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ATI Capstone Content Review Tips of the Week – Medical Surgical 2022

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Constipation is difficult or infrequent passage of stools, which may be hard and dry. Causes include:  Irregular bowel habits  Psychogenic factors  Inactivity  Chronic laxative use or abuse  Obstruction  Medications  Inadequate consumption of fiber and fluid Encouraging exercise and a diet high in fiber and promoting adequate fluid intake may help alleviate symptoms. Dealing with Dysphagia: Dysphagia is an alteration in the client’s ability to swallow. Causes include:  Obstruction  Inflammation  Edema  Certain neurological disorders Modifying the texture of foods and the consistency of liquids may help achieve proper nutrition. Clients with dysphagia are at an increased risk of aspiration. Place the client in an upright or highFowler’s position to facilitate swallowing. Provide oral care prior to eating to enhance the client’s sense of taste. Allow adequate time for eating, utilize adaptive eating devices, and encourage small bites and thorough chewing. Avoid thin liquids and sticky foods. Gastroesophageal Reflux Disease (GERD): GERD leads to indigestion and heartburn from the backflow of acidic gastric juices onto the mucosa of the lower esophagus. Encourage weight loss for overweight clients. Avoid large meals and bedtime snacks. Avoid trigger foods like citrus fruits and juices, spicy foods, and carbonated beverages. Avoid items that reduce lower esophageal sphincter (LES) pressure, such as alcohol, caffeine

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ATI CAPSTONE CONTENT
REVIEW TIPS OF THE
WEEK MED-SURGICAL.
WRITTEN BY;
PAPERSMASTERS

, ATI Capstone Content Review Tips of the Week – Medical Surgical
Helpful Med-Surg Tips!
Angina Precipitating Factors: 4 E’s Arterial Occlusion: 4 P’s
 Exertion: physical activity and exercise  Pain
 Eating  Pulselessness or absent pulse
 Emotional distress  Pallor
 Extreme temperatures: hot or cold weather  Paresthesia


Congestive Heart Failure Treatment: MADD DOG Heart Murmur Causes: SPASM
 Morphine  Stenosis of a valve
 Aminophylline  Partial obstruction
 Digoxin  Aneurysms
 Dopamine  Septal defect
 Diuretics  Mitral regurgitation
 Oxygen




m
 Gasses: Monitor arterial blood gasses




er as
co
Heart Sounds: All People Enjoy the Movies Hypertension Care: DIURETIC




eH w
 Aortic --------- 2nd right intercostal space  Daily weight




o.
 Pulmonic ---- 2nd left intercostal space  Intake and Output
 rs e
Erb’s Point -- 3rd left intercostal space  Urine output
ou urc
 Tricuspid ----- 4th left intercostal space  Response of blood pressure
 Mitral/Apex -- 5th left intercostal space  Electrolytes
 Take pulse
o

 Ischemic episodes or TIAs
Complications: CVA, CAD, CHR, CRF
aC s


vi y re



Stroke Signs: FAST Compartment Syndrome S/S: 5 P’s
 Face  Pain
ed d




 Arms  Pallor
 Speech  Pulse declined or absent
ar stu




 Time  Pressure increased
 Paresthesia
sh is




Hypoglycemia Signs: TIRED Hypocalcemia Signs and Symptoms: CATS
Tachycardia Convulsions
Th




 
 Irritability  Arrhythmias
 Restlessness  Tetany
 Excessive hunger  Stridor and spasms
 Depression and diaphoresis
Hypokalemia Signs and Symptoms: 6 L’s Hypertension Complications: The 4 C’s
 Lethargy  Coronary artery disease (CAD)
 Leg cramps  Congestive heart failure (CHF)
 Limp muscles  Chronic renal failure (CRF)
 Low, shallow respirations  Cardiovascular accident (CVA): Brain attack
 Lethal cardiac dysrhythmias or stroke
 Lots of urine (polyuria)
Shock Signs and Symptoms: CHORD ITEM Shortness of Breath (SOB) causes: 4 As + 4 Ps
https://www.coursehero.com/file/45186227/ATI-Capstone-Content-Review-Tips-of-the-Week-Med-Surgdocx/

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