Renal Calculi - Pain: Flank pain → Kidney or Ureter (if pain radiates → stones in ureter or bladder)

Performing Ear Irrigation: Sterile technique, warm meds, pull up & back, tilt toward affected ear

Thrombolytic Therapy (Stroke): Reteplase recombinant (rTPA – clot buster) w/ in 4.5 hours of initial

symptoms

Trach care: Dressing ∆, inner cannula ½ hydrogen peroxide, & stoma □ knot

Head injury (changes in LOC): Length of time unconscious & GCS

General anesthesia (post-op): ABC’s – full body assessment, Vitals every 15 minutes, Lateral position (if

unresponsive or unconscious - monitor LOC), Fluids/Electrolytes

Superficial Burns: Painful, pink, red, mild edema (3-6 day healing), damage to epidermis

Dialysis (reporting unexpected findings): Temp of 100 degrees, ↓ BP, bleeding, 1 L of fluid = 1Kg, clotting,

H/A, Nausea, Disequilibrium syndrome (rapid ↓ BUN & Fluid volume), anemia, peritonitis, ↑ BG, ↑

cholesterol

Pacemaker (complications): Infection, hematoma, pneumothorax, hemo-thorax, arrhythmias, pacer spikes

before P or QRS, hiccups / muscle twitching

→ Increase Mg+ > 1.3 Mg/dL

↑ Mg foods = (Dairy, dark leafy greens veges)

↓ Mg causes → Hyperactive deep tendon reflexes

* Paresthesia’s, muscle tetany, positive chvostek’s & Trousseau’s sign, hypoactive bowels,

constipation, abdominal distention, paralytic Ileus.

TPN Admin: (Total parenteral nutrition) -feeding that bypasses the GI tract. Fluids are given into a vein to

provide most of the nutrients the body needs. Given when person cannot/ should not receive feedings or

fluids by mouth.

Hypertonic (20-50?xtrose), Used in chronic pain, peritonitis, burns, Infection, etc

No more than 10% hourly, ↑ in rate for body adjustment, check BG

Hyperglycemia, hypoglycemia, vitamin deficiencies, air embolism (clamp, place in Trendelenburg pos.,

O2)

Fluid imbalance → Fluid volume excess