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ATI PN Comprehensive Predictor Review (complete A+ study guide)

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ATI PN Comprehensive Predictor Review Do not delegate - What you can *EAT* *E*-evaluate *A*-assess * T-*teach Addison's & Cushings - Addison's = down down down up down Cushings= up up up down up hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia, hypo/hyperglycemia ...

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  • 27 januari 2022
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ATI PN Comprehensive Predictor Review
Do not delegate - What you can *EAT*
*E*-evaluate
*A*-assess
* T-*teach

Addison's & Cushings - Addison's = down down down up down
Cushings= up up up down up
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia,
hypo/hyperglycemia

Better peripheral perfusion? - Elevate veins, D-Angle Arteries

APGAR - 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)

Airborne precautions - MTV or My chicken hez tb measles, chickenpox (varicella)
Herpes zoster/shingles TB

Airborne precautions protective equip - private room, neg pressure with 6-12 air
exchanges/hr mask & respirator N95 for TB

Droplet precautions - spiderman! sepsis, scarlet fever, streptococcal pharyngitis,
parvovirus, pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus
(Private room and mask)

Contact precaution - 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

,PMGG= Private room/ share same illness, mask, gown and gloves

Skin infection- *VCHIPS* - Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies

Air or Pulmonary Embolism - S/S chest pain, dyspnea, tachycardia, pale/cyanotic,
sense of impending doom. (turn pt to LEFT side and LOWER the head of bed.)

Woman in labor (un-reassuring FHR) - (late decels, decreased variability, fetal
bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!

Tube feeding with decreased LOC - Pt on Right side (promotes emptying of the
stomach) Head of bed elevated (prevent aspiration)

LOC - Level of Consciousness

After lumbar puncture and oil based myelogram - pt is flat SUPINE (prevent headache
and leaking of CSF)

Pt with heat stroke - flat with legs elevated

during Continuous Bladder Irrigation (CBI) - catheter is taped to the thigh. leg must be
kept straight.

After Myringotomy - position on the side of AFFECTED ear, allows drainage.

Myringotomy - surgical incision into the eardrum, to relieve pressure or drain fluid.

After Cateract surgery - pt sleep on UNAFFECTED side with a night shield for *1-4
weeks*

after Thyroidectomy - low or semi-fowler's position, support head, neck and shoulders.

Infant with Spina Bifida - Prone so that sac does not rupture

Buck's Traction (skin) - elevate foot of bed for counter traction

After total hip replacement - 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.

Prolapsed cord - Knee to chest or Trendelenburg

, oxygen 8 to 10 L

Cleft Lip - position on back or in infant seat to prevent trauma to the suture line. while
feeding hold in upright position.

To prevent dumping syndrome - (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.

AKA (above knee amputation) - elevate for first 24 hours on pillow. position prone daily
to maintain hip extension.

BKA (below knee amputation) - foot of bed elevated for first 24 hours. position prone to
provide hip extension.

detached retina - area of detachment should be in the dependent position

dependent position - supported

administration of enema - pt should be left side lying (Sim's) with knee flexed.

supratentorial - (incision behind hairline on forhead) e

After supratentorial surgery - elevate HOB 30-40 degrees

HOB - head of bed

infratentorial - (incision at the nape of neck)

After infratentorial surgery - position pt flat and lateral on either side.

During internal radiation - on bed rest while implant in place

Autonomic Dysreflexia/Hyperreflexia - S/S pounding headache, profuse sweating, nasal
congestion, chills, bradycardia, hypertension. Place client in sitting position (elevate
HOB) FIRST!

Shock - bedrest with extremities elevated 20 degrees. knees straight, head slightly
elevated (modified Trendelenberg)

Head Injury - elevate HOB 30 degrees to decrease ICP

Peritoneal Dialysis (when outflow is inadequate) - turn pt from side to side BEFORE
checking for kinks in tubing

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