85 page guided reading notes to augment your studying for your Med-Surg ATI & help you get that level 2+! POINTS TO KNOW!
Perfect in every way!! Highlights critical info.
What to do w/ kids with sickle cell vasooc
...
85 page guided reading notes to augment your studying for your Med-Surg ATI & help you get that level 2+! POINTS TO KNOW!
Perfect in every way!! Highlights critical info.
What to do w/ kids with sickle cell vasoocclusive crisis
○ Sickle cell - vaso-occlusive crisis (painful episode)
■ Acute (related to dehydration and decreased oxygen)
● Severe pain; usually in bones; joints; abdomen
● Swollen joints; hands; feet
● Abdominal pain
● Hematuria
● Obstructive jaundice
● Visual disturbances
■ Chronic
● Increased risk of respiratory infections and osteomyelitis
● Retinal detachment and blindness
● Systolic murmurs
● Renal failure and enuresis
● Liver cirrhosis; hepatomegaly
● Seizures
● Skeletal deformities; shoulder or hip avascular necrosis
○ Nx Care
■ Rest to decrease oxygen consumption
■ Hydration
● I&O; oral fluids; IV fluids with electrolyte replacement; caution with K
■ Administer blood products - PRBCs
■ Tx and prevent infection
● Antibiotics
● Hand hygiene
● Prophylactic penicillin
● Where the fundus should be pp
○ Fundus immediately after delivery
■ Firm; midline with umbilicus; around level of umbilicus
○ 24 hours
■ Descend 1 - 2 cm
○ Day 10
■ In pelvis; not palpable
● What tests for pregnant wm @ 16wks
○ Monitoring fetal development
■ FHR heard on Doppler at 10 - 12 wks of gestation or heard with ultrasound stethoscope @ 16 - 20 weeks gestation.
○ Begin assessing fetal movement between 16 - 20 wks gestation
○
● Iv settings for 100ml bolus over 15m
●
● Inappropriate abbreviations
●
● When to file incident report
○
● How to determine if it’s In scope of practice
○ ANA - american nurses association
● Delegation AP
○ Activities of daily living; bathing; grooming; dressing; toileting; ambulating; feeding; positioning; bed making; specimen collection; I&O; VS - stable pts
● Delegation to LPN
○ monitor findings, reinforce pt teaching from a standard care plan, perform tracheostomy care, suctioning, ck NG tube patency, admin enteral feedings, insert urinary catheter, admin meds except IVs
● Chain of command (charge then RN manager)
○
● Primary secondary tertiary intervention
○ PRIMARY
■ Addresses the needs of healthy clients to promote health and prevent disease with specific protections
● Immunization program; child car seat education; nutrition; fitness
○ SECONDARY
■ Focus on identifying illness; providing treatment; and conducting activities that help prevent worsening health status
● Communicable disease; screening; early detection of DM; exercise program
○ TERTIARY
■ Aims to prevent the long term consequence of a chronic illness of disability and to support optimal functioning
● independncee
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