*NURSING > HESI MED SURG > MED SURG 2 HESI TOPICS (All)

MED SURG 2 HESI TOPICS

Document Content and Description Below

Critical Care/ Basic Nursing Skills/ Safety/ ICU Confusion 480, 618 People on ventilation are more prone to ICU confusion b/c of sleep deprivation, secluded rooms. Drug calc mL/hr to mcg/min Nitr... oglycerin Cardiovascular/ sinus bradycardia/ recognize Rate are less than 60 P and QRS width are within normal limits Low heart rate is normal for some people but with people with decreased cardiac output, treatment is needed. Assess patient for syncope, dizziness, confusion, hypotension, diaphoresis, SOB, chest pain TX: Find out the cause of the bradycardia (maybe their meds), Admin O2 if needed, admin atropine sulfate to increase heart rate, monitor for hypotension and admin fluids IV. The client might need a pacemaker Cardiovascular/ V-fib/ Interpret Ventricles fire in a totally disorganized manner. Client lacks a pulse, BP, respirations, and heart sounds Cardiac emergency Irregular undulations of varying amplitudes No cardiac output TX: CPR, defib, anti-dysrhythmic drugs Neuro and Resp/ Subdural Hematoma/ ET Suction No more than 3 times; 10- 15 Seconds; May need hyperventilation for up to 3 minutes before suction to prevent hypoxia. In patients with severe head trauma, ET suctioning may cause adverse reactions including cough, systemic HTN, increased ICP and reduced cerebral perfusion pressure (Found on the internet) ET Suction is used to clear airway of secretions when the cough reflex is suppressed by the ET tube. Resp/ Chest tube/ deep breathing You want to encourage coughing and deep breathing Assist pt. to deep breathe, cough, perform maximal sustained inhalations and use incentive spirometry. Asses breathing effectiveness by pulse ox Professional issues/ Document/ Leadership/ STEMI Post thrombolysis/ Lidocaine Before administering lidocaine, always check the vial label to prevent administering a form that contains epinephrine or preservatives because these solutions are used for local anesthesia only. May need double verification Monitor ECG strip, VS Drug Calc/ units/kg/ heparin bolus Basic Nursing Skills/ HIV/ Candidiasis Standard precautions include washing hands even if gloves have been worn to give care. Wear exam gloves for touching blood or body fluids or any non-intact body surface Mouth care can improve appetite; rinse pt. mouth with sodium bicarb w/ sterile H2O or NS several times a day. Use soft toothbrush and drink plenty of fluids. Avoid using alcohol-based mouthwashes. Wear gowns during procedure that might generate splashes (changing clients w/ diarrhea) Use mask when droplets may be dispersed (suctioning) Basic Nursing Skills/ Esophageal Varices/ diet Soft diet, if bleeding they are NPO, no hard candy Med Administration/ teaching/ Addison’s/ Discharge plan Needs lifelong hormone replacement Need for close medical supervision Needs medical alert bracelet S/S of overdosage and underdoasge of medication Diet: High sodium, low potassium, and high carb (complex carb) Fluid: At least 3 L of fluid per day GI/ Hepatic/ Oncology/ Colon Cancer/ Intestinal polyps Risk factors for colon cancer include previous colorectal polyps, history of colorectal cancer. Cardiovascular/ Acute Coronary syndrome/ Cardiac Enzymes Elevations in troponins and myoglobin indicate myocardial injury or infarction. Troponin: <0.10 ng/mL Onset(as early as 1 hr post injury) Peak(10-24hrs) Return to normal(5-14 days) Myoglobin: <90 mcg/L Onset (1-4 hr) Peak(12hr) Return to normal(24hr) CK-MB: Onset(4-8hrs) Peak (12-24) Return to normal(48-72) Ordered every 6 hours. Cardiovascular/ dysrhythmias/calcium Common causes of dysrhythmias include acid base and electrolyte imbalances (potassium, calcium, and magnesium) Hypocalcemia: can cause Ventricular dysrhythmia, prolonged ST and QT intervals, and cardiac arrest Hypercalcemia: can cause shortened ST segment and widened T wave, atrioventricular block, tachycardia or bradycardia, digitalis hypersensitivity, and cardiac arrest.*** Cardiovascular/MI/ female Woman more commonly experience dyspnea, unusual fatigue, and sleep disturbances Cardiovascular/GI and hepatic/ Septic Shock/ Peritonitis pg1171 MS Rigged board like abdomen When treatment is delayed, blood vessel dilation continues. The body responds to the continuing infectious process by shunting extra blood to the area of inflammation. Fluid is shifted from the extracellular fluid compartment into the peritoneal cavity connective tissues and GI tract (third spacing). The shift can lead to hypovolemic shock. Causes of Peritonitis: Abdominal pain, tenderness, and distention. Decreased LOC and urine output Cardiovascular/operative/AAA/ Pulse Absent Ruptured AAA=loss of pulses distal to the rupture Cardiovascular and renal/AKI (Acute renal failure) pg 74(HESI) Daily Weights, Monitor I&0’s, monitor serum urine, potassium levels and ECG changes. Asses LOC, Kayexalate may be prescribed if K is too high. Clients with renal failure retain sodium. With water retention, the sodium becomes diluted and serum levels may appear near normal. With excessive water retention, the sodium levels appear decreased (dilution). Limit fluid and sodium intake in AKI clients. [Show More]

Last updated: 1 year ago

Preview 1 out of 8 pages

Reviews( 0 )

Recommended For You

 *NURSING> HESI MED SURG > Saint Mary’s College of California - MATH 101, Med Surg 2 HESI Topics (Latest 2021) Correct Study Guide, Download to Score A (All)

preview
Saint Mary’s College of California - MATH 101, Med Surg 2 HESI Topics (Latest 2021) Correct Study Guide, Download to Score A

Saint Mary’s College of California - MATH 101, Med Surg 2 HESI Topics (Latest 2021) Correct Study Guide, Download to Score A

By Tracy0777 , Uploaded: Jul 16, 2021

$18

 *NURSING> HESI MED SURG > HESI Med surg EXIT EXAM Updated (2022-2023) Test Bank. (All)

preview
HESI Med surg EXIT EXAM Updated (2022-2023) Test Bank.

1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best foll...

By A+ Grades , Uploaded: Nov 03, 2022

$20

 *NURSING> HESI MED SURG > HESI RN Medical Surgical Med Surg 2023 V1. Complete Real/Captured Exam. 55 Q&A (All)

preview
HESI RN Medical Surgical Med Surg 2023 V1. Complete Real/Captured Exam. 55 Q&A

This is a PDF file that has 55 questions of HESI RN Medical Surgical Nursing 2023 V1 It is a good way to review your study by doing these types of questions. I am sure that it will help you even if y...

By NursingHero , Uploaded: May 16, 2021

$22

 *NURSING> HESI MED SURG > HESI RN MED-SURG Exam Dumps. Over 500 Q&A (All)

preview
HESI RN MED-SURG Exam Dumps. Over 500 Q&A

HESI RN MED-SURG Exam Dumps. THIS DOCUMENT CONTAINSTHIS DOCUMENT CONTAINS HESI RN MED SURG 2021.QUESTIONS AND ANSWERS.VERIFIED 100% CORRECT QUESTIONS AND ANSWERS 2021 HESI RN MED SURG 2021.QUESTIONS A...

By CHRIS , Uploaded: Apr 03, 2021

$19.5

 *NURSING> HESI MED SURG > HESI MED SURG 2018 MEDSURG 55 QUESTIONS RN V1 (All)

preview
HESI MED SURG 2018 MEDSURG 55 QUESTIONS RN V1

HESI MED SURG 2018 MEDSURG 55 QUESTIONS RN V1

By ACADEMICTUTORIAL , Uploaded: Nov 29, 2021

$4.5

 *NURSING> HESI MED SURG > HESI PN MED SURG PROCTORED EXAM BUNDLE (14 VERSIONS) Complete Exam Combination in 400 Pages. (All)

preview
HESI PN MED SURG PROCTORED EXAM BUNDLE (14 VERSIONS) Complete Exam Combination in 400 Pages.

HESI PN MED SURGE PROCTORED EXAM (14 LATEST VERSIONS, 2021)HESI PN MED SURGE PROCTORED EXAM (14 LATEST VERSIONS, 2021)HESI PN MED SURGE PROCTORED EXAM (14 LATEST VERSIONS, 2021)HESI PN MED SURGE PROCT...

By NurseGrade , Uploaded: Nov 26, 2021

$35.5

 *NURSING> HESI MED SURG > MED-SURG | HESI EXIT RN EXAM COMPLETE NEW VERSION AUTHENTIC 2020 | Hondros college of Nursing/(100 % CORRECT) (All)

preview
MED-SURG | HESI EXIT RN EXAM COMPLETE NEW VERSION AUTHENTIC 2020 | Hondros college of Nursing/(100 % CORRECT)

MED-SURG | HESI EXIT RN EXAM COMPLETE NEW VERSION AUTHENTIC 2020 | Hondros college of Nursing/(100 % CORRECT)

By A+ Solutions , Uploaded: Feb 22, 2021

$12.5

 *NURSING> HESI MED SURG > MEDSURG_HESI.West Coast University NURSING BSN (All)

preview
MEDSURG_HESI.West Coast University NURSING BSN

Medical-Surgical A 1.ID: 311190749 Which milestone indicates to the nurse successful achievement of young adulthood? A. Demonstrates a conceptualization of death and dying. B. Completes education...

By Dr Medina Reed , Uploaded: Mar 30, 2022

$15

 *NURSING> HESI MED SURG > Med surg HESI EXIT EXAM Updated (June 2022) Test Bank.pdf (All)

preview
Med surg HESI EXIT EXAM Updated (June 2022) Test Bank.pdf

Med surg HESI EXIT EXAM Updated (June 2022) Test Bank.pdf 1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk,...

By Professor Lynne , Uploaded: May 11, 2022

$14

 Management Information Systems (MIS)> HESI MED SURG > Hesi Med Surg Review 1 Questions/Answers LATEST (All)

preview
Hesi Med Surg Review 1 Questions/Answers LATEST

Hesi Med Surg Review 1

By Good grade , Uploaded: Nov 20, 2020

$8

$8.00

Add to cart

Instant download

Can't find what you want? Try our AI powered Search

OR

GET ASSIGNMENT HELP
45
0

Document information


Connected school, study & course



About the document


Uploaded On

Mar 23, 2021

Number of pages

8

Written in

Seller


seller-icon
Expert

Member since 3 years

29 Documents Sold


Additional information

This document has been written for:

Uploaded

Mar 23, 2021

Downloads

 0

Views

 45

Document Keyword Tags

THE BEST STUDY GUIDES

Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

custom preview

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

custom preview

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

custom preview

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.

WHAT STUDENTS SAY ABOUT US


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·