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ShellyRnEMT

ShellyRnEMT

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  1. ShellyRnEMT

    One Full nursing Diagnoses

    Always Always main your 1st diagnosis the priority. So if there are no issues regarding the ABC's and no abnormal bleeding then always make your next priority PAIN - especially with this pt being post-op and still in pain enough to receive morphine. So: Acute Pain r/t (what he had done) aeb pain scale rating of ...... That is all you need. Keep it simple :) Shelly
  2. B and C are the only H2O soluable vits. Not all are real important ones to know but here they are: B1 thiamine def very common in alcoholics (called Werncke-Korsakoff syndrome). Tx is IV thiamine (banana bag). Beriberi is a chronic def of thiamine named back in the 1890's in asia: S/S are ataxia, tachycardia, edema. B2 is Riboflavin and its def is called Ariboflavinosis. S/s are inflammation of lips and tongue. B3 is Niacin and its def is important. Pellagra is characterizd by the 3D's: diarrhea, dermatitus, dementia. Interesting, our body converts Tryptophan to niacin so I guess we are all in good shape following Thanksgiving!! B6 is Pyridoxine and its def rarely ever occurs alone. When it occurs, it is usually linked to other drugs that effect its availability (birth control pills - and watch during pregnancy as we.) B9 is Folate and of course def is associated with spina bifida and anencephaly. Adequate intake of folate is essential in early pregnancy. ** also and B12 def is associated with megaloblastic anemia. Lots of drugs effect folate absorption (anitconvulsants, nsaids, anacids, sulfas, chemo agents). B12 is cobalamin. Remember for B12 absorption, intrinsic factor from stomach mucosa must be present. Def is pernicious anemia. Vitamin C def is scurvy and is characterized by gingivitis, inflamm of connective tissues, muscle degeneraion and weakness. This def is, as you know, extremely rare but can still occur in chronic alcoholis and drug users and anyone else whose dietary intake is extremely poor (watch elderly). Hope this helps, it was a good review for me! Shelly