Rapid Response Team. They save lives and decrease the risk of harm by providing care to patients before a respiratory or cardiac arrest occurs.
Describe Nursing Case Management.
The goal is to provide quality and cost effective services and resources to achieve positive patent outcomes. Coordinates inpatient and community based care before discharge from a hopsital or other facillity.
What is genetic counseling?
counseling before during and after genetic testing.
It is important for a genetic counselor to be ?
Nondirective
Autosomal Dominant
Require that the gene alleles controlling the trait be located on an autosomal chromosome. The trait appears in every generation without skipping. Risk of affected person passion to children is 50%.
T or F. When a person is autosomal dominant the trait is found equally in males and females
True
ADH
acts directly on kidney tubules and collecting ducts, making them more permeable to water. This makes the blood more dilute
dehydration issues
nearly all systems are affected. HR increases, peripheral pulses weak, difficult to find, B/P dec, more severe hypotension, light-headedness, inc. respiratory rate, tenting, dry membranes, alterations in mental status, low grade fever, urine concentrated
Priority care for a patient with dehydration
patient safety, fluid replacement and drug therapy
Why is dehydration more common in the elderly?
older adults often use diuretics and laxatives which can disturb fluid balance.
hypercalcemia concerns
level above 10.5 mg/dL. Causes faster clotting times, severe hypercalcemia depresses electrical conduction- slowing HR. Examine EKG tracings for dysrhythmias, especially shortened QT intervals
What solution is normally given for patients with hypercalcemia?
normal saline because sodium increases kidney excretion of calcium
hyperkalemia concerns
cardiovascular changes are the most severe problems from this. Bradycardia, hypotension, ectopic beats. Also neuromuscular-skeletal muscle twitching. Intestinal- increased motillity.
