Enter Category Name
NG tube vomiting =
Alkalosis
1st value of ABG
pH
aspirin toxicity is both...
respiratory alkalosis & metabolic acidosis
NG tube diarrhea =
Acidosis
renal failure 1st priority electrolyte
potassium
liver failure, pancreatitis, COPD, asthma, renal failure, emphysema
risk factors for acid base imbalance
What to do if there is an acid base imbalance
obtain ABG
administer diuretics, administer oxygen, elevate head of the bed
interventions for fluid overload
what does calcium do for the body?
maintain strong bones by supporting the structure, control nerves carrying messages/impulses, allows blood clotting.
protect pt. from potential harm. ensure oxygen & suctioning equipment are available w/ an airway & make sure pt. has IV access saline lock.
sodium seizure precautions
helps pts. personal & social issues they may struggle or cope with on their own.
Roles of social worker
fluid overload pt. education
weigh daily on same scale, same time, & same clothes. Avoid salt.
obtain medical equipment, services for the pts. home, & rehab placement if needed. Gastric cancer pts. are referred to hospice.
Roles of case manager
facial muscle response. Alkalosis.
Chvostek's Sign
fluid replacement for dehydration
replaced orally (water, gatorade, Pedialyte). If severe, fluids are replaced by IV infusion (5% dextrose in 0.9% sodium chloride)
pt. vomiting blood
hematemesis. due to ulcers, perforation, hemorrhage, pyloric obstruction, or intractable disease. Seek immediate attention.
gastritis pt. teachings
follow treatment regimen & eat a well balanced diet. limit pickled, processed, & salted foods.
interventions for hypercalcemia
monitor vitals, I&O, assess neuro, GI, renal, & cardiac status, nutrition screening, maintain IV access, provide education, administer meds.
Early: indigestion, ab discomfort, feeling full
Late: N/V, obstruction, anemia, weakness, fatigue
can be asymptomatic until advanced stage
S/S of gastric cancer
palmar flexion. Alkalosis. Hypocalcemia & Hypomagnesium
Trousseau's Sign
EGD (esophagogastroduodenoscopy) post procedure
do not allow pt. to have food or drink until the gag reflex is intact the neutralizing effect. Pts. gag reflex may be absent due to throat numbness.
heartburn, regurgitation, chest pain, dysphagia, belching. Can be asymptomatic.
S/S of a Hiatal Hernia
Isotonic - 0.9% normal saline
Hypotonic - 0.45% half normal saline
Hypertonic (later) - dextrose 5% in 0.45 normal saline
fluids for DKA
mucosal lesion of the stomach or duodenum. epithelial is not protected from the effects of acid & pepsin.
peptic ulcer disease
dark & "tarry" (melena) = digestion of blood within the duodenum & small intestine.
bright red = lower bleed, possibly hemorrhoids or cancer.
Colors of stool associated with GI bleeding