0Chp 47 Assess for fluid and electrolyte imbalances particularly with a new

0chp 47 assess for fluid and electrolyte imbalances

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QSEN - Patient-centered Care, Active Learning Template - Basic Concept, RM AMS RN 10.0 Chp 47) Assess for fluid and electrolyte imbalances, particularly with a new ileostomy More than 1000ml/day Can be bile-colored and liquid Hemodialysis and Peritoneal Dialysis: Planning Care for a Peritoneal Dialysis Catheter Site (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 57) Monitor weight, serum electrolytes, creatinine, BUN, and blood glucose Teach to follow instructions carefully and to take all meds Instruct the client to take essential minerals, and vitamins with supplements of phosphorus, calcium, sodium, and potassium
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Fluid and Electrolyte Imbalances (4 items) Electrolyte Imbalances: Expected Laboratory Findings of Hyponatremia (Active Learning Template - Basic Concept, RM AMS RN 10.0 Chp 44) Normal to high BP Hypothermia, tachycardia, rapid thread pulse, hypotension, ortho hypotension, diminished peripheral pulses Increased motility, hyperactive bowel sounds, ab cramping Emergency Nursing Principles and Management: Priority Intervention for Heat Stroke (RN QSEN – Safety, Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 2) ABCs LOC VS’s Resuscitation Hemodynamics (2 items) Electrocardiography and Dysrhythmia Monitoring: Rhythm Interpretation (Active Learning Template - Diagnostic Procedure, RM AMS RN 10.0 Chp 28) Atrial fib, supraventricular tachycardia, ventricular tachycardia with pulse all treated with amiodarone, adenosine, and verapamil Pacemakers: Client Teaching About a Newly Inserted Permanent Pacemaker (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 29) Carry a pacemaker identification card at all time Prevent wire dislodgement Take pulse daily at same time Report signs of dizziness, fainting, fatigue, weakness, chest pain, hiccupping, palpitations, difficulty breathing Illness Management (4 items) Esophageal Disorders: Teaching About Gastroesophageal Reflux Disease (RN QSEN - Patient- centered Care, Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 48) Symps: dyspepsia and regurgitation, radiating pain (neck, jaw, or back) Report of a feeling of having a heart attack Pyrosis (burning sensation in the esophagus) Pain that worsens with position (bending, straining, laying down) Respiratory Management and Mechanical Ventilation: Verifying Placement of Endotracheal Tube (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 19) Chest X-ray
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Medical Emergencies (2 items) Head Injury: Identifying Cerebrospinal Fluid Leak (Active Learning Template - Basic Concept, RM AMS RN 10.0 Chp 14) Clear drainage from the nose Glucose monitoring Pathophysiology (7 items) Infections of the Renal and Urinary System: Causes of Edema in Nephrotic Syndrome (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 60) Glomerular damage Inflammatory Bowel Disease: Recognizing Clinical Manifestations of Appendicitis (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 52) Right lower quadrant pain; begins at peri-umbilical area Fecaliths, or hard pieces of stool, can be the initial cause of obstruction Pain increases with movement Tachycardia, fever Multiple Sclerosis: Clinical Manifestations (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 10) Pain or paresthesia
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