ATI MED SURGE STUDY GUIDE FOR 2021

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Provide a quiet environment -Minimize exposure to bright light- Maintain bedrest with head of bed elevated to 30degree-Monitor for increased of ICP-Tell the client to avoid coughing, sneezingg,strain... ing which can increase ICP-Maintain safety, such as seizures precautions- Older adults are risk for secondary complications such as pnemonia- Implement fever- reduction measures , such as cooling blanketMonitor vital signs for septic shock. Mannitol can be adminitered via IV. SIADH-septic-Decreased enviromental stimuli. Increased hypercabia can caused increased intracranial pressure. monitor for cushing s triad (widening od pulse) -dilated or pinpoint pupils- Alteration in breathing pattern (Cheyne stokes)-Deterioration in motor fuction. Prodromal phase:includes awareness of finding for hours to days before onset: irritability, depressionfood craving, diarrhea/constipation and frequent urination. Aura stages develops over minutes to an hour to include neurologic findings: numbness tingling of mouth lips,and is accompanied by nauseaface and hands-acute confusion-visual disturbances. Second stage: severe incapacity , throbbing headache that intensifies over several hours-accompanied by nausea-vomitting drowsiness ad vertigo. Third stage:4 to 72 hours dull headache. Recovery with pain and aura sudsiding. Muscles achesand contraction of headand neck musces are common .physical activity worsens pain and clientmight sleep [Show More]

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