Notes 7-26-13

  • Blood analysis required to diagnose TB
  • COPD clients with acute exacerbation will have impaired memory
  • Monitor for unilateral breath sounds post thoracentesis – indicates pneumothorax
  • Proteinuria will be found with glomerulonephritis
  • Continue passing suctioning catheter for trach patient if coughing
  • Do not suction more than three times
  • TMP/SMZ can lead to Stevens-Johnsons syndrome
  • Tensilon Test used for myasthenia gravis
  • Fluid overload – shortness of breath
  • Effect on ADLs will have the greatest influence on pain perception
  • Fluid volume deficit – orthostatic hypotension
  • Feedings should not exceed 10 mL/min
  • Assess the mouth of a client with neutropenia q8h
  • Confusion and petechiae – signs of fat embolism
  • Beta blocker side effects include heart failure demonstrated with coughing
  • Cardiac tamponade – pulsus paradoxus
  • Crohn’s diet – low fiber – not to eat fruit and veggies
  • Memory loss indicative of increasing ICP in bacterial meningitis
  • Risperidone side effects – wt gain, orthostatic hypotension, insomnia
  • Osteoporosis – sedentary life style
  • Mannitol – pulmonary edema side effect
  • V-fib – administer shock switch defib to asynchronous
  • Hypermagnesemia – cardiac monitoring