Hiatal Hernia post-op complications:
RESPIRATORY- punctured lung (pneumothorax), no lung sounds on one side.
GERD- risk factors:
o Acidic foods
o Alcohol
o Caffeine
Diagnostics for colon resegment surgery:
colonoscopy, carcinoembryonic antigen test
Positive Cullen sign:
Bruising around umbilicus
Complications of Influenza:
pneumonia- assess for crackles
Metabolic Syndrome DX:
o Waist circumference
o Fasting BS
o BP
o Triglycerides
o HDL cholesterol
Long-term use of PPIs Complications:
o Bone density
Colon resegment post op:
o Any pain, tell the patient to get up and walk to relieve gastric pain
o Ask the patient to describe the pain more
Cirrhosis complications:
portal hypertension
Patient teaching- stop drinking
Inactivated Influenza Vaccine candidates:
immunocompromised
long term care
pregnant
chronic medical condition
Bariatric Surgery post op:
nutrition, support groups, counselor, follow up visits.
Be sure to ask what resources that they have post-op
CDIFF assessment/implementation:
assess vital signs
call MD
contact isolation
stool sample
Hepatitis A DX:
liver enzymes, IgM+
Epistaxis causes:
HTN
overuse of nasal sprays
blood thinners
allergies
Pharyngitis cause:
most common cause is strep
UAP can help hold the skin out of the way for IV. True or False?
TRUE
GERD DIET:
low fat
small frequent meals
avoid triggers
Hepatitis B needle stick interventions:
test them for antibodies
give the vaccine
Allergic Rhinitis TX:
avoid triggers
Decongestants 3 days MAX to avoid rebound congestion
Rest, hydration, humidifier, HOB elevated
Oral nystatin directions:
swish and swallow- hold in your mouth if possible.
Nausea and Vomiting care:
resume diet- clear liquids, water for oral hydration, avoid hot and cold liquids.
Avoid acidic, very hot, and very cold.
Post-op Colon resection complication & monitoring:
monitor for infection
Grey turner sign
Pancreatitis
Positive: ecchymosis of flank area
Influenza indicator:
abrupt onset
Peritonsillar abscess intervention & S&S:
EMERGENCY- airway obstruction
Assess for sore throat and muffled voice