misc. Flashcards
addisons=
cushings=
addisons= down, down down up down cushings= up up up down up
addisons=
cushings=
addisons= hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia cushings= hypernatremia, hypertension, incrased blood vol, hypokalemia, hyperglycemia
No Pee, no K
(do not give potassium without adequate urine output)
EleVate Veins; dAngle Arteries for better perfusion
.
A= . P= . G= . A= . R= .
A= appearance (color all pink, pink and blue, blue [pale]) P= pulse (>100, < 100, absent) G= grimace (cough, grimace, no response) A= activity (flexed, flaccid, limp) R= respirations (strong cry, weak cry, absent)
TRANSMISSION-BASED PRECAUTIONS: AIRBORNE My - . Chicken - . Hez - . TB
.My - Measles
Chicken - Chicken Pox/Varicella
Hez - Herpez Zoster/Shingles
TB
DROPLET
think of SPIDERMAN!
.
-S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or meningeal pneumonia An - Adenovirus Private Room or cohort Mask
CONTACT PRECAUTION
MRS.WEE
M - multidrug resistant organism R - respiratory infection S - skin infections * W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis
SKIN INFECTIONS
VCHIPS
V - varicella zoster C - cutaneous diphtheria H - herpez simplex I - impetigo P - pediculosis S - scabies
Air/Pulmonary Embolism
(S&S: chest pain, difficulty breathing, tachycardia, pale/cyanotic,
sense of impending doom) –> turn pt to left side and lower the head of the bed.
Woman in Labor w/ Un-reassuring FHR
(late decels, decreased variability, fetal
bradycardia, etc) –> turn on left side (and give O2, stop Pitocin, increase IV fluids)
Tube Feeding w/ Decreased LOC
position pt on right side (promotes emptying of the
stomach) with the HOB elevated (to prevent aspiration)
During Epidural Puncture
side-lying
After Lumbar Puncture
(and also oil-based Myelogram)–> pt lies in flat supine (to prevent
headache and leaking of CSF)
Pt w/ Heat Stroke
lie flat w/ legs elevated
During Continuous Bladder Irrigation
catheter is taped to thigh so leg should be
kept straight. No other positioning restrictions.
After Myringotomy
position on side of affected ear after surgery (allows drainage of
secretions)
After Cataract Surgery
pt will sleep on unaffected side with a night shield for 1-4
weeks.
After Thyroidectomy
low or semi-Fowler’s, support head, neck and shoulders.
Buck’s Traction (skin traction)
elevate foot of bed for counter-traction
After Total Hip Replacement
don’t sleep on operated side, don’t flex hip more than 45-
60 degrees, don’t elevate HOB more than 45 degrees. Maintain hip abduction by separating
thighs with pillows.
Prolapsed Cord
knee-chest position or Trendelenburg
Infant w/ Cleft Lip
position on back or in infant seat to prevent trauma to suture line.
While feeding, hold in upright position.
To Prevent Dumping Syndrome
(post-operative ulcer/stomach surgeries) –> eat in
reclining position, lie down after meals for 20-30 minutes (also restrict fluids during meals, low
CHO and fiber diet, small frequent meals)
