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- Jun 10, '08 by SkrawberriThis is an awesome idea for a thread!
1. In prioritizing cardiac patients, check the pt with INDIGESTION first because that could be a sign of MI.
2. ABG's need to be placed on ice and sent to the lab ASAP.
3. If active TB is suspected, a sputum culture for acid-fast bacillus is the only metod to actually confirm active TB (NOT a mantoux skin test!)
4. Celebrex is contraindicted in pts with a history of cirrhosis.
5. In psych pts, the client most at risk for self-harm is always the pt that has stopped taking their meds.
6. Change in resp rate in a pt receiving mag sulfate could indicate toxicity.
- Jun 10, '08 by Pretty in Ink1. cushing's triad = htn (widening pulse pressure, systolic rises), bradycardia, irregular resp.
2. tx of dic = heparin
3. assessment for cancer =
c: change in bowel or bladder habits
a: a sore that doesn’t heal
u: unusual bleeding or discharge
t: thickening or lump
i: indigestion or difficulty swallowing
o: obvious changes in a wart or mole
n: nagging cough or hoarseness.
4. acid base =
5. for injuries such as twisted ankles use rice acronym
- Jun 10, '08 by Pretty in InkQuote from skrawberritrue confirmation for tb is an x-ray :spin:this is an awesome idea for a thread!
1. in prioritizing cardiac patients, check the pt with indigestion first because that could be a sign of mi.
2. abg's need to be placed on ice and sent to the lab asap.
3. if active tb is suspected, a sputum culture for acid-fast bacillus is the only metod to actually confirm active tb (not a mantoux skin test!)
4. celebrex is contraindicted in pts with a history of cirrhosis.
5. in psych pts, the client most at risk for self-harm is always the pt that has stopped taking their meds.
6. change in resp rate in a pt receiving mag sulfate could indicate toxicity.
- Jun 10, '08 by CrazyScrubNurseQuote from txgvn4nowi'm gonna have to look this one up because i would go with the sputum culture for the confirmation. and i am only saying that because of the order of how they do things for us in the hospital as employees: tb skin test, if enduration of 7cm or more then a chest x-ray and if that shows something then a sputum cluture and the fun of "name that bug". gotta think about the fact that if you culture it, you know it is tb but if you get an x-ray you could be seeing something else. dang...i gotta go and consult my med/surg book again just to make sure!true confirmation for tb is an x-ray :spin:
- Jun 10, '08 by CrazyScrubNurse[quote=txgvn4now;2893594]
2. tx of dic = heparin
just one thing about this treatment= this is an "old school" treatment of dic that does not work in every case. the way to resolve dic is to stop the problem that is causing it.
example- i had a patient in the or last year who was 8 mo pregnant and fell and broke her arm on her childs toy. the arm was fixed at hospital a, and she went on her way until 8 days later when she came to hospital b and collapsed in the er. she was rushed to us in surgery at hospital b where she had a c-section to save the baby and we found a huge liver laceration (like 8 cm long). platelets....16,000 yeah that number is correct 16,000. so doc infused every blood product that we could get our hands on and we packed sponges over the liver to keep it from bleeding more, left the sponges in and sent her to icu to get some supportive measures until she was stable enough to come back down to the or. we all had tried to think of everything possible to get her to stop bleeding and i even asked about heparin but the doc said that is an old treatment and it is not appropriate for every patient and that you had to fix the injury for the body to come out of dic.