{"id":120956,"date":"2023-10-02T21:26:25","date_gmt":"2023-10-02T21:26:25","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=120956"},"modified":"2023-10-02T21:26:26","modified_gmt":"2023-10-02T21:26:26","slug":"mark-klimek-lecture-notes-2023","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/10\/02\/mark-klimek-lecture-notes-2023\/","title":{"rendered":"Mark Klimek Lecture Notes 2023"},"content":{"rendered":"\n<p>Stable Client &#8211; correct answer \u2022post op greater than 12 hours<br>\u2022local\/regional anesthesia<br>\u2022use of the word stable<br>\u2022Chronic illnesses (examples COPD &amp; CHF; ABC does not always lead to the right)<br>\u2022Lab abnormalities of least priority (creatinine Vs potassium; potassium takes priority because potassium<br>is a priority lab, not the creatinine level even if it is high)<br>\u2022Admitted longer than 24 hours ago<br>\u2022Unchanged assessments (nothing new)<br>\u2022Experiencing expected signs &amp; symptoms of a diagnosed disease<br>Unstable Client &#8211; correct answer \u2022Post op less than 12 hours (aka fresh post op)<br>\u2022General anesthesia within 12 hours post op<br>\u2022Acute illness (examples appendicitis or pancreatitis)<br>\u2022Lab abnormalities of highest priority (priority labs such as potassium, calcium, sodium)<br>\u2022Phrases that a patient unstable (newly admitted\/not ready for discharge)<br>\u2022Admitted less than 24 hours ago<\/p>\n\n\n\n<p>\u2022Changed assessments (new finding)<br>\u2022Experiencing unexpected signs &amp; symptoms of a diagnosed disease<br>Unstable client (continued) &#8211; correct answer Even if expected, makes patient automatically highly<br>unstable:<br>-Hemorrhaging! (Always)<br>-Temp of 105 or higher (leads to seizure)<br>-Hypoglycemia (leads to coma\/death quickly)<br>-Pulselessness or breathlessness<br>(This will be in the modifying phrase, last part of the question)<br>Priority Questions come in 4 parts &#8211; correct answer Age<br>Gender<br>Diagnosed disease<br>Modifying phrase (pay attention to the last part of the question, is it expected\/unexpected or is it a<br>highly unstable phrase like hemorrhaging\/temp of 105)<br>Example of a priority Question &#8211; correct answer A 16 year old male with bacterial meningitis with a<br>temp of 103 for the last 3 days<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Stable Client &#8211; correct answer \u2022post op greater than 12 hours\u2022local\/regional anesthesia\u2022use of the word stable\u2022Chronic illnesses (examples COPD &amp; CHF; ABC does not always lead to the right)\u2022Lab abnormalities of least priority (creatinine Vs potassium; potassium takes priority because potassiumis a priority lab, not the creatinine level even if it is high)\u2022Admitted longer than [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-120956","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/120956","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=120956"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/120956\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=120956"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=120956"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=120956"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}