HIM WEEK 9
Peritonitis: infection of peritoneum (a silk like membrane that lines your inner abdomen and organs)
o Usually happens from a rupture or perforation of organs. A complication of other
o Also from Mechanical obstruction l
WEEK 7: old people
SO. Old people are old lets go
Some subjective data you should collect:
- Head injury recently?
- Dizziness/vertigo recently?
- Tremors? Shaking hands or face?
- Weakness in ROM?
Some objective data youll observe
Tracheotomies care, managing secretions
Maintain surgical aseptic technique when suctioning
Suction no longer than 10-15 seconds
Provide adequate humidification and hydration to thin secretions and decrease risk of mucus
Intubation ETT nursing assessment
Assessment: Placement is verified by CXR.
- Maintain airway patency and artificial airway position (ETT have markings). Assess respiratory
status via pulse ox.
- Pt can only be intubated for only 7-12 days max
MED-SURG Final Exam Part 1
Endocrine System Meghan
ATI Pg. 519: Inadequate amount of circulating thyroid hormones T3 & T4
DECREASE in metabolic rate that affects all body systems
Thyroid gland does not produce enough thyroid hormone to sup
Diabetes Part 2
Hyperglycemic Hyperosmolar Non-ketoic (HHNK)
More common in elderly patients with type 2 NIDDM
Difference from DKA? * NO KETONES and mortality rate is greater because it is
misdiagnosed and high BS level
o Severe hyperglyc
Thyroid Storm (thyrotoxicosis)
Acute and life threatening condition that occurs in uncontrolled hyperthyroidism surgery and
Severe tachycardia (address first), fever, dehydration from N/V and diarrhea, delirium and coma,
Risk for injury R/T fractures.
o Handle patient gently & maintain safety. Highest priority is to prevent falls.
Altered urinary elimination R/T renal stones.
o Force fluid intake of 3000 ml.
o Cranberry juice, prune juice makes urine
HIM II FINAL REVIEW
Risk factors: modifiable vs. non modifiable
Modifiable: smoking, ^serum cholesterol, HTN, obesity, diabetes, being a lazy motherfucker
Nonmodifiable: genetics (race and predisposition to HTN, diabetes, dyslipidemia), aging, gender