NUTRITION
Nothing by mouth
Soften stools
What is laxatives?
The first stage of wound healing; begins with injury and lasts 3-6 days
What is the inflammatory stage?
Gentamicin or metronidazole antibiotics, furosemide diuretics, aspirin or ibuprofen NSAIDs, cisplatin chemotherapy agents
What are ototoxic medications?
Glove and gowns must be worn at all times while in the room or in contact with infectious client; hand hygiene with soap and water; usually used for MRSA, RSV or C-Diff
What is contact precaution?
weight (kg)/height (m2)
What is BMI?
Tests for blood in stool
What is a fecal occult blood test?
Usually a sign of an infection with thick secretions and contains WBC, tissue debris, and bacteria; may have foul odor and color reflects the type of organism present (yellow, tan, green, brown)
What is purulent drainage?
Structural eye disorder that causes an increase in intraocular pressure and can lead to blindness
What is glaucoma?
Airway, breathing, circulation, disability, and exposure
What is ABCDE?
Balanced intake of proteins, fats, and carbohydrates of about 1,800 calories
What is a diabetic diet?
25 to 38 g/day
What is the daily fiber requirement?
A dehiscence that involves the protrusion of visceral organs through a wound opening
What is evisceration?
An alteration in the inner ear, auditory ear, auditory nerve, or hearing center of the brain
What is sensorineural hearing loss?
Systolic BP 130-139 OR diastolic BP 80-89
What is stage 1 hypertension?
Consistent restriction of food intake or repeated behavior that prevents weight gain
What is anorexia nervosa?
Catheter-associated urinary tract infection
What is a CAUTI?
A result of the healing process and accumulates during the inflammatory and proliferative phases of healing
Visual acuity test that requires the client to hold the chart 36 cm (14 in) away from their eyes to assess near vision
What is Rosenbaum?
HOB is elevated 45-60 degrees; this position is helpful during NG tube insertion and suctioning; also allows for better chest expansion and ventilation, and better dependent drainage after abdominal surgery
Critical for cell function and replaces fluids the body loses through perspiration, elimination, and respiration
What is water?
An intestinal obstruction caused by reduced motility in intestines
What is ileus?
Partial-thickness skin loss with exposed dermis (epidermis and dermis involved); the wound bed is viable with reddish-pinkish bed WITHOUT slough, eschar, granulation tissue, or adipose tissue; can appear as intact o4 ruptured blister
What is a stage 2 pressure injury?
Leakage and blockage of the retinal blood vessels which can lead to retinal hypoxia, retinal hemorrhage, or blindness
What is diabetic retinopathy?
Involves cranial nerves 2 and 3
What is PERRLA?