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1. Above the Knee

Amputation:

Care

Care Includes: Elevate for the first 24 hours

on a pillow, position prone daily to provide

for hip extension.

2. Addison's

Disease

(Remember: DOWN, DOWN, DOWN,

UP, DOWN)

- HYPOnatremia, HYPOtension,

DECREASED blood volume,

HYPERkalemia, and HYPOglycemia

3. Administration

of an Enema

Here, position the patient in left side-

lying(Sims) w/ Knee Flexed.

4. After A

Infratentorial

Surgery

(Incision at the

nape of the

Neck): Care

Care Includes: Position the patient FLAT

and lateral on either side.

5. After a Lumbar

Puncture (alsoan Oil Based

Myelogram):

Care

Care Includes: patient lies

FLAT/SUPINE(This is done to preventheadache and leaking of CSF)

6. After A

Supratentorial

Surgery

(Incision

Behind

Hairline): Care

Care Includes: Elevate HOB 30-45 degrees

7. After an

Myringotomy:

Care

Care Includes: Position patient on the side

of the affectedear after surgery. (This

allows drainage of secretions)

8. After Cataract

Surgery: Care

Care Includes: The patient will sleep on the

unaffected side with a night shield for 1 -

4 weeks.

9. After

Thyroidectomy:

Care

Care Includes: Position LOWor semi -

fowlers, support the head, neck and

shoulders.

10.After Total Hip

Replacement:

Care

Care Includes: Don't s leep on the operated

side; don't flex hip for more than 45 - 60

degrees, don't elevate HOB more than 45

degrees. Also maintain hipABDUCTION

by separating thighs with pillows.

11.Air/Pulmonary

Embolism: S&S

and Care

S&S Include: chest pain, difficulty

breathing, tachycardia, pale/cyanotic,

sense of impending doom.

Care: turn patient to the LEFT SIDEand

LOWERthe head of the bed

12.AIRBORN Transmission

Precautions: MTV

M= Measles

T= Tuberculosis

V= Varicella (Chicken

Pox)/Herpes Zoster (Shingles)

Remember: Private room w/

negative pressure w/ 6 - 12 air

exchange/hr AND MASK. N95mask for TB.

13.APAGR: R Respirations - strong cry/weak

cry/absent

14.APGAR: A (1st A) Appearance - color pink/pink

and blue/blue [pale]

15.APGAR: A (2nd A) Activity - flexed/flaccid/limp

16.APGAR: G Grimace - cough/grimace/no

response

17.APGAR: P Pulse - >100/

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23. Detached Retina:

Care

Care Includes: Area of detachment

should be in the dependent position.

24. DO NOT delegate

what you can...EAT

(Acronym)

Evaluate,Assess, Teach

25. DROPLET

Precautions:

SPIDERMAN (Someletters are repeated

consecutively)

S= Sepsis

S= Scarlet Fever

S= Streptococcal PharyngitisP= Paravirus B19

P= Pneumonia

P= Pertussis

I= Influenza

D= Diptheria (Pharyngeal)

E= Epiglottitis

R= Rubella

M= Mumps

M= Meningitis

M= Mycoplasma or Meningeal

Pneumonia

AN= Adenovirus

Remember: Private room or cohort

and MASK

26. During Epidural

Puncture: Care

Care Includes: position the patient

SIDE LYING

27. During Internal

Radiation: Care

Care Includes: On bedrest while

implant is in place.

28. Head Injury: Care Care Includes: Elevate the HOB 30

degrees to decrease ICP.

29. Heat Stroke: Care Care Includes: Lie FLATw/ legs

Elevated

30. Increased perfusionfor VEINS and

ARTERIES

EleVateVeins (Think V,V) andDAngleArteries. (Think A,A)

31. Infant w/ Cleft Lip:

Care

Care Includes: Position on the back

or in an infant seat to prevent

trauma to the suture line. While

feeding, hold in the upright

position.

32. Infant w/ Spina

Bifidia: Care

Care includes: Position prone(on

abdomen) so the sac does not

rupture.

33. Lumbar Puncture:Care After Procedure

Care Includes: Place the client in thesupine position for 4 to 12 hours as

prescribed.

34. No PEE, No ?? K+; DO NOT give Potassium

without adequate urine output.

35. Pain medication for

Pancreantitis

With this, give DEMEROLnot

Morphine Sulfate.

36. Peritoneal Dialysis

w/ Inadequate

outflow: Care

Care Includes: Turn patient from

side to side BEFOREchecking for

kinks in the tubing (According to

Kaplan)

37. Prolapsed

Cord: Care

Care Includes: Knee to Chest position OR

Trendelenburg

38. Shock: Care Care Includes: Bed-rest w/ extremities

elevated 20 degrees, knees s traight, head

slightly elevated (modified trendelenberg)

39. SKIN

Infections: V

CHIPS

V= Varicella

C= Cutaneous Diptheria

H= Herepes ZosterI= Impetigo

P= Pediculosis

S= Scabies

40. To Prevent

Dumping

Syndrome:

Care

(Post-Operatvie Ulcer/Stomach Surgeries)

Care Includes: Eat in the reclining position,

lie down after meals for 20-30 minutes. Also

restrict fluids during meals, LOW

CHO and fiber Diet, and small frequent

meals.

41. Tube Feeding

w/

DECREASED

LOC: Care

Care Includes: Position pt on right side

(this promotes emptying of the stomach)

with the HOB elevated(to prevent

aspiration)

42.Woman in

Labor w/

NON-

Reassuring

FHR: S&S and

Care

S&S Include: late decelerations, decreased

variability, fetal bradycardia, etc.

Care: turn on LEFT SIDE(also give O2,

stop pitocin and increase fluids)