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Palliative surgery
relieve symptoms or improve function without correcting basic problem
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Med to be concerned about re: liver biopsy
aspirin
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Pro op NPO status
can have ice chips
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Highest pt priority post spinal anesthesia
headache
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Post op assessment for hernia repair
check dressing for bleeding
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Pre op assessment
ask about allergies, meds and past medical problems
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What would prvent pt transfer to surgical unit
pulse ox 85%
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Before administering diet post hysterectomy
check for bowel sounds
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When to arouse pt post op
pulse ox less than 85%
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Check for pain post varicose vein stripping
pain 0-10 scale
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Post cataract surgery
omit coughing instructions
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After incentive spitometry
pt have blear breath sounds
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To prevent effects post op mobility on GI
increase fluid intake
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DC instructions post op hernia repair
report fever, redness, swelling or increased pain
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Pain perception involves several CNS processes such as
afferent pathways carry messages to spinal cord and brain
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Pain is perceived as a stimulation of receptors in
small nurve fibers
-
Prolonged and unrelieved pain will
lower pain threshold
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Opioid analgesia is
generally used for blocking pain at CNS level
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Sympathetic responses to pain
Increased BP, P, R
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Sciatica pain in hip
neuropathic
-
Hot or cold treatments for PVD
heat-cold is contraindicated
-
Arm pain related to heart attack
referred pain
-
When rt arm is raised, rt shoulder hurts
aggravating factor
-
LPN conducting pain assessment
assess location, quality and intensity on identified scale
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Gate control pain relief includes
give massage
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Post MI complication of constipation
r/t analgesic
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Lessens perceptions of pain to tolerate levels
music
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Assessment of response to IM morphine
sedative effects in neuro system
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Gallbladder diagnosis and pain in right middle back
referred pain and administer meds
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Pathophys of vasogenic shock
excessive vascular dilation cause decrease in BP
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Progressive phase of shock
thread P, rapid R, decreased BP
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Progressive hypotension after cervical spine injury is sign of
neurogenic shock
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Respirations during refractory stage of shock
slow and shallow
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Common sign of someone in shock
skin is cool and moist with cyanotic nail beds
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What would cause nurse to implement actions in compensatory shock
irritable and listless
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Intermediate or progressive shock acid base balance
metabolic acidosis
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