st letter chamber being paced A V D 2 nd letter chamber being sensed A V D 3 rd

St letter chamber being paced a v d 2 nd letter

This preview shows page 36 - 38 out of 80 pages.

st letter- chamber being paced (A, V, D)2nd letter- chamber being sensed (A. V, D)3rd letter- type of response (inhibited or triggered)Example- VVI pacemaker, AAI pacemakeroComplications:InfectionBleeding or hematoma formationDislocation of leadSkeletal muscle or phrenic nerve stimulationCardiac tamponade (bleeding of the heart)Pacemaker malfunctionoCare:Check ECG for proper sensing and captureAssess for signs of bradycardia and decreased COAvoid large electromagnetic fields (MRI)Pacer can be checked via telephone transmission to pacemaker clinicEndocrineNursing care of clients (assessment, diagnosis, interventions, complications, evaluation) with:Diabetes, Hypo and Hyper Thyroid, Cushing’s Syndrome, Addison’s Disease, Diabetes InsipidusSee Diabetes and Endocrine Study Guide (from Jen)GastrointestinalNursing care of clients (assessment, diagnosis, interventions, complications, evaluation) with:Stomatitis Oral disorders, GERD, Peptic Ulcer Disease, GI Bleeding, Irritable Bowel, Ulcerative Colitis, Appendicitis, Ascites, Hepatitis, Gall Bladder Disease, Colostomy/IleostomyStomatitis Oral disorders
Background image
Primary – aphthous stomatitis, canker sore, herpes simplexSecondary – Opportunistic viruses – candidiasisSymptoms – dry, painful mouth, ulcers, coating Safety risk – poor intake, nutrition & fluids – big risk for older adult due to decreased immunity.Risk for diabetics, oncology patients, medication side effects, opportunistic infectionsTreatment – Medications: antimicrobials, immune modulators, topicals. Mycostatin swish and swallowNursing interventions: Oral Care :soft toothbrushes or oral rinses with normal saline or sodium bicarbonatePain reliefNutritional intake – soft calorie dense foods, milkshakes, custardOral Tumors:Benign, pre-cancerous or cancerous affecting, eating, speech, body imageIf cancerous can involve removal of tongue, mandible, may require tracheostomyRisk Factors: Tobacco, sun exposure, alcohol, occupations (textile, plumbers, coal)poor oral hygienePrevention: Dental exams 2x yearLeukoplakia – thick, white patches that cannot be scraped off. Lesions on lip and tongue often progress to cancerErythroplakia – red, velvety lesion often pre-cancerous90% of cancers are squamous cell. Basal Cell (sun-exposure)Manifestations of Oral CancerPainless mass or sore that does not healAny lesion present for more than 2 weeks or that does not heal should be examined and biopsied.Later manifestations include complaints of tenderness, difficulty in chewing, swallowing, or speaking; coughing up blood-tinged sputum; and enlarged cervical lymph nodes.
Background image
Image of page 38

You've reached the end of your free preview.

Want to read all 80 pages?

  • Fall '16
  • S. Zori
  • Nursing, chest pain, Nursing Care

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Stuck? We have tutors online 24/7 who can help you get unstuck.
A+ icon
Ask Expert Tutors You can ask You can ask You can ask (will expire )
Answers in as fast as 15 minutes