100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NUR 425 - Exam 1 Practice Questions and 100% Correct Answers $9.99
Add to cart
Quickly navigate to
Preview
  2.  
  3. NUR 425
  4.  
  5. NUR 425

Exam (elaborations)

NUR 425 - Exam 1 Practice Questions and 100% Correct Answers
 0 purchase
  • Course
  • NUR 425
  • Institution
  • NUR 425

Malignant hyperthermia - genetically linked - adverse reaction to anesthesia with succinylcholine - very rapid increase in temp, tachycardia, hypotension, muscle rigidity - cyanosis - antidote = dantrolene (muscle relaxer) with 60ml sterile water - administer cold fluids - anything to reduce temp ...

[Show more]

Preview 2 out of 10  pages

Document information

  • September 9, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nur 425 exam 1 practice questions and 100 corre
  • malignant hyperthermia genetically linked adv
  • pre op instructions information npo chlorhe

Written for

  • NUR 425
  • NUR 425

Seller

avatar-seller
twishfrancis

Reviews received

Content preview

NUR 425 - Exam 1 Practice Questions
and 100% Correct Answers
Malignant hyperthermia ✅- genetically linked
- adverse reaction to anesthesia with succinylcholine
- very rapid increase in temp, tachycardia, hypotension, muscle rigidity
- cyanosis
- antidote = dantrolene (muscle relaxer) with 60ml sterile water
- administer cold fluids
- anything to reduce temp

Pre-op instructions / information ✅- npo
- chlorhexidine bath
- meds: none except thyroid, insulin, beta blocker
- allergies: latex, iodine (allergy pt goes first)
- family hx: malignant hyperthermia
- no jewelry or underwear

Pre-op at hospital ✅- informed consent: given by surgeon, nurse as witness
- site marking: done by surgeon, verified by nurse
- start iv: for meds and fluids
- check labs
- vital signs: baseline, must be fever free, diabetes increase risk for infection,
obese/asthma increased risk for resp depression
- pt. Education: before sedatives

Meds and fluids through iv ✅- sedative: benzo (midazolam)
- beta blocker
- ppi: atropine
- antiemetic: ondansetron
- pain meds
- insulin
- abx

Intraop: before pt. Enters surg suite ✅- surgical safety checklist: ensuring everything
needed is there
- safety: surgical site infection, position related injury, retained items (increased risk for
adhesions), fire (gas / electricity)

Intraop: pt enters ✅anestesia
- induction: putting pt under
- intubation: placing et tube
- maintenance: keeping them under
- emergency: removing tube

, - recovery: post op
Time-out:
- right before first cut
- verify pt, side, procedure, needed equipment
- every person must say "i agree"

Sterile field ✅- chest down to sterile table
- 2 in. Above elbows down to finger tips
- within box in front of you

Post-op ✅most important: abc's
- airway: pt. Might need to be re-intubated
- breathing: turning, coughing, deep breathing, is (10x per hr q hr while awake),
prevention of aspiration pneumonia
- circulation: monitor bp and hr

Pacu - aldrete score: ✅aldrete score: determines post surgery status compared to pre-
op and if they can be d/c'd
- must have pre-op vitals before performing score
- higher the score, closer to d/c (out of 10)
- activity, breathing, consciousness, circulation, spo2

Pacu - pain control ✅meds:
- pca
- meds before pt
- don't wait too long to give
Non-pharm:
- splinting incision: places pressure on incision when coughing
- prevents dehiscence in abdominal incisions

Incision dehiscence ✅- medical emergency: infection can occur
Interventions:
- don't leave pt, call for help
- tell them not to move, touch, and remain calm
- cover with sterile towels soaked in sterile saline
- call physician

Pacu - monitoring for dvt's ✅- risk factor: surgery
- preventions: tedhoes, scds, avoid pressure behind knees, admin anticoags, early
ambulation
- s/s: swelling, pain, redness, heat typically in calf
- can lead to a pulmonary embolism

Interventions for dvt ✅- venous duplex to confirm

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $9.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67479 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$9.99
  • (0)
Add to cart
Added