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LOWER BACK PAIN from expansion of aneurysmĪvoid caffiene (can cause relapse), avoid alcohol, low fat/high cal diet Shock at 360J, continue CPR for 2 minutes To encourage deep breathing and promote lung expansion What meds to give for acute asthma exacerbationīronchodilators for emergency relief, inhaled/oral steroids after bronchodilators to decrease inflammation VS Q15min until stable, semi-fowlers position, fluids, tracheostomy at bedsideĪdrenocortical insufficency, release of hormones decreasesĬoronary arteries blood flow is supplied duringĬoronary Artery Disease leads to an increase in High T3 and T4 levels, give iodine, propylthiouracil, and propranolol (decrease anxiety and cardiac effects) Hyperthyroidism lab values and treatments Encourage pursed lip breathing to increase CO2 elimination, small/frequent meals, no bronchodilator at bedtime (insomnia), space out activity, exercise before meals Distended neck veins, right upper quadrant pain, dependent edemaĭecreased respiratory excursion, increased expiratory phase, increased RR. Heart failure, crackles from left side heart failureĬaused from right sided heart failure from pulmonary disease. High protein diet to enhance recovery of injured liver cells What medication to give for multifocal PVCs?īlood and body fluid precautions. Increased CVP, sacral edema, hepatojugular reflux Streptokinase- assess for bleeding and allergic response
#What does the nurse administer when a patient has a sudden attack of angina? how to#
High Fowlers to elevate clavicles, helps lungs expand and eases breathingĬhest tube attached to suction stops bubbling, how to get chamber bubbling again? What position to put pt in if having difficulty breathing Pt education for taking isoniazid (tx for TB)ĭo not drink alcohol, take it with food, do not take with antacid Increase appetite, polydipsia (increase thirst), lethargy, polyuria Place pt on side- NOT on back to prevent aspiration and swallowing tongue. How to decrease brain metabolism to prevent hypoxia DO NOT IMPEDE VENOUS OUTFLOW, this could increase ICP Q15min for first 2 hours, hourly for next 8 hoursĮlevate head, neutral alignment, neck flexion, head rotation. How often to assess for hemorrhage post op Hyperaldrenalism, hyperglycemia, increase WBC, increase cortisol, high 17-ketosteroid levels, hypernatremia, hypokalemia, metabolic alkalosisĪssess for shock, check irrigation system, notify practitioner, administer antispasmodic agent Ischemia- decreased tissue perfusion- cardiac insufficiency- anaerobic metabolism- lactic acid production S/sx hypernatremia- dry and sticky mucous membranes, thirst, swollen tongue, disorientation, muscle irritablility Neuromuscular instability= hypocalcemiaĭecrease in ADH, increase urine loss, leads to hypernatremia. + contraction of facial muscles when facial nerve is tapped. Hypokalemia s/sx related to vomiting and diarrhea No tight stockings, keep extremities dry, and exercise daily What to avoid if you have vascular diseaseĪvoid caffeine and nicotine- they constrict blood vessels and impair circulation. SEVERE CHEST PAIN, "tearing in the chest" respiratory distress, ischemia CNS, kidneys Heart failure drugs: digoxin, vasodilators, diureticsĭigoxin- increase contractility, slows heart rate Vasodilators- decrease afterloadĭiuretics- decrease peripheral resistance, increase cardiac outputĪcute dissecting thoracic aortic aneurysm s/sx Increased IOP, nerve damage, decrease peripheral vision Gradual loss of vision, both eyes, painless blurring Do not cough, sneeze with mouth open, bed rest 24 hours, slow head movements Teaching: lie on bed with operative ear up to prevent pressure on graft site. Stapedectomy is surgery on middle ear to improve hearing. Otosclerosis teaching for s/p stapedectomy Nasal packing and bleeding in posterior pharynx Why increased swallowing s/p rhinoplasty? Wear gloves when doing routine hygiene mouth careĭry, pale, no blister, pearly white, charred tissue Inhibits DNA of virus and interferes with viral replication Kaposis's Sarcoma (facial lesions)- low self esteem, disturbed body image, anxiety, anger, grief, depression, explore patient's feelings
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Irregular shape, lack uniformity in color, brown, black with red, white, blue areasĪIDS- name for facial lesions and nursing diagnosis Arthritis, neuro problems, cardiac problems