Nursing 101 NCLEX Basic Care Comfort/Nursing 101 NCLEX Basic Care Comfort/Nursing 101 NCLEX Basic Care Comfort/Nursing 101 NCLEX Basic Care Comfort/Nursing 101 NCLEX Basic Care Comfort/Nursing 101 NCLEX Basic Care Comfort/Nursing 101 NCLEX Basic Care C
Immobility
● Assessment of what they can do
● Therapeutic Exercise
• active ROM
• passive ROM
• Active resistive ROM
■ help develop muscle strength
■ uses weights
• isometric exercises
● Complications
• decubitus ulcer
■ use draw sheet
■ low flow air mattress
■ elbow / heel pads bony prominences
■ turn q2 hrs
■ balance diet
■ keep dry
■ disorientation may happen
• osteoporosis
■ dec in weight bearing
■ pathological fractures
■ Renal calculi- calcium leaves bone and travels throughout body being filtered by kidneys
■ Neg Nitrogen Balance- more nitro is being excreted than consumed
■ muscle begin to break down and used as protein source
• Hypercalcemia- Ca CALMS nerves (rowsiness, confusion, constipation in gut,hallucinations,
stupor or coma) but contracts muscle.
• Ca blocks Na channels and inhibits depolarization of nerve and muscle fibers, increased Ca
raises threshold for depolarization.
• Decrease in HR and increade in contractility (MI)
• Normal range 9-10.5mg/dL
• Causes- excessive skeletal calcium release, increased intestinal calcium
absorption or decreased renal calcium excretion.
• Contractures
• Thrombus
• Orthostatic Hypotension
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