o How long post op
o Has the doctor seen the dressing
o When was the last dressing change
o H&H levels
o Up to walk yet
o Catheter out?
o When was the last time peri pad was assessed, what was the amount of b
Behaviors of the caregiver
Story doesn't make sense
Nervous when questioned
Once you suspect abuse you MUST REPORT IT
Any sign of hopelessness should elicit an intervening response
"Have you considered harming yourself?"
o Droperidol (Inapsine)
Block dopamine receptors
Tx post op nausea and vomiting
s/s EPS if used for extended amount of time, hypotension monitor BP
o Lorazepam (Ativan)
Nausea and vomiting
Acid-Base & ABGs
Filtration and warmth
If pt has tracheostomy no filtration & warmth
- Ventilation and perfusion test (VQ mismatch)
Terminal structures of respiratory tract
Surfactant keeps the alveoli from collap
Blunt trauma: usual cause is compressive force- outcome based on magnitude of the force.
Rib fractures: often benign, conservative Tx unless damage to underlying structures
Flail chest: Fx of
VENT & ATRIAL
always in front of
shape, always in
Simulation: Blood Transfusion
o What is my pts blood type?
o Why are they getting blood?
o What type of blood are they getting?
o How long has it been in
Simulation: Cardiac Cath
Hand off Questions to ask:
o How long are they post op?
o Has the Dr. assessed the dressing yet?
o Are they still NPO or are they able to have fluids (encourage fluids to help flush
o Are they currently hooked up to an E
Simulation: Hip Replacement
o How long post op?
o Any complications I should be aware of?
o What hip was replaced?
o Has Dr seen the dressing? - when was the last dressing change?
o NPO status
o Wash hands
o Pull curt
Enteral & Parenteral Nutrition
During illness, pts appetite
Muscles atrophy when body goes into a state of starvation, chances of healing (have metabolic needs)
Body will start to digest itself if it doesnt get what it needs from outside sources