NSG 210 Test 3 Study Guide

Pt is positioned in highfowlers postprocedure nurse

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Unformatted text preview: ctioning & sterile humidification will need to be administered  ­Encourage use of an incentive spirometer to reduce the risk of atelectasis Patient Education  ­Avoid running out of meds or skipping a dose  ­During the first few months, pts must make appts for blood tests 2 ­3x/week  ­Routine eye/dental appts are necessary. Glaucoma & cataracts are more likely when on long ­term corticosteroid therapy. Dental exams are necessary b/c of immunosuppression.  ­Wait at least one year post surgery before trying to conceive. Chapter 40 ­Biliary System & Pancreas Anatomy & Physiology of the Gallbladder/Pancreas Gallbladder: lies in a shallow depression on the inferior surface of the liver. It’s connected to the common bile duct by the cystic duct  ­Can hold 30 ­50 mL of bile  ­Functions as a storage depot for bile. During storage, a lot of the water in bile is absorbed through the walls of the gallbladder, so that bile in the gallbladder is 5 ­10x more concentrated than that in the liver  ­Bile is composed of H2O, electrolytes, lecithin, fatty acids, cholesterol, bilirubin & bile salts.  ­The bile salts & cholesterol assist in emulsification of fats in the distal ileum.  ­Bilirubin: a pigment derived from the breakdown of red blood cells. It is converted in the intestines into urobilinogen which is excreted in the feces or returned to portal circulation  ­If the flow of bile is impeded (gallstones in the bile ducts), bilirubin doesn’t enter the intestinencreased renal excretion of urobilinogenmany gallbladder d/o Pancreas: has exocrine (secreted through a duct) and endocrine (secreted w/o a duct directly into bloodstream)  ­Exocrine functions include secretion of pancreatic enzymes into the GI tract through t...
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This document was uploaded on 03/29/2014.

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