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ATI Med Surg Review 2022

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Ch. 1 Health, Wellness, and Illness • Variables o Modifiable= can be changed, smoking, nutrition, health edu, sex practices, exercise o Non modifiable= sex, age, developmental level, genetics Ch ... . 2 Emergency Nursing Principles and Management • Triage o Resuscitation= level one o Emergent= level two o Urgent= level 3 o Less urgent= level four o Nonurgent= level five, non-life-threatening condition require simple eval and caremanagement • ABCDE o Airway= maintain airway, head tilt/chin lift (do NOT perform if pt has spine injury→ do modified jaw thrust maneuver), bag valve mask w/ 100% O2, nonrebreather w/ 100% O2 use for spontaneous breathers o Breathing o Circulation o Disability= loc o Exposure= clothing • Poisoning= use activated charcoal, gastric lavage (done w/I 1hr) aspiration • Rapid response team= respond to emergency when pt has indications of rapid decline • Cardiac emergency o Vfib= defibrillate, CPR, admin IV antidysrhythmic (epi, amiodarone, lidocaine, magnesium sulfate) o Vtach • Epi= stimulate alpha 1 (vasoconstrict), beta 1 (increase hr), beta 2 (bronchodilate), good for superficial bleeding, increase bp, AV block and cardiac arrest and asthma o s/e= htn crisis, dysrhythmias, angina • Dopamine= renal blood vessel dilation, beta 1 increase hr, good for shock, hf o s/e= dysrhythmias, angina • Dobutamine= beta 1 increase hr, good for hr [Show More]

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