ABGS
Think: Hyperventilation
Shock/Pain
Trauma
What drug class does Prednisone belong to?
Corticosteroids
A patient presents with epistaxis, what would you have the patient do and what would you assess for?
Have pt apply pressure to septal area
Position (Tilt head slightly forward)
Do not blow nose.
Assess for medications such as blood thinners
Parenteral Nutrition, TPN
For a patient whose undergone a gastric bypass, what are they most at risk for?
Pernicious anemia
Malnutrition
Decreased protein/albumin
What causes Respiratory acidosis?
(Think: HYPOventilation)
Opioids/Benzos
What labs do you monitor for a patient taking prednisone?
WBC
BG
K+
What are 3 things that an RN can delegate to an LPN?
Med admin
Reinforce teaching
Nursing Skills (transferring, wound care, feeding)
If your patient with a central line has an emboli, how would you position them?
Left sided trendelenburg
What patient would you see first?
1. Patient whose fistula doesnt have thrill/bruit
2. Patient who doordashed McDonald’s and needs you to go grab it from the nurses station
3. Patient with an amputated leg who was just told he’ll never dance again
4. Patient who is bald who said his rograin isn’t working
1. PATIENT WITHOUT THRILL AND BRUITT
What causes Metabolic Alkalosis?
(Think: volume depletion)
NG tube suctioning, Vomiting
Antacid overdose
DIURETICS
Main side effects of PREDNISONE?
Hypokalemia
Hyperglycemia
Osteoparosis
Fluid retention
INFECTION********
What kind of IV solution can patients with Cirrhosis, or liver impairment NOT have?
Lactated ringers
ISOtonic fluids
Phlebitis Characteristics
Redness, Warmth, Pain
Signs and symptoms of PVD
Also what is a laryngospasm and what patient do you monitor for it in?
Edema, Pulse may not be palpable, Dull/constant achy pain
Spasm of vocal chords that makes it difficult to breath or speak: Thyroidectomy
What causes Metabolic acidosis?
(Think: LOTS of acid in body)
DKA
Kidney Failure
Diarrhea
Dehydration
What syndrome can you have from too much Prednisone?
S&S of that syndrome?
CUSHINGS
Moon face, buffalo hump, edema, thin extremities
Which task would the nurse delegate To the LPN?
1. Raise head of the bed/Positioning
2. Educate patient on anything, anything at all.
1. Raise head of bed
Infiltration Characteristics?
Bleaching, coolness, swelling
Life threatening condition of hypothyroidism?
Myexedema Coma
What are 2 important symptoms that may present with metabolic acidosis?
Kussmaul respirations and fruity breath
Patient teaching for a patient on Prednisone?
TAPER DOSE
monitor for tarry stools
Avoid alcohol
Normal BNP lab?
Less than 100!
Central Line considerations?
INFECTION PREVENTION
Wash hands/Sterile technique
Dressing changes every 48 hrs
Thyroid storm