SHOCK A state of imbalance between O supply and demand that leads to inadequate blood flow to organs,
poor tissue perfusion, and possibly fatal cellular dysfunction. UNTREATED SHOCK leads to METABOLIC ACIDOSIS,
ORGAN DYSFUNCTION and DEATH
PANCREATITIS: acute or chronic inflammation of the pancreas. May be mild or severe. Mortality is linked to the
PRESENCE OF NECROSIS (dead cells) and the development of NECROTIZING HEMORRHAGIC PANCREATITIS.
Due to one of the causes listed belo
ACUTE MI (AMI) life-threatening condition characterized by the formation of
localized necrotic areas within the myocardium. Usually follows the sudden
occlusion of a coronary artery and the abrupt cessation of blood flow and oxygen to
A. ESI (1) IS THE PATIENT DYING? Does this patient require IMMEDIATE LIFE-SAVING INTERVENTIONS?
Does the patient meet any of the following criteria for ESI (1):
ORGAN DONOR PROCESS Initiation of donor process should proceed according to hospital policy.
Organ recovery in operating room only AFTER:
o A potential donor is identified
o Obtaining family consent
o Notifying OPO
TRANSFORMING A NURSING ORGANIZATION TO REDUCE
A CASE STUDY
Errors of Omission: How Missed Nursing Care Imperils Patients
Saved to Dropbox Jan 29, 2016, 9:48 PM
NCLEX study guide
3.5 5.1cardiac arrhythmias: possible met. acid.
if pt has K 1st hold diuretic/digoxin then assess with EKG, VS I&O
:muscle weakness, dysrhythmias, to increase K in
CHEST INJURIES there are two major types of chest injuries:
BLUNT INJURY trauma to the chest commonly caused by deceleration injuries such as MVAs
(motor vehicle accidents), falls, or blows to the chest.
o Diagnosis of blunt injuries may be
Fetal Accelerations and Decelerations
Variable - Chord Compression
Early - Head Compression
Accelerations - Okay
Late - Placental Insufficiency
The HYPERKALEMIA "Machine" - Causes of Increased Serum K+
490 UNIT IV / Responses to Altered Endocrine Function
Lente insulin preparations may be mixed with each other;
mixing with regular insulin or with PZI and NPH insulin is
Do not mix human and animal insulins.
Always withdraw regular ins
Galen School of Nursing
Adult Patient Handoff Report
Date of Admission:
Status: Full Code DNR
CMO Baker Act
Past Medical His
INFECTION = Oncological Emergency
Temp above 100.4
Platelets under 150,000 BLEEDING RISK. Put on Bleeding precaution= soft toothbrush, no razors, no
straining (pooping), no exercise
MONITOR FOR: Pe
ACUTE VENTILATORY FAILURE (CO2) inability of the body to sustain respiratory drive or the
inability of the chest wall and muscles to mechanically move air in and out of the lungs. HALLMARK
ELEVATED CO2 LEVEL, which manifests as headache and
ADRENAL CORTEX (SUGAR-SALT-SEX HORMONES) the adrenal cortex is the outer portion of the
adrenal gland and is responsible for production of the adrenocorticotrophic hormones: glucocorticoid
(cortisol), mineralocorticoid (aldosterone) and androg
TYPES OF BURNS:
THERMAL BURNS fire, etc.
ELECTRICAL BURNS can cause intense muscular contractions that can break bones, interfere with normal
conduction impulses to the heart; Also causes 2 injuries entrance/exit wounds
CHEMICAL BURNS toxic
PACEMAKERS OF THE HEART
SA NODE (60-100bpm) AV NODE (40-60bpm) VENTRICULAR CELLS (20-45bpm)
READING THE STRIP:
RATE NORMAL is 60 100bpm
o To Calculate, count # of beats per 6sec strip x 10
o IRREGULAR RHYTHMS
THINGS TO CONSIDER FOR REFERRAL AND RECIPIENT Medical necessity Can they live thru the surgery?
Psychosocial ( age, martial status, support system, any habits smoking , drinking)
REASON ONE COULD N
AdvMedSurge Test 2
Assess patients at risk for PE for the symptom cluster of distended neck veins, syncope, cyanosis, & hypotension. If
this cluster is present, notify the Rapid Response Team.
It is important to remember that many patients with PE do not