Cultural & Religious Considerations & More

• *Females avoid eye contact with males.
• *Touch is accepted if done by the same-sex HCP.
• *Most decisions are made by males.
• *Muslims (Sunni) refuse organ donation.
• *Most Arabs DO NOT eat pork
• *Avoid hot/cold drinks when sick.
• *Colostrum might be considered harmful to the newborn.

• *Avoid direct eye contact.
• *Feet are considered dirty (touch last during assessment)
• *Males make most decisions.
• *Usually refuse organ donation.
• *Believe in the "hot-cold" theory of illness.
• *Most likely be distressed by blood sampling because Asians believe life is in the blood & that part of the body is taken when blood is withdrawn.

• *Sustain eye contact.
• *Blood & organ donation is generally refused.
• *Might refuse circumcision.
• *May prefer care from tribal shaman rather than using western medicine.

• *Might avoid eye contact with authorities.
• *Might refuse organ donation.
• *Most are very emotional during bereavement.
• *Believe in the "hot-cold" theory of illness.

NO blood products should be used.

NO beef or items containing gelatin.

Special dietary restrictions, use of kosher foods.

• *High calorie
• *High carbs
• *Low protein
• *Low potassium
• *Low sodium
• *Fluid restricted to intake = output + 500 ml

• *Low purine
• *Omit poultry ("cold chicken") medication for acute episodes: Colchicine
• *Maintenance medication: Zyloprim

*Low fat (less than 30% of calories should be from fat).

Respiratory Opposite Metabolic Equal

*Respiratory acid/base disorders the pH is opposite to the other components.

*Metabolic disorders, the components of the lab values are the same.

• *pH down
• *CO2 up
• *HCO3 up

• *pH down
• *CO2 down
• *HCO3 down

• *pH up
• *CO2 down
• *HCO3 down

• *pH up
• *CO2 up
• *HCO2 up

Addison's & Cushing's are diseases of the endocrine system involving either overproduction or inadequate production of cortisol.

• *Increase sodium intake
• *Medications: cortisone preparations

• *Restrict sodium
• *Observe for signs of infection

• RICE
• Rest
• Ice
• Compression
• Elevate extremity

• HHOP
• Heat
• Hydration
• Oxygen
• Pain medications

• Pain
• Pallor
• Pulselessness
• Paresthesia
• Pallor

commonly hemorrhage

risk for fat emboli

• Female
• Forty
• Fat
• Five pregnancies
• Flatulent