Lecture 1 Acid-Base Balance

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Lecture 1— Acid-Base Balance Ventilators

Lecture 2— Alcohol Wernicke Overdose and Withdrawal S/Sx Aminoglycosides Peak and Trough

Lecture 3— Drug Toxicities (Lithium, Lanoxin, Dilantin, Bilirubin, Aminophylline) Kernicterus Dumping/HH

Electrolytes: K+, CA, MG,

and NA TX for HyperKalemia

Lecture 4— Crutches Canes Walkers Delusions Hallucinations Psychosis Psychotic and Non-Psychotic Hallucination Illusion Delusion

Lecture 5— Diabetes Mellitus Diabetes Insipidus SIADH Insulin DKA HHNK

Lecture 6— Drug Toxicities (Lithium, Lanoxin, Dilantin, Bilirubin, Aminophylline) Kernicterus Dumping/HH

Electrolytes: K+, CA, MG,

and NA TX for HyperKalemia

Lecture 7— Thyroid (Hyper-, Hypo-) Adrenal Cortex (Addison Disease, Cushing) Toys Laminectomy

Lecture 8— Lab Values Five Deadly Ds Neutropenic Precaution

Lecture 9— Psych Drugs Tri Benzo MAOI Lithium Prozac Haldol Clozaril Zoloft

Lecture 10— Maternity and Neonatology

Lecture 11— Fetal Complications Stages of Labor Assessments Variations for NB Maternity Meds Medication Hints Psych Tips Operational Stages

Lecture 12— Prioritization Delegation Staff Management Guessing Strategies

GUIDE • Mark Klimek’s Lecture This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this file. 1 / 2

Page 20 of 92 In this question, the priory action for the nurse is to submerge the end of the tube under sterile water because doing so prevents air from getting into the chest. At the same time, this allows air or blood from the chest to get out • This solves the problem by reestablishing the water seal

Note Clamping, unclamping, and placing the tube under water must be done in 15 seconds or less

Question You notice on the monitor that a pt has v-fib. Pt is unresponsive and there is no pulse. What is the first step in the management of this pt?

• Place a backboard under pt’s back while pt is supine
• Start chest compression

The first step is to place the backboard under pt’s back. “First” is about order.

Question You notice on the monitor that a pt has v-fib. Pt is unresponsive and there is no pulse. What is the best step in the management of this pt?

• Place a backboard under pt’s back while pt is supine
• Start chest compression

“Best” is about what is the priority. Chest compression is the priority action.

If a chest tube gets pulled out …

• Take a gloved hand and cover the opening (first step)
• Take a sterile Vaseline gauze and tape 3 sides (best step)

Chest tube is bubbling … Ask (1) where it is bubbling, and (2) when it is bubbling?Ask the following 2 questions • Bubbling … Where? In the water seal chamber

• If it is intermittent, it is good (document it)
• If it is continuous, it is bad and indicates a break/leak in the system (find it and tape it)

• Bubbling … Where? In the suction control chamber

• If it is intermittent, suction pressure is too low

(increase it at the wall until it is continuous)

• If it is continuous, it is good (document it)

Analogies • A straight catheter is to a Foley catheter, as a thoracentesis is to a chest tube

• A straight catheter goes in and out … A Foley goes in, secure it, and continuous

drainage

• Thoracocentesis = go in and out … Chest tubes = go in, secure it, and leave it in place

• A Foley has a higher risk of infection than a straight cath • A chest tube has a higher risk of infection than thoracocentesis This file was downloaded from StudyLast.com. It is not allowed to publish it elsewhere. Only the buyer can use this file.

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