Course Overview Part 2 Flashcards
What is blood pressure?
When the heart pumps through the arteries, the blood puts pressure on the artery walls
Normotensive
Normal blood pressure
Hypertensive
High blood pressure
- Increased 140 Systolic
- Increased 90 Diastolic
Hypotensive
Low blood pressure
- Below 90 Systolic
Hypertension Signs and Symptoms
- Usually asymtomatic
- Vague Symptoms
- Headache
- Visual disturbances
- Dizziness
- Shortness of Breath
Nursing Intervention Hypertension
- Accurately measure blood pressure
- Monitor, document and report
- Support patient with changing high risk lifestyle factors: smoking, obesity, poor diet
- Manage pain, anxiety
Hypertension Outcome
- May lead to myocardial infarction, stroke, heart failure, chronic kidney disease
Hypotension Signs and Symptoms
- Dizziness
- Lightheaded
- Pallor
- Cold, clammy skin
- Syncope (fainting
Nursing Intervention Hypotension
- Repositioning the patient
- Hydration
- Measure for orthostatic hypotension (lying &staning blood pressure)
- Monitor, document & report
- Review medication
What are the phases of swallowing?
- Preparation
- Swallowing
- Pharyngeal
- Oesophageal
Assisting patient with dysphagia
- Sit in High fowler positions until at least 15 minutes after meal
- Ensure its the correct diet/meal/thickned fluid
- Face the patient during feeding and have the head tilted forward and chin tucked in
- Feed slowly, small bites and check for swallowing and chewing
- Watch for signs of tiredness and stop if signs of chocking, coughing, gurgling
- Document
Enteral Nutrition
Nutritional support or replacement when patient is unable to consume adequate nutrients orally.
Nutritionally complete liquid formula directly into the stomach or small intestine via a narrow specifically designed tube
Diabetes Mellitus
Group of chronic disorders of endocrine pancreas. characterised by hyperglycaemia caused by a deficiency of insulin or cellular resistance to the action of insulin
Three Types of Diabetes Mellitus
- Type 1 Diabetes
- Type 2 Diabetes
- Gestational Diabetes
Clinical Handover
Transfer of professional responsibility and accountibility. To ensure continuity of care
Documentation Guidelines
- Date and times 24hr, Date d/m/y
- Designation
- Legibility
- Permanence: Written in black ink
- Used approved abbreviations and symbols
- Correct Spelling
Documentation Errors
- Use single line to cross out error
- Original error must remain legible
- Do not used correction fluid
- Document “written in error” followed by printed name, signature, designation and date/time of correction
Progress Note Framework
SOAPIER
DRSABCD
- D: Dangers?
- R: Responsive?
- S: Send for help
- A: Open Airway
- B: Normal Breathing?
- C: Start CPR
- D: Attach Defibrillator
Compressions
- Centre of Chest
- 5cm depth
Ratio 30:2 until airway secured
Avoid - Provider fatigue
- Interruptions
