Administer medications steroids IV then PO anti tussives expectorants reduce

Administer medications steroids iv then po anti

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Administer medications ( steroids IV then PO, anti- tussives/ expectorants( reduce cough/ expectorate sputum), antihistamines/nasal decongestive( reduces sneezing and rhinorrhea) Provide respiratory status Encourage hydration Steroid side effects: hyperglycemia, weight gain, poor skin integrity, steroid psychosis. Mood swings , eye changes ( glaucoma), Cushing’s syndrome, fluid retention) GOALS Maintain patent airway reports feeling comfortable while breathing patient will demonstrate pursed lip and diaphragmatic breathing ABG’s levels to baseline Improve ability to participate in ADL’s Provide compression stockings O2 therapy Provide warm moist heat ( heat vasodilates) Monitor labs (PT, PTT, INR, CBC, Platelets, and chem 7 ( NA+, K, CR, BUN, H&H, albumin ) Look for increase BP Administer medication (thrombolytic therapy, anticoagulants, antibiotics, anti-inflammatory agents. Anticoagulation therapy : Heparin SQ –prevent development of DVT (5000 units q8h) ( Monitor aPTT values normal values are 30-40 seconds therapeutic level with heparin should be 1.5 -2 times normal value antidote is protamine sulfate Heparin IV nursing interventions: 1. Always use IV pump 2. No not alter rate without order 3. Do not piggyback into infusion 4. Follow hospital protocol for monitoring PTT and titrating IV infusion Coumadin (Warfarin ): Monitor PT / INR and platelet count. Start while still on heparin IV takes 3-5 days for full coagulation. Therapeutic affects 1.5-2 x control. Given in the afternoon or p.m. when lab results can be evaluated. ( normal PT values are 11.0-12.5 seconds, INR 0.9-1.1, Platelet 150-400 Respiratory 8
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SG HYPOXIA ARTERIAL VENOUS Check laboratory studies- serum lipids, PTT (partial thromboplastin time) normal range is 60-70 seconds, and PT. PTT test measures how long it takes for the blood to clot. A longer than normal value may mean a lack of or a low level of one of the clotting factors. When on heparin PTT values should be closely monitored. Heparin can cause PTT times to become longer than they should. Prothrombin time (PT) is a blood test that measures the time it takes for the liquid portion (plasma) of your blood to clot. SURGERYS Venous thrombectomy: is done when thrombi lodge in the femoral vein and their removal is necessary to prevent pulmonary embolism or gangrene Additional info A mismatch between oxygen supply and its demand at the cellular level may result in a hypoxic condition. Inadequate oxygen to support metabolic activity. Hypoxia in which there is complete deprivation of oxygen supply is referred to as anoxia Arteries carry blood to organs and muscles. It is a muscular tube with a smooth lining and flexible walls that allow blood to pass freely. Active muscles need more oxygen, requiring increased blood flow. Healthy arteries can meet this need. If an artery is damaged, blood flow may be slowed or blocked. This means the muscles and tissues don’t get all the The venous system is a low pressure system in comparison with the arterial circulation. The low pressure
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