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- Females 37-47
- Males 42-52
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What does the LPN do before
1 Hematocrit normal range 2
suctioning a vent patient?
3 Rehabilitation phase of burns 4 Respiratory acidosis
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Terms in this set (165)
What does the LPN do before - Set up sterile field
suctioning a vent patient? - Hyperoxygenate
,What should the LPN do if the alarm - Check pump
on the vent keeps ringing? - Check for kinks
- Disconnect
- Ambu bag on patient
Vent care - SCDs
- Suction for 10 seconds
- Suction at bedside
- No NS into endo tube or trach
- No peroxide
- Hyperoxygenate before suction
- HOB 30-40 degrees
- Mouth care
- Apply suction pulling out
- VS frequently
Prevention of VAP - HOB 30-45 degrees
- Oral care
- Peptic ulcer prophylaxis (decrease bacterial
growth) using Pepcid, Zantac, Protonix
Respiratory acidosis - COPD
- Asthma
- Emphysema
- Chronic bronchitis
- Apply O2
- S/S anxious, SOB, cyanotic, increased respirations
Respiratory alkalosis Hyperventilation
Metabolic acidosis - Diarrhea
- DKA
Metabolic alkalosis - Vomiting
- NG tube
, Metabolic syndrome - Quit smoking
- Lose weight
- Carb control, no fatty food
- Take statins (Lipitor)
- Check BS if diabetic
Interventions for a patient w/ burns on - Fluids
80% of body - Reverse isolation
- Antibiotics
- Pain meds
- Foley to monitor I&O's
- Tetanus toxoid injection
Emergent stage of burns - 1st 48 hrs
- Hypovolemic shock
- Acute RF
- Hyperkalemia
- Insert IV
- LR
- Antibiotics
- Indwelling foley cath
- Pain meds
Acute/diuretic phase of burns - 72 hrs - 10 days
- Circulatory overload
- Hypokalemia
- Will have high urine output
Rehabilitation phase of burns Goal to prevent infection
Interventions for 3rd degree burns - Reverse isolation
- Pain control
- Escharotomy
- Skin graft