Hypovolemic shock occurs when blood volume decreases

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rapidly and is inexpensive.Hypovolemic shockoccurs when blood volume decreases via hemorrhage or third-spacing.Stopping the source of blood loss, increasing blood volume through IV fluids, and improving blood pressure with vasoactive medications are the first steps in treating this condition.Abruptly discontinuing vasoactive medications can cause hemodynamic instability; always be taper down slowly.Nurse offenses reportable to BONCriminal acts (such as theft), practicing outside of the scope, falsification of records, and client abandonment.Any individual may file a complaint regarding an action thatis potentially unethical, incompetent, impaired, or in violation of nursing law.Ulcerative Colitis (bloody diarrhea) Inflammation and ulcerations in the large intestines resulting in urgent, frequent, bloody diarrhea; abdominal pain; anorexia; and anemia.Acute pain, altered nutritional status, hopelessness, and risk for deficient fluid volume are appropriate NDs for a client with UC.(ASA) toxicityASA poisoning (disorientation, vomiting, hyperpnea, diaphoresis, restlessness) as well as in those who are asymptomatic.Activated charcoal binds to available salicylates, thus limiting further absorption in the small intestine and enhancing elimination.Management of acute diverticulitisfocuses onbowel rest(NPO status, NG suction, bed rest), anddrug therapy(IV abx, analgesics).Any procedure or tx that increases intraabdominal pressure or maycause rupture of the inflamed diverticula should be avoided. Avoid Barium Enema during acute stage.Myopia (nearsightedness)Objects at a distance are difficult to visualize.S/S in children include HA & dizziness,as well as poor school performance, eye rubbing, and frequent blinking when viewingdistant objects.IV Gauge14-gauge(large-bore) catheter is used to administer fluids and drugs in a prehospitalor emergency setting, or for hypovolemicshock.
18-gaugecatheter is typically indicated for infusingbloodor large amounts of fluid in adults.Mechanical Ventilator
Avoid suctioning or changing activity or O2 levels prior to drawing of ABGs.These actions can result in inaccurate ABG results.Fall PreventionDuring ambulation: step slightly behind the client with feet wide apart and knees bent, place arms under the axillae or around the client's waist, place one leg behind the other and extend the front leg, and let the client slide down the extended leg to the floor.Epidural anesthesiaContraindications: uncorrected maternal hypotension, coagulopathies (eg, low platelets), and infection at the epidural insertion site.Abdominal ExamSequence – stand on right side, inspect, auscultate, percuss, then palpate.ClonidineVery potent antihypertensive.Abrupt discontinuation can result in serious rebound hypertensive crisis.Other common S/E of clonidine includedizziness,drowsiness, anddry mouth (the 3 Ds).BB, another class BP meds, can result in withdrawal symptoms if discontinued suddenly.Oral candidiasis Immunosuppressedclients (eg, taking steroids, undergoing chemotherapy or

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