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What do you do if you suspect caregiver strain?
assess(interview) caregiver and the patient
Give the caregiver ample encouragement
What is the normal range for potassium?
3.5-4.5
If potassium is high, what do you do?
Report to RN
What will vomiting lead to?
metabolic alkalosis
What do restraints include?
vests
wheelchair to table
foot pedals on wheelchair
safety bars
seclusion
What would you notice in the eyes if a person were stressed?
pupil dilation
What would you assess on the body when assessing for mobility?
lower extremities
What would you assess prior to do range of motion exercises?
Pain level
What do diuretics cause the loss of?
potassium
Which enzymes decrease with stress?
digestive enzymes
what can hyperventilation lead to?
dizziness
What kind of diets to cancer patients need?
high calorie because it helps with healing
What is a type of alternative therapy?
massage
When there is a vitamin overload what kind of vitamins would you give?
fat soluble (ADEK)
How should we teach patients to breath during exercising to prevent the valsalva
maneuver?
breath through mouth
When i stress worse?
when cumulative
how do we teach patients to use a cane?
cane on strong side 4-6 inches from foot
elbow flexed 15-30 degrees
What do you focus on when helping relieve stress?
, focus on emotional coping
How do you establish trust with patients?
provide continuity of care
Where does the biggest loss of insensible fluid occur?
through the skin
How does physical illness increase stress?
takes away energy needed for coping
What do we encourage an older adult with hyponatremia to drink?
sports drinks
What will mild stress cause?
mental alertness
What are normal calcium levels?
8.5-10.2 mg/dL
What are normal sodium levels?
135-145
What are normal potassium levels?
3.5-4.5
What are normal bicarbonate levels (HCO3)?
22-26
What can hypercalcemia cause?
muscle weakness
What are normal ABG levels?
pH 7.35-7.45
PACO2 35-45
HCO3 22-26
What would indicate acidosis?
pH below 7.35
What would indicate alkalosis?
pH above 7.45
How do you know if it is metabolic or respiratory?
Respiratory
Opposite
Metabolic
Equal
What is a goal for patients with impaired mobility?
to remain free of contractures
What do you use to help with anxiety?
distractions
What is important for prevention of osteoporosis?
vitamin D
What are signs of fluid volume deficit?
decreased skin turgor
dry mucous membranes
thirst
sudden weight loss
orthostatic hypotension