Nursing 3 Flashcards
Kawasaki’s leads to
cardiac problems
CT
assess allergies
claustrophobia, no metal assess pacemaker
MRI
Cardiac cath
npo 8-12hr, empty bladder, pulses, tell pt may feel heat palpitations or desire to cough with dye injection
Post- Vital signs keep leg straight bedrest 6-8hr
Cardiac cath
Lumbar puncture
fetal postion. post- nuero assess q15-30 until stable, flat2-3hr, encourage fluids, oral anlgesics for headache, observe dressing
cerebral angio prep
well hydrated, lie flat, sire shaved, pulses marked post- keep flat 12-14hr, check site, pulses,force fluids.
Thoracentesis prep
Take v.s., shave area around needle insertion, position patient with arms on pillow on over bed table or lying on side
no more than 1000cc at a one time
Thoracentesis prep
listen for bilateral breath sounds, v.s., check leakage, sterile dressing
Thoracentesis post prep
Liver biopsy
Adm vit k
npo morning of exam 6hr, give sedative
Liver biopsy
Teach pt that he will be asked to hold breath for 5-10sec, supine postion, lateral with upper arms elevated
Liver biopsy
Pyelogram
assess allergies
Liver biopsy post
postion on right side, frequent v.s., report severe ab pain stat, no heavy lifting 1wk.
v.s., report elevated temp, observe for signs of hypovolemia
Liver biopsy post
walk patient to decrease CO2 build up used for procedure.
Post Laparoscopy
Laparoscopy
CO2 used to enhances visual, general anesthesia, foley
EEG
no sleep the night before
meals not withheld
EEG
no stimulants for 24hr before
EEG
tranquilizer/stimulant meds held 24-48hr before, may be asked to hyperventilate 3-4min and watch a bright flashing light.
EEG
allergy hx, phenothiazines, cns depressants, and stimulants withheld 48hr prior, table will be moved to various postions during test
Myelogram
Myelogram
Npo 4-6hr
Post- neuro q2-4, water soluble HOB up, oil soluble HOB down, oral analgesics for h/a, encourage po fluids, assess for distended bladder, inspect site.
Myelogram
Hemovac
empty when full or q8hr, remove plug, empty contents, place on flat surface, cleanse opening and plug with alcohol sponge
Sengstaken blakemore tube
used for tx of esophageal varices, keep scissors at bedside
Hemovac
used after mastectomy
Hemovac
compress evacuator completely to remove air, release plug, check system for operation
Osteomyletitis
infectious bone disease
Give blood cultures and antibiotics, then if necessary surgery to drain abscess.
Osteomyletitis
To access role relationship pattern
focus on image and relationships with others
Turn and reposition (risk for impaired skin integrity)
Nephrotic syndrome
Nephrotic syndrome
s/s edema + hypotension
Babinski sign
toes curl great! toes fan bad
Glomerulonephritis
take vs q 4 hrs + daily weights
Meningeal irritation
S/s nuchal rigidity, positive Brudzinski + Kernig signs and PHOTOPHOBIA
