100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
ATI Med Surg CMS Study Guide Latest Update % Complete Guide $25.49   Add to cart

Other

ATI Med Surg CMS Study Guide Latest Update % Complete Guide

 4 views  0 purchase
  • Course
  • ATI Med Surg CMS
  • Institution
  • ATI Med Surg CMS

ATI Med Surg CMS Study Guide Latest Update % Complete Guide

Preview 4 out of 79  pages

  • November 20, 2023
  • 79
  • 2023/2024
  • Other
  • Unknown
  • ATI Med Surg CMS
  • ATI Med Surg CMS
avatar-seller
Tutordiligent
lOMoARcPSD|25922779 ATI Med Surg CMS Study Guide Latest Update 2023 -2024 100% Complete G uide ATI Med Surg CMS Study Guide Ch. 1 Health, Wellness, and Illness Health & Wellness - Modifiable (can be changed) v. Nonmodifiable ( cannot be changed) - Aspects; Physical, Emotional, Social, Intellectual, Spiritual, Occupational, Environmental - Environment; Social (Crime vs. safety, poverty vs. prosperity, peace vs. social unrest, and presence vs. absence of support from social networks ) ; Physical ( access to health care, sanitation, availability of clean water, and geographic location Ch. 2 Emergency Nursing Principles and Management Emergency Nursing Principles • Triage - Level 1; Resuscitation - Level 2; Emergent - Level 3; Urgent - Level 4; Less Urgent - Level 5; Nonurgent • Primary Survey; rapid assessment of life threatening conditions; completed systematically; standard precautions; guided by ABCDE principle  ABCDE Principle - Airway; maintain airway, head -tilt/chin -lift if unresponsive - DO NOT perform is potential cervical spine injury; if trauma suspected use modified jaw thrust maneuver; bag valve mask w/ 100% O2 w/ nonrebreather for spontaneous breathers - Breathing; if NOT breathing manual vent w. bag valve mask or mouth to mouth - Circulation; HR, BP , pulses, cap refill; To restore circulation; CPR, assess for internal bleed, hemorrhage control; IV access; Isotonic fluids/blood To alleviate shock; O2, pressure to bleed, elevate lower extremities, IV fluids & blood, VS, stay w/ pt. - Disability; assess LOC ; GCS; AVPU - Exposure; complete physical assessment; clothing removed; hypothermia primary concern • Poisoning ; medical emergency; hx, type of poison,; resp support, circulation, restore fluids, BP/EKG, ingested poison use activated charcoal, gastric lavage (done w/I 1hr) aspiration ; diazepam if seizures occur • Rapid response team ; respond to emergency when pt. has indications of rapid decline; early recognition before resp/cardiac arrest or stroke occurs; • Cardiac emergency - Cardiac arrest; - Vfib/ Pulseless VT= defibrillate , CPR, admin IV antidysrhythmic (epi, amiodarone, lidocaine, magnesium sulfate) - Ventricular asystole - Pulseless electrical activity (PEA) & Asystole; CPR, if shockable used Defib, IV access, Epi IVP Q3 -5 min Emergency Meds; • Epi; stimulate alpha 1 (vasoconstrict), beta 1 ( HR), beta 2 (bronchodilator);  superficial bleeding, BP , AV block, cardiac arrest, & asthma ; A/e; HTN crisis, dysrhythmias, angina • Dopamine; renal blood vessel dilation, beta 1 ( HR)  Shock, HF, AKI; A/E; dysrhythmias, angina • Dobutamine; beta 1 ( HR) HF NEUROLOGIC Ch. 3 Neurologic Diagnostic Procedures Cerebral Angiography ; visualization of cerebral blood vessels, assess blood flow in brain, ID aneurysms - Do NOT perform if pregnant, NPO for 4 -6hrs prior, assess allergy to shellfish or iodine, assess bleeding risk/ use of anticoag, assess BUN & Creat; monitor area for clotting after procedure; void immediately after; may experience metallic taste or feeling of warmth ; movement restricted CT; cross section image of cranial cavity - Supine, no jewelry; if contrast dye used take precautions EEG ; ID brain wave abnormalities, seizure activity &sleep disorder - Wash hair prior, be sleep deprived, expose to flashing lights or hyperventilate for 3 -4 min; avoid stimulants/sedatives 12 -24 hr. prior; 45 -120 min ICP Monitoring; performed by neurosurgeon in operating room, used for ICP , GCS score of 8 or <, complication of infection • 3 Types ICP Monitoring - Intraventricular Catheter; fluid filled cath connected to sterile drainage system inserted into burr hole, allows simultaneous drainage & monitoring by transducer connected to monitor - Subarachnoid screw or bolt; hollow threaded screw or bolt connected to transducer, placed thru burr hole - Epidural or subdural sensor; fiber optic sensor inserted thru burr hole - S/S ICP (normal 10 -15)= IRRITABILITY first sign, severe headache, decrease loc, dilated/ pinpoint pupils, altered breathing pattern (Cheyne -stokes), hyperventilation, apnea, abnormal posturing Lumbar Puncture ; w/draw CSF to diagnose MS, syphilis, meningitis - Void prior, assume cannonball position, monitor puncture site, remain lying still on back after procedure for several hours Complications; headache from leaking CSF, give opioids /pain meds, fluid intake MRI ; NPO 4 -8 hr. prior; remove jewelry, not claustrophobic, give earplugs; w/ contrast dyes: assess for allergies for shellfish; no metal implants (IUD, aneurysm clip, ortho joint, artificial heart valve, pacemaker) PET & SPECT Scan ; Positron emission tomography and single -photon emission computed tomography scans; nuclear medicine procedures produce 3D images of head; images can be static (depicting vessels) or functional (depicting brain activity); captures reginal metabolic proces ses (tumor activity, dementia) - Radiation risks X-ray; reveal fracture or curvature; no pregnant pts, no jewelry Ch. 4 Pain Management Pain Assessment ; location, quality, measures/intensity/severity, timing/onset/duration, setting/ how it affects daily life, associated manifestations, aggravating/relieving factors Nonpharm Pain Management ; tens, heat, cold, massage, relaxation, imagery Pharm management - Nonopioid; mild -moderate pain, 4g Tylenol, monitor for salicylism (tinnitus, vertigo, decreased hearing), gi upset, bleeding - Opioid= moderate -severe pain, around clock admin, cause constipation, hypotension, urinary retention, n/v, sedation, respiratory depression, have naloxone ready Ch. 5 Meningitis - Inflammation of meninges, viral most common and resolves w/o treatment , fungal common in AIDS pt.; bacterial is contagious w/ high mortality Prevention; Hib vaccine, PPSV & MCV4 vaccine (college students) s/s: excruciating constant headache, stiff neck, photophobia, fever and chills, n/v, altered loc, positive Kernig sign (resistance

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Tutordiligent. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $25.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

82215 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$25.49
  • (0)
  Add to cart