Remediation Flashcards
Things to know about chest tube
- Unit must be positioned below the level of chest tube, tubing should hang straight without looping.
- Water filled chamber should be filled to the correct level, fill with sterile water.
- Unit should be attached to the wall suction, suction set to 20 cm. There should be mild continuous bubbling in the suction chamber.
- All connects should be taped.
- There should not be any kinks in chest tube or tubing.
- Maintain patency by milking or stripping the tube
- Mark and record drainage output each shift.
- Help patient deep breath and cough, and change positions .
Signs of pneumonia
Dyspnea
Fatigue
Fever
Cough
Purulent or bloody sputum
Wet breath sounds
Steps for deep breathing and coughing excercise
- Sit in semi Fowler position for maximum lung expansion
- Place one hand on the abdomen to feel it rise and fall with breathing
- Inhale deeply through the nose, pause 1 to 3 seconds and exhale slowly through the mouth.
- After 4 to 6 breaths, cough deeply from the lungs to aid in the expectoration of sputum.
- After thoracic or abdominal surgery, splint the incision with a pillow to minimize discomfort and support incision
Misoprostol (cytotec)
Protective agent to to protect from GI side effects when using NSAIDs
Opioid toxicity to CNS
Drowsiness
Cognitive impairment
Confusion
Hallucinations
Euphoria
Dizziness
Sleep disturbances
Opioid toxicity to EYES
Pupil construction
Opioid toxicity to Respiratory
Bradypnea
Hypoventilation
Opioid toxicity to Cardiac
Hypotension
Bradycardia
Peripheral edema
Opioid toxicity to GI
Constipation
Nausea/ Vomiting
Delayed gastric emptying
Opioid toxicity to GU
Urinary retention
Opioid toxicity to Endocrine
Hormonal and sexual dysfunction
Opioid toxicity to Skin
Pruritis
Maximum Acetaminophen and Ibuprofen in 24 hours
Acetaminophen 4 g (4,000mg)
Ibuprofen 3200 mg
