NUR2755 / NUR 2755 FINAL EXAM (Latest 2024/2025) | Multidimensional Care IV Exam | MDC 4 | Rasmussen
NUR2755 / NUR 2755 FINAL EXAM (Latest 2024/2025) | Multidimensional Care IV Exam | MDC 4 | Rasmussen
NUR2755 / NUR 2755 FINAL EXAM (Latest 2024/2025) | Multidimensional Care IV Exam | MDC 4 | ...
Pulmonary embolism treatment
ANTICOAGULANTS
Heparin (monitor PTT/aPTT)
Warfarin (monitor PT and INR)
During transition period between heparin and warfarin, monitor aPTT, INR,
and platelet count
Pulmonary embolism surgical management
Embolectomy
The surgical or percutaneous removal of the embolus
IVC filtration (filter)
With placement of a retrievable vena cava filter prevents further emboli
from reaching the lungs in patient with ongoing risk for PE
Pulmonary edema teaching
-Take meds and finish them
-Monitor for swelling of the face or SOB
-Daily weights and notify if you gain more than 2lb/day or 5lb/week
-LOW sodium diet
Early signs of pneumonia
Purulent sputum
Diminished lung sounds
Fatigue
Cough
Flail chest clinical manifestations
-KEY SYMPTOM: Paradoxical chest movement/respirations
Pattern of breathing in which the chest wall contracts during inspiration and
expands with expiration
-Dyspnea
-Cyanosis
-Tachycardia
-Hypotension
-The patient is often anxious, short of breath, and in pain
Flail chest treatment
-Intubate!
-Usually stabilized with positive-pressure ventilation
Tension pneumothorax
Life-threatening complication of pneumothorax in which air continues to
enter the pleural space during inspiration and does not exit during
expiration.
As a result, air collects under pressure, completely collapsing the lung and
compressing blood vessels, which limits blood return. This process leads to
decreased filling of the heart and reduced cardiac output.
Pneumothorax clinical manifestations
-KEY SYMPTOM: When severe, deviation of the trachea toward the
unaffected side
-Reduced chest movement on the affected side
-Reduced (or absent) breath sounds of the affected side
, Tension pneumothorax clinical manifestations
-Distended neck veins
-Tracheal deviation to the unaffected side
-Extreme respiratory distress and cyanosis
-Hemodynamic instability
Hemothorax clinical manifestations
Percussion on the involved side produces a dull sound
Thoracentesis position
Sitting on the side of the bed and leaning over the table (during procedure);
Affected side up (after procedure)
Chest tube tidaling
Fluid will go up and down with respiratory effort (in water seal chamber)
Chest tube bubbling
-Okay to have occasional bubbles in water seal chamber on initial
insertion (means air is leaving)
-Continuous bubbling in the water seal chamber means there is a leak
Chest tube suction chamber
-Controls amount of suction in the client’s cavity
-Constant bubbling here is NORMAL
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 NurseMeg. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.