IV therapy
leaking into surrounding tissue, cool, and blanched
what is infiltration
reducing anxiety, promote optimal nutrition like NPO first, avoiding caffiene alcohol smoking and slowly introducing clear liquids and solid fool(bland), promote fluid balance, I&O, monitor dehydration, F&E imbalances, hemorrhage, mylanta, magnesium, kidney function, CMP labs
what are the nursing interventions for gastitis
most common cause of illness in kids and infants, nasal flaring as a sign of respiratory distress, eustachian tubes are horizontal
what are the pediatric key differences in gas exchange
muscle biopsy
what can diagnose malignant hyperthermia
the earliest sign that something may happen with a blood transfusion
what is an elevation in temp
tachycardia, flushed skin, neck vein distention, hypertension, tachypnea, cough, dyspnea, pulmonary edema
what are the symptoms of circulatory overload
Antacids- calcium carbonate, mylanta, carafate, before meals, coat stomach. PPI- end in prazole Prilosec, Prevacid, Protonix, before meals, supress stomach acid. Prokinetic/ Promotility agent- Metocloparimide (reglan) hallucinations slows down GI. H2 blockers- end in tidine pepcid, tagamet, axid
what are the meds used for GERD
short acting B2 antagonists(albuterol) anticholinergics (Ipratropium) Mast cell inhibitors(Intal) systemic corticosteriods(predinisones) inhaled corticosteriods long acting B2 (salmeterol) Leukotriene Blockers (singulair) theophylline
what are meds for asthma
anticoagulants, anti-seizure meds, thyroid hormone, opiods, OTC, herbal supplements, corticosteriods, antibiotics, insulin, tranquilizers, phenothiazines, diuretics
what are the meds that could potentially affect the surgical experience
incompetent lower esophageal sphincter, pyloric stenosis, hiatel hernia, motility disorder
what are the causes of GERD
recieves negatve blood only
what are negative blood types
dull, gnawing pain, burning in the mid-epigastrium, heartburn, and vomitting
what are the symptoms of peptic ulcer disease
salty tears saliva sweat, heat prostration, distended abdomen, rectal prolapse, meconium ileus(newborns) atrophy of thighs and buttocks, sinusitis, chronic cough, cyanosis, dyspnea, wheezing, barrel shpaed chest, obstructed pancreas, deficiency of enzymes, poor digestion, large foul smelling stools, clubbing of fingers, clubbing of toes
what are the symptoms of cystic fibrosis
tachycardia (1st sign), metabolic rate, serum calcium, K+ increased= acidosis, cardiac dysrhythmias, high temp. muscle rigidity, hypotension, tachypnea, skin mottling, cyanosis, and myoglobinuria
what are the signs and symptoms of malignant hyperthermia
frequent small meals, do not recline for 1 hour after eating to prevent reflux, elevate the head of bed on 4-8 inch blocks, avoid carbonated beverages
what are the managements for hiatel hernias
can receive positive and negative blood
what are positive blood types
P- PPI omeprazole (prilosec)
M- metronidazole flagyl
T- tetracycline or amoxicillan
B- bismuth-pepto bismol
what are the meds use to treat H. Pylori
color dusky to cyanotic, recurrent cough, increase sputum, hypoxia, hypercapnia, respiratory acidosis, increased hemoglobin, increased respiratory rate, exertional dyspnea, increase incidence in heavy cigarette smokers, digital clubbing, cardiac enlargement, use of accessory muscles to breathe, leads to right sided failure
what are the symptoms of chronic bronchitis (blue bloater)
maybe provide supplemental O2, assess breathing, keep head of bed elevated 15-30 degrees unless contraindicated, maybe suctioning, turn pt to side if vomitting occurs, maintain cardio stability, assess IV lines, montor for the potential for hypotension, shock, hemorrhage, hypertension, dysrhythmias, and increased risk for clots, pain, anxiety, neurological status, F&E, skin,
what are the things the RN needs to assess post-op
bullectomy, lung volume reduction surgery, lung transplant
what are the surgeries that can be done for COPD
med given at 28 weeks to mom with Rh- blood and then again with 48 hours of delivery if baby is Rh positive
what is rhogam
history of vomitting, visible peristaltic waves, palpable pyloric mass, if mass cannot be palpated a ultrasound can confirm, barrium swallow
what are the ways we diagnose pyloric stenosis
increase CO2 retention, minimal cyanosis, purse lip breathing, dyspnea, hyperresonance on chest percussion, orthopenic, prolonged expiratory time, speaks in short jerky sentences, anxious, use of accessory muscles to breathe, thin appearance, sits hunched over to breathe
what are the symptoms of emphysema (pink puffer)
a surgical emergency, total seperation of all wound layers and the potential for organ protrusion
what is eviseration
anesthesia awareness, N/V, anaphalaxis, hypoxia, respiratory complications, malignant hyperthermia, DIC, infection
what are complications that can happen during intra op