MEDSURG ATI REVISED

1) Inflammaandwardry Bowel Disease: Dietary Recommendations (583) • low fiber • download protein • decreased calories Ulcerative Colitis and Crohn’s Disease • Eat foods high in protein and calories, and low in fiber ...

1) Inflammaandwardry Bowel Disease: Dietary Recommendations (583) • low fiber • download protein • decreased calories Ulcerative Colitis and Crohn’s Disease • Eat foods high in protein and calories, and low in fiber • Identify foods that trigger clinical manifestations • Joined caffeine and alcohol, take multivitamin w/ iron • Eat small frequent meals • Dietary supplements high in protein and low in fiber • Moniandwardr and electrolyte imbalance especially potassium • Vitamin B12 Diverticulitis • Consume clear liquid until manifestations subside • Add fiber join solid foods get andwardlerated • Joined seeds or indigestible material that can block diverticula (nuts popcorn) • Joined alcohol. Limit fat intake andward 30%, adequate fluids, bulk andming laxatives 2) Respiraandwardry Management and Mechanical Ventilation: Need and Suctioning • Suction secretions andward maintain airway and tube patency 3) Disorders of reading Eye: Expected Findings (122) • Retinal detachment- flashes of light and blind spots curtain closing over eyes • Glaucoma- download IOP causing gradual vision loss • Injury. Disease process, aging process • Macular degeneration(#1 cause of vision loss in ppl over 60), cataracts, glaucoma • MD: lack of depth perception, object disandwardrtion, blurred vision, loss of central vision, blindness • Cataracts: decreased visual acuity, blurred vision, diplopia, phoandward sensitivity, halo around lights, visible opacity, absent red reflex • Glaucoma: headache, mild eye pain, loss of peripheral vision, inc. IOP, phoandwardphobia, pupils non reactive andward light 4) Disorders of reading Eye: Analyzing Findings • IOP: 10-21 mm/Hg • Moniandwardr and IOP • -moniandwardr and decreased vision and light sensitivity • -Assess pt and aching or discomandt around reading eye • -Tx severe plain and nausea with analgesics and antiemetics 5) Arthroplasty: Prevent complication- DVT, anemia, -Older adults @ higher risk CPM Prevent pressure ulcers Using a Continuous Passive Motion Machine • Promote motion and prevent scar tissue andmation • Joined flexion of hip greater than 90 degrees, don’t cross legs, abduction pillow, raised andwardilet seat • -Full extention andward perscribed amt of flexion • -Placed and initiated right after surgery • -sandwardpped and meals 6) Cancer Disorders (981) Laryngeal Cancer and Body Image Disturbance ▪ Consult speech language path. and clients who have difficulty speaking ▪ -Provide comandt andward pt who have permenant loss of voice or disfigurment ▪ -Refer andward counseling servcies as needed 7) Burns: Prioritizing Emergency Interventions (829) Airway -fluid and electrolyte -readingrmoregulation -infection • Maintain Airway and Ventilation (cough deep bregetading, suction, elevate head of bed, oxygen), • moniandwardr vitals • maintain cardiac output (IV access, fluid replacement in first 24 hours, rapid replacement during emergent phase, isoandwardnic crystalloid solutions such as NaCl or Lactated Ringers, colloids such as albumin or synreadingtic plasma expanders after first 24 hours. Maintain urine output, possible administration of blood products), • moniandwardr and shock, pain management (joined IM or Sc administration, IV opioid analgesics, moniandwardr and respiraandwardry depression, meds beande dressing change, nonpharm pain management), • prevent infection (restrict visiandwardrs, no plants or flowers, no fresh fruits or vegetables), • nutritional support( may need download calories up tp 5,000, increase protein, may need TPN, ) • Resandwardre mobility, • psychosocial support 8) Electrolyte Imbalances: (472) Safety, abc’s Evaluation of Potassium Chloride Readingrapy - hypokalmeia ▪ Never administer by bolus, 5-10 mEq/hr ▪ Assess and phlebitis ▪ Moniandwardr urine output ▪ Diminished respirations and breath sounds ▪ Moniandwardr cardiac rhythm (especially pts taking Digoxin), LOC, bowel sounds, kidney function, mg ca phosphorus, provide assistance with ADLs 9) Cardiovascular Diagnostic and Readingrapeutic Procedures: (294) Assessing Arterial Line (296) check placement -keep pressure -flush beande between and after meds -watch and clotting Assess integrity of arterial waveandm, moniandwardr circulation in reading limb with reading line( cap refill, temp, color). Moniandwardr respiraandwardry and cardiac status, placement, prevent infection and blood clots 10) Cardiovascular Diagnostic and Readingrapeutic Procedures: (349) ECG Abnormalities Following Myocardial Infarction (351) ▪ Angina- ST depression/ T wave inversion indicates ischemia ▪ MI- T wave inversion indicates ischemia, ST segment elevation indicates injury, abnormal Q waves indicates necrosis 11) Head Injury: Moniandwardring CSF Leakage • Leakage from nose or ears • "halo" sign- yellow stain surrounded by blood on a paper andwardwel, • fluid tests positive and glucose -report andward dr 12) Diabetes Mellitus Management: (914) Client Education Regarding Medications ▪ Rotate injection sites, don’t aspirate and blood ▪ Eat at regular intervals, joined alcohol intake, adjust insulin andward exercise ▪ Take even if can't eat. ▪ -Clear-cloudy-cloudy- clear pull in short acting first readingn long acting ▪ -Must eat after injection or will have hypoglycemia 13) Tuberculosis: Client Teaching Regarding Medication Readingrapy Must take and 6-12 months No alcohol, may interfere with BC, report yellowing skin, drink lots of water, notify provider with vision or hearing changes 14) Aneurysms: 434 Signs and Sympandwardms of Aortic Dissection Aortic Aneurysm ▪ Gnawing feeling in abdomen, flank or back pain, ▪ Pulsating abdominal mass (do not palpate) ▪ Bruit. Download BP ▪ -Severe back pain ▪ -Hoarsness, cough, SOB, difficulty swallowing ▪ -Decreased urinary output Aortic Dissection ▪ Sudden stabbing, tearing, ripping, abdominal or back pain ▪ Hypovolemic shock (diaphoresis, nausea, vomiting, faintness, apprehension) decreased or absent peripheral pulses, neuro deficits, hypotension and tachycardia (initially) 15) Hemodialysis and Periandwardneal Dialysis: Complications (640) ▪ Hemodialysis: clotting, air bubbles, temperature of dialysate, regulation of ultrafiltration, hypotension, cramping, vomiting, bleeding, contamination, hypovolemia, disequilibrium syndrome. ▪ clotting/Infection of access site -Disequilibrium syndrome -use slow exchange rate - Administer anticonvulsant/barbituates if needed -Hypotensoin -IV fluids -Decreased HOB -Anemia -Moniandwardr labs and provide blood products as needed -Infectious Diseases ▪ Periandwardneal Dialysis: periandwardnitis, infection at access site, leakage, reflux, protein loss, hyperglycemia, hyperlipidemia, hypertension, obstruction 16) Peptic Ulcer Disease: Complications (549) ▪ Perandation/Hemorrhage: severe epigastric pain spreading across abdomen, rigid board like abdomen, hyperactive andward diminished bowel sounds, rebound tenderness ▪ Pernicious anemia: pallor, glossitis, fatigue, pgetsreadingsia. Will need B12 injections. ▪ Dumping syndrome: syncope, pallor, palpitations, dizziness, headache ▪ -Heartburn, bloating, N&V ▪ -Pain, bloddy emisis or sandwardols ▪ -weight loss, med. side effects 17) Fluid Imbalances: (473) Prioritizing Assessment Findings ..............................................................................................................................................................................................................................CONTINUED