Thirst (early sign), fever, rapid/weak pulse, increased resp, hypotension, weight loss, anxiety, decreased output, HA, increased specific gravity Fluid volume overload S/S
SIMS 2 MALE MUSCLE SKIN SKIN
Keep catheter 2-4 weeks, make sure to do Q 4-6 Hrs on a schedule can do sitting or standing hydrate When would you use defibrilation vs cardioversionĭefib for V fib (paddle at R sternal border and over apex of heart) and give 1 mg Epi IVP Q3-5 minĬardioversion for arrhythmias like Afib (need informed consent) S/S of shockĬool/clammy skin restless tachycardia weak pulses Metabolic Acidosis Oliguria shallow/rapid respirations muscle weakness Fluid volume deficit S/S Pull foreskin and cleanse in circular motion hold penis perpendicular to body insert catheter 6-7 inches replace foreskin inflate tape Self Catheterization Separate labia and wipe from meatus towards rectum with iodine swabs insert 2-3 inches into urethrea after seeing urine inflate balloon gentile traction/tape to thigh Urinary Catheter Insertion (Male)ĭrape with drapes using sterile tech sterile gloves lube catheter place in tray. ~Aspirate gastric contents and check pH (should be 100mL) 15-30mL water before and after each med and feed admin fluids at room temperature change bag Q24-72H HOB 30 when feeding and 30 min post Urinary Catheter Insertion (Female)Įxplain assemble equipment, pt in dorsal recumbent position or Simsĭrape with drapes using sterile tech sterile gloves lube catheter place in tray. MONITOR FOR RESP DISTRESS! (sign that it is misplaced in the lungs NGT Verication Measure distance from tip of nose to earlobe to bottom of xiphoid process mark the end with tape~lubricate, insert through nose, offer sips of water/bend head forward (HOB 60-90 degrees)~secure with hypoallergenic tape Up and back with adult down and back for child! After lie on unaffected ear to facilitate absorption NGT Insertion Q8H or PRN hyper O2 prior, suction, remove old dressings, open sterile teach care kit/sterile glove, remove inner cannula (clean with hydrogen peroxide), reinsert, clean stoma with hydrogen peroxide and sterile water, change ties, new sterile dressing (DONT CUT GAUZE) Nasal Cannula
Hyperventilation/Mechanical Vent Respiratory Acidosis Causesĭecreased rest stimuli (ex-anesthesia), COPD, Pneumonia, Atelectasis Metabolic Acidosis CausesĭKA, Renal failure, Dehydration, Liver failure, Diarrhea, Fistulas Normal pH Pressure post venipuncture Metabolic Alkalosis Causes Will function 3-6 days post op~want a low residue diet 6-8wks post op! Swelling normal in first few days post op pouch opening 1/8 inch larger than stoma, skin barrier under all tapes and to protect skin surrounding stoma, cleanse gently/pat dry, use stoma adhesive/hold pouch for 30 sec when setting and change if seal breaks or if 1/4 full Bleeding Precautions O=3-4 hr P= cont D=24hr Meds to take at nightĪlpha Adrenergic Blockers Meds that interact with grapefruitĬan increase serum drug level-CCB, Statins, Caffeine, SSRIs, Dextromorphan, Sirolimus, Carbamazepine, Buspirone, Midazolam, Sildenafil, Praziquantel, Tacrolimus Stoma Care Lispro, Aspart, Glusine Short Acting Insulin Secure, tubing, infuse Rapid Acting Insulin Insert at 10-30 degree angle and lessen, once you see blood lower 1/4" and remove tourniquet, remove needle and advance catheter Using non dominant hand, place tourniquet 4-6" above, warm area/hand over bed/make a fist to dilate veinĬlean with alcohol inside to outside then with iodine More concentration than body fluids- pulls water out of the cell= cell shrivels (10-15% D, NaBicarb 5%) given for hyponatremia IV Insertion Less concentration than body fluids- pulls water into the cell= cell bursts (1/2NS) given with dehydration Hypertonic Fluids Same concentration as body fluids (NS,LR,D5W) Hypotonic Fluids have N/V, chills, lower back pain, hypotension, increased HR Isotonic Fluids
2.5-3.5 seconds for prosthetic heart valves ESRġ0-40 (high=liver damage/failure) Bilirubin
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