Front | Back |
Central
Venous Catheter:
|
- signs
of air embolism is coughing, pale, dyspneic
-
position pt on left and lower HOB
|
Know
ausculatation landmarks
|
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[A]ortic = R, 2nd intercostal[P]ulmonic = L, 2nd intercostal [E]rb's pt = L, 3rd intercostal (s1 s2)[T]ricuspid = lower left, 4th intercostal[M]itral = Left 5th intercostal, midclavicular line |
Paracentesis
|
Have
blood pressure cuff near
|
Autologous blood is
|
Own blood
|
Can donate blood up to ____ weeks before surgery
|
5
|
Bulge test
|
Confirms
fluid in knees ; legs should be extended
|
Chest
tube:
|
- constant bubbling in water seal chamber
indicates leak
|
Ostomy care
|
Inspect
and change bag once a week
|
TPN has a high glucose content:
|
Monitor for HYPERglycemia esp first 24 hours
|
Salem sump pump
|
Is not
like a chest tube; should hear a hissing sound that air is exiting airway
|
Lumbar puncture
|
Pt will
remain in lying down position for 8 hrs after procedure
|
Chief complaint should be recorded
|
With patient's own words
|
Myelogram
|
Dye is
used; asked about allergies
|
Wet-to-dry
dressing change:
|
- remove old dressing dry so would debris and
necrotic tissue is removed ; do not add sterile saline
|
After total hip replacement
|
- pillow between legs prevents dislocation of prosthesis.
- Keep heels OFF the bed to prevent pressure sores. |