Professional Documents
Culture Documents
41. DIC
• Bruising, purpura
• Presence of occult blood
• Low fibrinogen level, hct, platelet
• Increased PT, PTT
• Complication: RENAL FAILURE
43. THROMBOPHLEBITIS
• Avoid pressure behind legs
• Avoid prolonged sitting
• Avoid constrictive clothing
• Avoid crossing the legs
• Avoid massaging the legs
44. SYPHILIS
Painless chancre fades after 6 weeks
Low grade fever
Copper-colored rash on palms and soles of feet
Spread by contact of mucous membranes
Treat with Penicillin G IM
If patient has penicillin allergy, will use erythromycin for 10-15 days.
After treatment, patient must be retested to make sure disease is gone
47. CHOLECYSTITIS
Sx:
•N&V
• Belching
• Indigestion
• Flatulence
• Epigastric pain that radiates to the scapula 2 hrs. after eating fatty food
• Pain localized in RLQ
• Guarding, rigidity & rebound tenderness
• Cannot take a deep breath when fingers are pressed below hepatic margin
(Murphy’s Sign)
II. COMPUTATION
1. Dopamine
2. Dobutamine drip: Order is 2.5mcg/kg/min, patient weights 176 lbs.
Stock is 500mg in 500ml of NSS,
Compute for ml/hr?
Answer: 12ml/hr
3. Md with IV order for patient 3,000ml in 24 hrs., get the rate at ml per hour.
Solution: 3000/24 = 125 ml/hr
4. Tablets : Dose of 20 mg per dose in stock dose of 5 mg per tablet, how many
tablets?
Solution: 20/5 x 1 = 4 tablets
III. TOPICS
1. SAFETY INFECTION CONTROL
Particulate MASK
PTB
Measles / Rubella
Chicken Pox/
Varicella
SARS
Anthrax
CONTACT : GGG
(gown,gloves,goggles)
Conjunctivitis
Open wounds /drainage
Lesions
MRSA / VRSA /
CDAD
RSV/ VRE
FROTECTIVE:
Blood dyscrasias
Aplastic anemia
Leukemia
Major burns (50%)
Organ transplant
Aids
Multiple Myeloma
Prolong Steroid Therapy
Concepts:
1. Infection control:
a. clean with clean for example patients with CVA, DM, Cardio disease
2. PRIORITIZATION
Remember the rule of stable vs. unstable. Although you consider the client
unstable but if it expected in him, this is stable. Example. Asthma with wheezing-
you consider this unstable.
ABC, unstable , first think EXPECTED in asthma so this will be considered stable.
3. DELEGATION
RN - Newly admitted, needs assessment, pre op teaching and post op, nsg.
Judgment & discharge planning ,IV meds, BT.
LPN-Can give meds except IV, sterile techniques like wound dressing,
catheterization, insertion of NG tube, remove sutures. Stable expected outcome.
NA/ UAP/CN/ Senior nursing student - All “-ing” ex bathing, reading v/s in
long term pt. Testing occult blood, BS, monitoring, soap sud enema, testing
occult blood,
-Isolation precautions, basic hygiene ADL, Input & Output, Finger stick with
gestational diabetes, urinalysis, TSB, turning unconscious patient, change
perineal pad, assist in ambulation,
discharge tomorrow,
-Stable v/s, pulse oximetry, reading,
terminally ill because of comfort only
needed.
- Routinary Procedure
6. U waves :
• Hypokalemia
23. What will you ask on pt for cardiac stress test (Thallium stress test)?
• Is he on beta-blocker? (if with radionuclide already, Persantine, then invasive &
shld.
avoid caffeine, calcium channel blockers, b-blockers, theophylline)
38. MDI
• Hold breath
39. Frostbite
• Soak in warm water
40. Normal respiratory changes in elderly
• Decreased cough reflex
50. Sclerotherapy
• Application of pressure dressing for 12-48 hrs.