Kidney stone diet Right Ans - Increase fluid intake and protein
AVOID chocolate and calcium, nuts, shellfish, wheat products, carbonated
beverages
Care coordination tier 1 Right Ans - Frail, elderly, terminal illness, dying,
children w/ disabilities
Care coordination tier 2 Right Ans - Mental health
Care coordination tier 3 Right Ans - Everyone else
medication reconciliation Right Ans - -NPSG
-Every time a patient has a procedure/surgery, moves facility, unit or goes up
the doctor will review current medications
lasix, spironolactone Right Ans - -Diuretics
-Lowers blood pressure
Which patient would benefit the most from care coordination Right Ans -
87 year old who just had a CV resulting in dysphasia and right sided weakness
right sided heart failure Right Ans - -Jugular vein distention
-edema (starts in feet can radiate to sacrum)
-Ascites
-Nausea and vomiting
-Abdominal distention
-Enlarged liver
-Low appetite
Left sided heart failure Right Ans - -Dyspnea, SOB
-Crackles
-PINK FROTHY SPUTUM
-Pulse OX is dropping
-hypertrophy
-restless
-Cool/pale skin
-Restless
, -Low urine output (oliguria)
ramopril Right Ans - Ace inhibitor
-Hypertension
-Low dose-cardiac effect
Amiodarone (Cordarone) Right Ans - -Tachycardia, ventricular fibrillation
-Can damage the heart
-Can cause blue/grey color to the skin
Common side effect: Hypotension
National patient safety goals Right Ans - -Suicide prevention
-Pass meds safely
-Prevent infection
Preferred skin cleanser Right Ans - -Chloraprep
-Chlorohexidine- chloraprep and alcohol mixed
Digoxin (Lanoxin) Right Ans - -Slows HR down and strengthens contraction
-PO, IV, IV push
-CHF
-Apical pulse below 60 BPM HOLD the medication
Congestive heart failure intervention Right Ans - -Fluid restriction
-Sodium restrictions
Promethazine (Phenergan) Right Ans - -motion sickness, N/V
-Sedation
Common SE: Constipation, Urinary retention, dizziness, drowsiness
Severe SE: Thrombocytopnea, neuroleptic malignant syndrome
VESICANT
Cardiac bypass surger Right Ans - -Surgen
-Dietician
-Cardiac rehab
-Cardiologist
orthopedic surgeon Right Ans - Bone doctor
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