M&M (meds and math)
This common solution can be either hypertonic, hypotonic, or isotonic depending on percentage and additives, if any.
Normal Saline
Bright red, vomited
Upper
Another name for osteoarthritis
Degenerative Joint Disease (DJD)
Most common cause
Peptic Ulcer
Least invasive and what does it do?
Medications to reduce stomach acid, reduce swelling, dissolve blood clots present
Generic name for this medication used to prevent upper GI bleeding. It also known as Prilosec and Losec.
Omeprazole
Dark red, bowel movement
Lower
Where on the bone does breakdown occur?
Ends
Signs and Symptoms
Black or tarry stool
Bright red blood in vomit
Abdominal Cramps
Dark or bright red blood mixed with stool
Tired/Pale/Shortness of Breath
Procedures (invasive)
Removal of abnormal growths
Clips or bands
Hot or cold gas to destroy tissue causing bleeding
1000ml over 12 hours = ? (make sure to round)
83 ml/hr
Epigastric pain
Upper
Name 2 common causes
Joint injury and Overuse
Signs of shock
Hypotension
Little or no urination
Rapid Pulse
Unconsciousness
Preventive Measures
NSAIDs and ASA only when necessary
Limiting alcohol/stop smoking
Treating other GI issues
Checking for infections if immunocompromised
Reduce stress
Total urinary output at 12 hours should be no less than this to be considered adequate
360 ml
Suprapubic pain
Lower
Who is more likely to develop OA?
Women
Chronic bleeding symptoms
Anemia
Occult bleeding
Emesis basin
Suctioning and supplies
Crash Cart
60 gtts/ml = ? this type of tubing
Microtubing
Bright red but with bowel movement and 100 bonus points for what else it could be.
Lower, hemorrhoids
Signs and symptoms
Pain/Stiffness/Tenderness
Loss of Flexibility
Grating Sensation
Bone Spurs
Swelling
Other causes of GI Bleeding (not named previously)
Benign tumors and cancer
Colitis
Colon Polyps
Diverticular disease
Esophageal varices
Esophagitis
Gastritis
What can LPN do to prepare for blood transfusion?
Make sure informed consent is in place
IVs
Blood tubing primed and ready to go
Vitals
Assist with monitoring patient and TACO