STUVIA 2024/2025
SPIDERMAN PACKET
What you can EAT E-evaluate A-assess T-teach - ✔✔Do not delegate
Addison's = down down down up down
Cushings= up up up down up
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia, hypo/hyperglycemia -
✔✔Addison's & Cushings
EleVate Veins, DAngle Arteries - ✔✔Better peripheral perfusion?
Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent) - ✔✔APGAR
MTV or My chicken hez tb measles, chickenpox (varicella) Herpes zoster/shingles TB - ✔✔Airborne
precautions
%
private room, neg pressure with 6-12 air exchanges/hr mask & respirator N95 for TB - ✔✔Airborne
precautions protective equip
spiderman! sepsis, scarlet fever, streptococcal pharyngitis, parvovirus, pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus
(Private room and mask) - ✔✔Droplet precautions
MRS WHISE
protect visitors & caregivers when 3 ft of the pt.
Multidrug-resistant organisms
RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric diseases caused by
micro-organisms (C diff),
Gloves and gowns worn by the caregivers and visitors
Disposal of infectious dressing material into a single, nonporous bag without touching the outside of
the bag
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PMGG= Private room/ share same illness, mask, gown and gloves - ✔✔Contact precaution
VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies - ✔✔Skin infection
S/S chest pain, dyspnea, tachycardia, pale/cyanotic, sense of impending doom. (turn pt to LEFT side
and LOWER the head of bed.) - ✔✔Air or Pulmonary Embolism
(late decels, decreased variability, fetal bradycardia, etc) Turn pt on Left side, give O2, stop pitocin,
Increase IV fluids! - ✔✔Woman in labor (un-reassuring FHR)
Pt on Right side (promotes emptying of the stomach) Head of bed elevated (prevent aspiration) -
✔✔Tube feeding with decreased LOC
%
pt is flat SUPINE (prevent headache and leaking of CSF) - ✔✔After lumbar puncture and oil based
myelogram
flat with legs elevated - ✔✔Pt with heat stroke
catheter is taped to the thigh. leg must be kept straight. - ✔✔during Continuous Bladder Irrigation
(CBI)
position on the side of AFFECTED ear, allows drainage. - ✔✔After Myringotomy
pt sleep on UNAFFECTED side with a night shield for 1-4 weeks - ✔✔After Cateract surgery
low or semi-fowler's position, support head, neck and shoulders. - ✔✔after Thyroidectomy
Prone so that sac does not rupture - ✔✔Infant with Spina Bifida
elevate foot of bed for counter traction - ✔✔Buck's Traction (skin)
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, STUVIA 2024/2025
don't sleep on side of surgery, don't flex hip more than 45-60 degress, don't elevate Head Of Bed
more than 45 degrees. Maintain hip abduction by separating thighs with pillows. - ✔✔After total hip
replacement
Knee to chest or Trendelenburg
oxygen 8 to 10 L - ✔✔Prolapsed cord
position on back or in infant seat to prevent trauma to the suture line. while feeding hold in upright
position. - ✔✔Cleft Lip
(post operative ulcer/stomach surgeries) eat in reclining position. Lie down after meals for 20-30 min.
also restrict fluids during meals, low CHO and fiber diet. small, frequent meals. - ✔✔To prevent
dumping syndrome
elevate for first 24 hours on pillow. position prone daily to maintain hip extension. - ✔✔AKA (above
knee amputation)
foot of bed elevated for first 24 hours. position prone to provide hip extension. - ✔✔BKA (below knee
amputation)
%
area of detachment should be in the dependent position - ✔✔detached retina
pt should be left side lying (Sim's) with knee flexed. - ✔✔administration of enema
(incision behind hairline on forhead) elevate HOB 30-40 degrees - ✔✔After supratentorial surgery
(incision at the nape of neck) position pt flat and lateral on either side. - ✔✔After infratentorial
surgery
on bed rest while implant in place - ✔✔During internal radiation
S/S pounding headache, profuse sweating, nasal congestion, chills, bradycardia, hypertension. Place
client in sitting position (elevate HOB) FIRST! - ✔✔Autonomic Dysreflexia/Hyperreflexia
bedrest with extremities elevated 20 degrees. knees straight, head slightly elevated (modified
Trendelenberg) - ✔✔Shock
elevate HOB 30 degrees to decrease ICP - ✔✔Head Injury
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