ATI MEDSURG FOCUSED REVIEW

ATI MEDSURG FOCUSED REVIEW CHAPTER 4 Pain Management: Use of Nonpharmacologic 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 CHAPTER 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. Surgical Interventions CHAPTER 23 Tuberculosis: Priority Action for a Client in the Emergency Department (RN QSEN - Safety , Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 23) Tuberculosis: Priority Action for a Client in the Emergency Department • Heated humidified oxygen administration • N95 HEPA filtered mask for staff /transportation of client surgical mask • Negative pressure room. The client should be transported using the shortest and least busy route. Cough and expectorate sputum into tissues that are disposed of by the client should be put into provided plastic bags or no-touch receptacles. Clients are no longer considered infectious after 3 consecutive negative sputum cultures. CHAPTER 24 Pulmonary Embolism: Risk Factors for Deep-Vein Thrombosis (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 24) RISK FACTORS Long-term immobility Oral contraceptive use and estrogen therapy Pregnancy Tobacco use Hypercoagulability (elevated platelet count) Obesity Surgery (especially orthopedic surgery of the lower extremities or pelvis) Central venous catheters Heart failure or chronic atrial fibrillation Autoimmune hemolytic anemia (sickle cell) Long bone fractures Cancer Trauma Advanced age ……………………………….CONTINUED………………………………………….