lw a y s a p a tie n t s h o w s s ig n s o f a s p ira tio n , th is is w h a t w e c a lıs iıe n t a s p ira tio n T h is h a p p e n s b e c a u s e o f w e a kn e s s o f p h a ry n g e a ım u s c le s , im p a ire d a b ility to re fle x iv e ly c o u g h , lo w le v e lo f n e u ro tra n s m itte rs a n d re d u c e d la r y n g o p h a ry n g e a ls e n s a tio n H o w c a n w e p re v e n t a s p ira tio n ? > M a ke s u re y o u r p a tie n t is s ittln ß u p rig ht 9 0 ° ıf th e p a tie n t h a s to e a t ln b e d p u lıh im /h e r in th e b e d a s h ig h a s yo u c a n E le v a te b e d to a s ittin g p o s itio n w h e re th e p a tie n t is s ittin g u p stra ig ht > ın s tru c t p a tie n t to d o c h in tu c k w he n s w a llo w in g to h e lp p ro te c t the a irw a y įĮĹĹĮĹ:'"įŁļ> . 'ĺ. ĹŕĹ· . : > R u n n y n o s e > R e fu s a lo f c e r ta in fo o d s > D e c re a s e in 0 2 s a ts https://www.coursehero.com/file/28078875/med-Surg-packetpdf/ This study resource was shared via CourseHero.comM a ke s u re p a tie n t g e ts th e d ie t c o n s ıs te n c y th a t w a s re c o m m e n d e d b y th e s p e e c h th e ra p ist a n d o rd e re d b y th e d o c to r T h ic ke n li q u id s if a p p ıic a b ıe c h e c k if p a tie n t c a n u s e s tr a w > M a ke s u re p a tie n t d o e s n ' t in g e s t ıa rg e a m o u n ts o f fo o d a t o n c e ıf c a n n o t fo ııo w in s tr u c tio n s a s s is t w ith th e ir m e a ı In s tr u c t th e m to ta ke s m a ıls i p s o f liq u id D y s p h a g ia D ie t Le v e ıs N P O N o t hi ng by mo u t h. * P u r e e : T e x tu re d p u re e fo o d s re q u ire m in im a ım a s tic a tio n * M e c h a n ic a ı S o ft S o ıid s S o ft , te x tu r e d m o is t fo o d ite m s * T h ic k e n e d ıi q u id s D rin k m a y b e a ıre a d y th ic ke n e d o r n e e d to b e th ic ke n e d to a n a p p ro p ria te c o n s is te n c y H o w to th ic k e n ıiq u id s T h ic k e n in g a g e n ts a r e a ffe c te d by th e c o n s iste n c y o f th e ite m th a t is a d d e d a s w e ııa s th e te m p e ra tu re B e a w a re th a t th ic ke n e rs w iııth ic ke n m o re a fte r s ta n d in g , d o n o t o v e r th ic ke n , o r o v e r m ix T h is o fte n c a u s e s p a tie n ts to re fu s e th ic ke n in g A IIo w a d e q u a te tim e fo r s m a ııa m o u n ts o f th ic ke n e r to fu ııy th ic k e n , th e n a d d m o r e ıa te r , if s u ffic ie n t A n y ıiq u id c a n b e th ic k e n e d in c ıu d in g w a te r, c o « e e , te a , a n d s o d a R e m o v e a n y ic e fr o m th e d rin k b e fo r e y o u t h ic k e n T h e ic e m e ıts a n d w iıı a ıte r th e c o n s is te n c y 1 A d d th ic ke n e r (p o w d e r)to c u p 2 A d d ıiq u id in s m a ıı a m o u n ts a n d m ix 3 c o n tin u e a d d in g ıiq u id ıittıe b y ıittle u n tiıd e s ir e d c o n s is te n c y 4 ıf to o ıiq u id a d d p o w d e r 5 W h iıe p re p a rin g ıe t m ix s it a ıittıe a n d it w iııth ic k https://www.coursehero.com/file/28078875/med-Surg-packetpdf/ This study resource was shared via CourseHero.comp r e v e n tin g In fe c tio n s o n B c D o c u m e n t o n th is s h e e t w r S ta ff c o m p le tin g fo r m & ıs C e n tra lU N E s tillin d ic a te d ı Y N If no D is c u s s C V L Lin e D o c u m e n ta tio n ls th e LD A in E p ic c o m p le te d a n d u p d a te d ? Y N p ra c tic e c v L (e G i p IC C H ic k m a n C V C P o Q T ra n s p a re n t D re s s in & C ıe a n /D ry/ın ta c t Y D re s s in g C u r r e n t w ith D a te T im e g In itia ls Y N T ra n s p a r e n t d re s s in g c h a n g e d w /in ıa s t 7 d a ys Y N A n y G a u z e a t s ite d re s s in g c h a n g e d w /in 2 d a y s Y N SiM rl on p a tc h P ro p e rıy P ıa c e d (S ilv e r s i□ 园 園 四 ■ D is in fm n t c a p s o n ı t r l s s c o n n e c to rs Y N E e n tra ıLin e ım m n h ilir p d (e g g rip lo c k s ta t ıo c k ta p e t Y N ha t y o u fin d T h e n c o r r e c t it D a te R o o m # c C e n tr a ı L in e In d ic a tio n s 1 V a s o a c tiv e a g e n ts o r in o tro p h ic th e ra p y 2 C h e m o th e r a p y o r o th e r n o x io u s m e d ic a tio n s 3 P a r e n te r a l n u tr itio n 4 In fııs io n s w ith 12 % c o n c e n tr a tio n o f d e x tr o s e 5 H c m o d y n a m ic m o n ito r in g 6 Hermdialysi C R R T o r p la s m a p h e r c sis 7 P la n n e d p r o c e d u r e o r s u r g e ry re q u irin g v a s c u la r a c c e s s 8 P la n n e d d is c ha r g e ho m e w ith IV th e r a p y 9 In a b ilit y to e s ta b lish P IV a c c e s s T u b i g s La b e ıe d & C rr e n t C o n tin u 이 西 9 6 h 口试 淄 Y N In te rm in e n t T P N Li p id s 2 4 h o u rs D s i fe c t n t c a p s o n t b in g n e e d le le s s c o n n e c to r s 国ıa N D a n y c H G g O \G b a th c o p le te d a n d d o c u m e n te d ? iiLB B Y N C H G b a th e n t e r e d a s o ru r? (e & N ıp p A d u lt M m fs s io n o rd e r s e t fo r c e n tra ı Lin e c a re ) Y N m it b e e n Ť " N e e d ıe d a y ? N e e d le d is lo d g e d o r in filtr a te d ? N e e d ıe c ha n lift in ge d fo r a n o th e r re a x »n (e ß d re s s in g g )? W h y ? IF C V L d re s s in g d ï a n g e d to d a y H a n d h yg ie n e p e rfo r m e d ? j S te r ile te c h n i q u e u s S ite c le a n e d w ith C h lo ra p re p fo r 3 0 s e c o n d s T Fo le y In s e rtio n D a te F o le y ın d lc a tio n ?ir n o t Ind'T' '1 ÈX : F o rm u 7 4 ls th e LD A in E p ic c o m p le te d a n d u p d a te d ? Ï Y N S e c u re d w ith g rip lo c k S e a lIn ta c t? If s e a lb r o ke n W h y ? D e p e n d e n t Lo o p T ıs b a g o ff th e flo o r t F o le y b e lo w b la d d e r C a th e te r ìs fr e e o r v is ib le s o il? Y N lr ri g à tio n s o lu tio n d a te d w ith e x p ira tio n d a te ? (2 4 h r) Y N Ir r i g a tio n s e t n e w fo r e a c h ir rig a t io n ? O rd e rs in p a tie n ts c h a rt fo r irrig a t io n S te rile te c h n i q u e u s e d ? F o le y C a th e te r In d ic a tio m 1 A c u te u r in a r y rc tìe n tio n lo b s tn ıc ıio n (R c lic v c lıre thr a o b str u c tio n ) 2 U ro lo g iç a l u re thr a l o r c »đ e ï ıs iw a b d a m in a l s u r g ic a l p ro c e d u r e 3 S ta ge 3 o r 4 sa c r a ı o r pe rin c a l p r e s s lıre u lc e r 4 E rıd o f li& C O m f o 5 P r c v e n tio n o f fıır th e r tr a ıım a d tE to 山 田 c u lt « t i o n 6 P ro lo n g e d ibiıity d u e to u n sta b le sp in a l fra c tu r e o r pe lv ic fra c tu r e u n a b le to u s c b e d p a n d sp o n ta m o w ly v o id in g 7 C lo se n e o u t p u t m o n ito r in g w ith p h y s ic ia n o rd e r https://www.coursehero.com/file/28078875/med-Surg-packetpdf/ This study resource was shared via CourseHero.com Powered by TCPDF (www.tcpdf.org) [Show More]

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