DIABETES
BG is 148
Administer Lispro Insulin based on Sliding Scale
BG 60-140 0 Units
BG 141-250 2 Units
BG 251-349 4 Units
BG 350-400 6 Units
What is 2 Units?
It is the responsibility of the provider to discuss the surgery and the risks it poses and must obtain a signature. The nurse has to make sure it is in the chart.
What is consent?
Porous bone, decreased bone mass, deterioration of bone structure which results in fragile bones that are prone to fracture. The spine, wrist and hip are most prone to this although all bones can be affected.
What is osteoporosis?
Order for 500 mL NS to run over 6 hours with a drop factor of 20 gtts/mL
What is 28 gtt/min?
A form of arthritis characterized by severe pain, redness and tenderness in joints. It is a build up of uric acid which is a waste product from breakdown of proteins. Called "Rich man's disease". Allopurinol is a medication used to treat this condition along with reducing amount of red meat and seafood, and alcohol intake.
What is Gout?
Involves having 3 out of 5 health conditions that increase your risk of cardiovascular disease, stroke and DM Type 2. The health conditions are: waist circumference of more than 40 inches, triglyceride level 150 mg/dL or greater. low levels of HDL, fasting BG of 100 or greater, Blood pressure greater than 130/85 or higher.
What is Metabolic Syndrome?
This promotes gas exchange and removal of secretions in lungs following surgery.
What is cough and deep breathe or Incentive spirometry use?
These are symptoms of a medical emergency which occurs when the pressure within a compartment increases, restricting the blood flow to the area and potentially damaging the muscles and nearby nerves.
What are Pain, paralysis, paresthesia, pallor, and pulselessness?
Convert kg to lbs: 21.3 kg
What is 46.9 lbs?
A chronic, progressive inflammatory disorder affecting many joints, including those in the hands and feet. The body's immune system attacks it's own tissue, including joints. It causes painful swelling and can cause bone erosion and joint deformity.
What is Rheumatoid arthritis?
Humalog absorbs quickly from subcutaneous tissue into the bloodstream.
Onset is 0-30 minutes
Used to control Blood sugars during meals and snacks & to correct high blood sugars
Used with longer acting Insulin
What is rapid acting insulin?
Touching inside a sterile package, not the outer one inch border
What is breaking sterile field?
This is an injury to a muscle or tendon. This can be mild such as overstretching while more severe injuries may involve partial or complete tears in these tissues
What is a muscle strain?
A 50 mg dosage of a medication has been ordered. The dose on hand is 60mg in 1.5 mL. Solve for mL
What is 1.3 mL?
Patient symptoms are numbness and tingling in the thumb, index and middle fingers due to compression of the median nerve. Some treatments include relieving the inflammation, rest with a splint, NSAIDS and a release of the median nerve.
What is Carpel Tunnel Syndrome?
Only used if pancreas is still producing insulin.
Class of oral agent is Biguamides that helps control blood glucose levels
Makes your muscle tissue more sensitive to Insulin so it can absorb glucose for energy.
What is Metformin?
Ototoxicity leading to ringing in ears and hearing loss, nephrotoxcity leading to changes in amount and color of urine, flushing syndrome or aka, "red man syndrome", fever.
What are adverse reactions to vancomycin?
The following nursing duties should include: CMS checks, SCD's, Anticoagulant meds, pain management, do not bend the hip past 90 degrees, so not cross legs, do not twist the hip inwards and keep knees and toes pointed upwards.
What is Nursing care for a patient who had a total hip replacement?
Total Intake for your patient who just drank 118 ml juice, 120 mL Italian ice, 140 mL Jello, 240 ml cup of coffee and 410 mL of water.
What is 1028 mLs?
Medications such as NSAIDS, exercising in the morning, managing weight control, taking glucocorticoids and/or Glucosamine. May need a possible joint replacement.
What are ways to care for a patient with osteoarthritis?
This condition is a serious complication of Diabetes that can be life threatening. It is most common in Type I Diabetes. BG is greater than 250, arterial pH < 7.3, bicarb < 15 mEq/l, and the presence of ketonemia or ketonuria.Symptoms include fruity breath, confusion, increased thirst and urination, nausea, abdominal pain and diarrhea.
This condition requires hospitalization.
What is DKA?
Administer Heparin subcutaneous every 8 hours for this reason
What is DVT prophylaxis?
RICE
What are treatments for muscle sprains and strains?
What is 480 mLs?
WBC count, ESR (erythrocyte sedimentation rate), positive bone biopsy, positive blood cultures, MRI, X-rays, CT scan
What are ways to diagnose Osteomyelitis?