ATI MEDSURG FOCUSED REVIEW

CHAPTE R 4 Pain Management: Use of Nonpharmacologi c Methods of Pain Relief (RN QSEN - Patient-centered Care, Active Learning Template - Basic Concept, RM AMS RN 10.0 Chp 4) 1. relaxation 2. distraction 3. cutaneous stimulation (ie acupressure, massage, thermal therapy, contralat stimulation) 4. guided imagery 5. hypnosis 6. biofeedback 7. music therapy 8. exercise NSAIDS have analgesic, anti-inflammatory, antiplatelet, & antipyretic effects. - Be aware of Hepatotoxic effects of Acetiminophen. Pt w/ a healthy liver should take no more than 4g/day. - prevent GI upset in pt by admin the Rx w/ food or antacids. - Monitor pt for bleeding w/ long term NSAID use. - Monitor pt for "Salicylism" (tinnitus, vertigo, decreased hearing acuity). More notes on management of pain CHAPTE R 16 Spinal Cord Injury: Care of a Client who has a Halo Device (RN QSEN - Safety , Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 16) - Application of Immobilization Devices & Traction - *Pts who have cervical fractures may be placed in a halo fixation device or cervical tongs. Purpose is to provide traction &/or immobilize the spinal column. - NURSING ACTIONS - *maintain body alignment & ensure cervical tong weights hang freely. *Monitor skin integrity by providing pin care & assessing the skin under the halo fixation vest as appropriate. - PT EDUCATION - *if the pt goes home w/ a Halo fixation device on, provide instruction on pin & vest care. *Teach the pt signs of infection & skin breakdown.