ATI Med Surg III
Expected ABG's with CKD
Metabolic Acidosis
pH low 7.35-7.Forty five
CO2 high or everyday 35-forty five
Bicarb low 22-28
What are the S/S of fluid overload?
Edema, crackles, JVD, Hypertension, Bounding pulses, Tachycardia, Ascites
*Priority pt. See first→ pay attention crackles, dyspnea
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What are a few pre-op concerns for Hemophilia A?
Replacement Factor VIII pre-op bleeding precautions
75% of bleeding happens in joints (knees, elbows, ankles, shoulders, wrists, hips)
What is the definition of infection?
Not in homeostasis/baseline for pt.
ATI: Illness is the impairment of a consumer's bodily, social, emotional, spiritual,
developmental, or intellectual functioning.
,Illness encompasses the consequences of a sickness on a purchaser. However, infection
and disease aren't synonymous.
Post-Op joint replacement teaching
ROM, 5 P’s, Early ambulation
DVT (swelling, redness, ache in calf)
PE (SOB, chest ache)
Bleeding precautions (if on anticoags)
Infection (redness, MRSA in body likely to get in joints) -preop gel in nose due to MRSA
colonizing in nostril (muproprion)
How are we able to prevent pain during enema management?
Hang Lower to head Slower
Hang higher quicker & get cramps
What are S/S of Addison's ailment?
Weight loss, N/V
Craving for salt
Hyperpigmentation of the skin
Abdominal pain
Constipation or diarrhea
Dizziness with orthostatic hypotension
Hypotension
Hyponatremia ↓ one hundred thirty five - a hundred forty five
Hyperkalemia three.Five - ↑ 5
Hypoglycemia ↓ 70 - one hundred ten
Hypercalcemia 9 - ↑ 10.5
* no longer sufficient aldosterone & cortisol
, What shows that drainage fluid after mind damage may be CSF?
Nasal salty flavor, purple halo on dressing
Education for ear surgical operation
Don’t submerge in water, no q-tips/something in ear, Balance problems (make sure they are
secure)
What EKG locating suggests hyperkalemia?
Peaked T waves
S/S of Cushing's?
Cushy Carl
Moon face, red striae, excessive glucose, skinny skin, brittle bones, danger for infection,
humpback, facial hair
S/S of endometriosis?
Painful, heavy menses, infertility, pimples
S/S of Myasthenia Gravis
descending muscle weakness, ptosis (drooping of eyelids) vulnerable respiratory respiratory,
ADLs issue
S/S of peripheral neuropathy?
Pain & tingling, paresthesia's, lack of feeling, terrible pulses
Stroke S/S via hemisphere?
Left sided stroke→ proper sided bodyissues
liable for language, mathematics talents, and analytic questioning
Right cerebral hemisphere → left aspect
visual and spatial recognition and proprioception
Frontal lobe persona & long term reminiscence