For cataract extraction surgery, what are the protocols?
-avoid taking aspirin
-use cool compress on eye before calling MD if itchy
-avoid bending at the waist b/c it can raise intraoccular pressure (BEND AT THE
KNEES)
-don't lift anything over 10 lbs
If a patient 24 hours p/o refuses to ambulate, what should you do first?
-assess pain
-THEN you can educate, turn patient, give PRN analgesic
What happens during true labor?
-cervix transitions to anterior position
-contractions felt in low ab and back
-increases w/ ambulation
-cervix thins
What are common side effects of amitryptiline (antidepressant)?
-dry mouth and constipation (eat fiber and chew gum) and BLURRED VISION
-take a night to minimize drowsiness
-lack of ability to sweat->avoid overheating
What should you do for diabetes insipidus?
-monitor increase urine output (polyuria->over 4 L/day)
-monitor tachycardia
-orthostatic hypotension
-increased BUN
-monitor for hyperthermia d/t dehydration
What should you do to minimize risk of increased ICP?
-place client in quiet environment
-spread out nursing activities throughout the day
-keep head of bed no more than 25 degrees
What should you do for a client who recently got a stoma and can't afford it d/t
lack of insurance?
-arrange for social services
-refer to american cancer society
-refer to support groups
-refer to enterostomal therapist
-DO NOT delay discharge
What should you teach for myasthenia gravis patients?
-cut food into small bites and eat slowly (SEMI-SOLID)
-keep HOB elevated 30-60 mins after meal
-weigh self daily
-take anticholinesterase meds 45-60 mins before meals (NOT anticholinergics)