Oxytocin is always given via an infusion pump and and can never be administered through the primary IV.
One of the first signs of ICP (increased intracranial pressure) in infants is a high pitched cry.
Regarding blood transfusions, a hemolytic reaction is the most dangerous kind of reaction...S & S include
NAUSEA
VOMITING
PAIN IN LOWER BSCK
HEMATURIA Treatment is to STOP blood, get a urine specimen and maintain perfusion and blood volume.
Febrile reaction S&S
FEVER
CHILLS
NAUSEA
HEADACHE
Narcan is given for to reverse respiratory depression...a rate of 8 or less is too low and requires nursing action.
Miller abbott tube is used for decompressing intestine, which relieves the small intestine by removing fluid and gas from small intestine.
If a client takes lithium the nurse should instruct the client to take in a good amount of sodium, without it causes retention of lithium and in turn leads to toxicity.
Rinne test- a vibrating tuning fork is held against the mastoid bone till pt can't hear sound...then moved to ear.
More to come