Preoperative Nursing

Nursing Interventions Teaching Explain what you are doing, what will happen Assess the patient’s understanding Involve the family Answer questions Emotional Aspect Feelings about illness and surgery Coping Self concept and body images Risk Factors Age Obesity Chronic Disease HIGH RISK MEDICAITONS TO SCREEN FOR Aspirin NSAIDS Steroids Vitamins Herbal Supplements Blood thinners Antidepressants Anticonvulsants … Continue reading Preoperative Nursing

Postoperative Nursing

Assess Dermatomes, Vital Signs, Head to Toe Assessment, Nausea/vomiting, manage lines/drains, PCA, diet, SCDs, Teach incentive spirometer 3 Phases of Recovery Aldrete Score Activity Unable to move Moves 2 extremities Moves all 4 Extremities Respiration Apnea Dyspnea Cough and Deep breath Circulation BP +50mmHg BP +20-50mmHg BP+20mmHg pre sedation Conciseness Not Responsive Arousable on calling … Continue reading Postoperative Nursing

Placenta Previa

A condition in which the placenta is implanted close to or covers the cervical os Risk Factors 3 Types Total placenta previa: Rarely resolves Partial placenta previa: Sometimes resolves Marginal placenta previa: Sometimes resolves Signs & Symptoms Digital examination of the cervix is deferred until placenta previa has been excluded Diagnostic test of choice is … Continue reading Placenta Previa

Comprehensive Metabolic Panel

CMP, chem 14, chemistry panel Diagnosis happens after symptoms have developed. Objective data Screening routine check-up before symptoms occur Monitoring check for side effects of medications, routine blood sugar monitoring, response after treatment Results may vary depending on your age, gender, health history, medications hormone levels, pregnancy, dehydration, eating or exercise. Electrolytes Glucose sugar used for energyCalcium needed by the heart, … Continue reading Comprehensive Metabolic Panel

Cerebral Vascular Accident (Stroke)

2 Types: Ischemic (Most common, think clots) Hemorrhagic (Aneurysms, think bleeding) Risk Factors Left Side Signs & Symptoms ● Difficulty reading, writing and speaking● Right sided weakness/ paralysis● Visual field changes● Depression● Anger Right Side Signs & Symptoms Don’t forget to act FAST! Face Uneven smile? Arm Drift Raise both arms Speech Sound strange Time … Continue reading Cerebral Vascular Accident (Stroke)

Cranial Nerves Simplified

Cranial Nerves Mnemonic Oh Oh To Touch And Feel A Giant Volcano So Hot 1 Olfactory (Smell) 2 Optic (Vision) 5 Trigeminal (Facial Nerve, Jaw Movement) 8 Auditory (Hearing) 7 Facial (Facial Expression) 9 Glossopharyngeal (Taste & Swallow) 10 Vagus (Sensation of pharynx, vocal cords) Sensory– Think 5 senses 3 Oculomotor (Eye Movement, Pupil constriction/dilation) … Continue reading Cranial Nerves Simplified

Anaphylaxis

Anaphylaxis is a severe, potentially life-threatening allergic reaction. The immune system produces antibodies to defend against foreign substances. In anaphylaxis the immune system overreacts. Signs & Symptoms Starts 5-30 minutes after exposureBiphasic-2nd wave of symptoms. Can be hours to days later Common Triggers Some people are so sensitive that even the smell or cross contamination … Continue reading Anaphylaxis