Clairekurenta

1. Gastrectomy and Pernicious Anemia (Vit. B 12) Relationship a. The patient with a total gastrectomy does not secrete intrinsic factor, which is needed for cobalamin (vitamin B12) absorption 2. Endoscopy procedure-definition, nursing implications/complications a. A temperature elevation may indicate that a perforation has occurred after an endoscopy b. Endoscopy-> vomiting “coffee-ground” 3. UAP delegation 4. N/V causes and treatments a. Nausea is associated with severe pain; it ...

1. TypesiofiTraction Skin:iWeightsiattacheditoipatient’siskinitoidecreaseimuscleispamsiandiimmobilizeitheiextremity ibeforeisurgery.iExiBryantitractioni(forihipidysplasiaiinichildren)iandiBucki‘sitractioniforihip ifractureiiniadultipatients). Skeletal:iScrewsiareiinsertediintoibone.iUsediforilongiboneifracturesisuchiasifemur,itibia,ifibula, ihumerus,iulna,iradius,imetacarpals,iphalangesiandimetatarsals. Halo:iusediforicervicaliboneifractures.iNurseishouldimakeisureiwrenchitoireleaseiro...

1. Pacemakerisafety-MRI, ibatteryilife, ietc. a. MRIiisicontraindicatediforipatientsiwithiimplantedimetallicidevicesisuchiasipacemakers 2. DelegationitoiUAPiandiLVN 3. Dietichoicesa. Iron i. Eggi&iwholeigrain b. Folate c. B12 d. lowisodium i. Milkiandiyogurtinaturallyicontainiaisignificantiamountiofisodium e. lowifat i. 4. Medications: a. ACEiInhibitorsi(pril) i. ACEiinhibitorsicauseiretentioniofipotassiumibyitheikidney, isoihyperkalemiaiisia ipossible iadverse ieffect. ii. ACEiin...

GI tract Highlights: Mouth to Anus; ● Mouth: mastication and breakdown of starches by salivary amylase ● Pharyn and Esophagus: During swallowing, epiglottis closes oI laryn ; Upper ⅓ of esophagus is skeletal muscle and distal ⅔ is smooth muscle, LES ● Stomach: churning and mi ing food; intrinsic factors for B12 absorption; very little absorption happens; HCL acid makes gastric juices acidic 1.5-3.5, Pyloric sphincter to Duodenum ● Small Intestines: Duodenum, Jejunum, and Ileu...

Gastrointestinal: Learning Objectives: At the end of this class a student will be able to: 1. Define key terms related to Gastrointestinal system: a. Borborygmi- Waves of loud, gurgling sounds Hyperactive bowel as a result of eating b. Hematemesis- Vomiting Blood Esophageal varices, bleeding peptic ulcer c. Melena- Abnormal black tarry stool, containing digested blood Cancer, bleeding in the upper GI tract from ulcers, varices d. Steatorrhea- Fatty, frothy, foul smelling stool Chronic...

WateriContentiofitheiBody • 2/3iofiwateriisiintracellularifluidiinitheicells • 1/3iofiwateriisiiniextracellularifluidioutsideioficells • Moreifatiinitheibodyitheilessiwater • 1iLiofiwateri=2.2ilbs • 3-6iLiofifluidiisisecretediiniandireabsorbedifromiGIieveryday • Fluidivolumeioveriload:iassesiforiedemaicrackle,itheibloodipressureiwouldiincrease,ianditheisatiwill ilower • BodyifluidiCompartments o Interstitial-theifluidiinitheispacesibetweenicells o Intravasculari(plasma)-i...

VitaliSigns Me: Iiwillinowibeitakingiyourivitalisigns. checkitemperature o beforeicheckingitheitemp, iaskiifipatientihadianythingihotioricolditoidrink, iorismokediinitheilasti30imins checkitheipulseioximetry takeitheibloodipressure o askiifipatientiknowsitheiriusualibloodipressureimeasurement checkirespirations o countifori30isecondsiandimultipleibyi2 Skini&iNails Me: I’migonnaigoiaheadiandistartiwithiyouriskin. Skinicoloriisiappropriateitoiethnicity. Thereiareinoisignsiofiles...

Arterial < I Heart IpumpsIoxygenated Iblood Ithrough IarteriesItoIall IbodyItissues < INoIpulse/1+Ipulse < I Occlusions < I Pallor: Isecondary ItoIischemia, Icaused Iby IlackIofIblood Iflow < IUlcersIat ItipsIofItoes < IHIGH-PRESSUREISYSTEM < IStrong < I Tough artery Iwall Icharacteristics < ITense < I elastic Ifibers: IallowIwall Ito Istretch IwithIsystole Iand Irecoil IwithIdiastole < I muscleIfibers: IcontrolIbloodIdeliveredItoItissues * VSMI(va...

Jarvis:IPhysical IExaminationI&IHealthIAssessment,I7thIEditionI1.WhichIstatementIisItrue IregardingItheIarterial Isystem? TheIarterial IsystemIisIaIhigh-pressureIsystem. TheInurseIisIreviewingItheIbloodIsupplyItoItheIarm.ITheImajorIarteryIsupplyingItheIarmIisItheI_ Iartery. Brachial TheInurseIisIpreparingItoIassessItheIdorsalisIpedisIartery.IWhereIisItheIcorrectIlocationIfor Ipalpation? Lateral ItoItheIextensorItendonIofItheIgreatItoe AI65-year-old Ipatient Iis Iexperiencing Ipain Iin I...

1. Defineisubjectiveiandiobjectiveidata. iGiveithreeiexamplesiofieachiandistateiifitheifindingsiare idocumentediinitheihistoryioriphysicaliexaminationifindings. • SubjectiveiData iwhatitheipersonisaysiaboutihimselfioriherselfiduringitheiphysical iexamination;isymptomiisiaisubjectiveisensationsithatitheipersoniisifeeling; o Examples:iitching, ipain, ifeelingsiofiworry, inausea, idepression, ifatigue, ianxiety, loneliness, ietc. • ObjectiveiData iwhatitheiyouiasitheihealthiprofessionalio...