Nursing Tips

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Innate vs. Acquired Immunity. Innate Immunity: Defense mechanisms in the body that respond immediately to all antigens. Acquired Immunity: Body produces antibodies in response to a specific antigen through the action of B and T lymphocytes.

Innate v. Acquired Immunity

by Cathy Parkes September 24, 2020

Innate vs. Acquired Immunity Pathophysiology
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Care of an infant born to a HIV-positive mom. Scheduled c-section.
Administer antiviral agents during pregnancy, labor and delivery, and to newborn. Avoid forceps, vaccum, scalp electrodes, amniotomy. Breastfeeding NOT recommended.

HIV-Positive Moms

by Cathy Parkes September 22, 2020

Care of an infant born to a HIV-positive mom
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Mom walked into my

Adenosine

by Cathy Parkes September 20, 2020

Mom walked into my "den of sin" and ended up with tachycardia. She neededadenosine to slow her rhythm down.
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Bleeding during pregnancy: PAINLESS bright red bleeding during the second half of pregnancy is indicative of Placenta Previa. Bleeding with INTENSE UTERINE PAIN is indicative of Abruptio Placenta.

Bleeding During Pregnancy

by Cathy Parkes September 17, 2020

Causes of bleeding during pregnancy
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Ostomy Patient Teaching

Ostomy Patient Teaching

by Cathy Parkes September 15, 2020

Ostomy patient teaching: 
  • Cut opening in skin barrier ≤ 1/8" bigger than the measured stoma size to prevent skin damage from contact with ostomy output.
  • Assess stoma regularly - should be pink/moist. Pale/blue stoma indicates ischemia.
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Fetal Lung Maturity

Fetal Lung Maturity

by Cathy Parkes September 13, 2020

Fetal lung maturity is determined by theL/S ratio.
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Syndrome of Inappropriate ADH

Syndrome of Inappropriate ADH

by Cathy Parkes September 10, 2020

Syndrome of Inappropriate ADH (SIADH) causes the excess water to be reabsorbed by the kidneys, resulting in hypervolemia.
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Signs of Child Neglect

Signs of Child Neglect

by Cathy Parkes September 09, 2020

Signs of child neglect: poor hygiene, inappropriate dress (for weather), malnourishment, withdrawal, school absences.
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Amiodarone Drip

Amiodarone Drip

by Cathy Parkes September 07, 2020

Amyowes meone hundred dollars, but she is in the hospital with VFIB on anamiodarone drip... so I guess it's not a good time to collect.
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Electroconvulsive Therapy

Electroconvulsive Therapy

by Cathy Parkes September 03, 2020

Electroconvulsive therapy (ECT) is used to treat severe depression that is unresponsive to drug therapy. 
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Dysphagia

Dysphagia

by Cathy Parkes September 02, 2020

Patients with dysphagia (difficulty swallowing) need to have a swallow evaluation by a speech language pathologist.
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Guaifenesin

Guaifenesin

by Cathy Parkes August 31, 2020

Guaif rhymes with cough. Guaifenesin is an expectorant used to treat a non-productive cough.
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Rheumatoid Arthritis

Rheumatoid Arthritis

by Cathy Parkes August 26, 2020

Expected labs with Rheumatoid Arthritis: Positive Rheumatoid Factor (RF) antibody and Positive ANA titer
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Menorrhagia

Menorrhagia

by Cathy Parkes August 24, 2020

Menorrhagia = Excessive menstrual bleeding. This can result in anemia.

If you have meno
rrhagia, it will make you want to rage!
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Anticoagulant Side Effects

Anticoagulant Side Effects

by Cathy Parkes August 21, 2020

The key side effect to remember with ALL anticoagulants (ex: heparin, warfarin, rivaroxaban) is BLEEDING!
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Halo Traction Devices

Halo Traction Devices

by Cathy Parkes August 19, 2020

If your patient has a halo traction device in place, make sure wrench/screwdriver are attached to the vest to release patient from the device in the event of an emergency.

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Epoetin Alfa

Epoetin Alfa

by Cathy Parkes August 17, 2020

Taking epoetin alfa will fix your anemia so you can grow up to be a strong alpha male.
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External Radiation Therapy Patient Teaching

External Radiation Therapy Patient Teaching

by Cathy Parkes August 14, 2020

Patient teaching for external radiation therapy.
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Pyelonephritis

Pyelonephritis

by Cathy Parkes August 12, 2020

Costovertebral tenderness is a key symptom with Pyelonephritis.
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Hip Flexion Contractures

Hip Flexion Contractures

by Cathy Parkes August 07, 2020

Prevent hip flexion contractures in patients with a BKA (below-the-knee amputation): Have patient lie prone every 3-4 hrs for 20-30 min.
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Hormone Replacement Therapy

Hormone Replacement Therapy

by Cathy Parkes August 05, 2020

Hormone Replacement therapy can be used to treat the signs/symptoms of menopause. However, it is important to remember that HTincreases the risk of embolic events (DVT, MI, stroke) and breast cancer.
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Neutrophils

Neutrophils

by Cathy Parkes August 03, 2020

You  fill up on neutrophils with  filgrastim.
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Burn Inhalation Injury

Burn Inhalation Injury

by Cathy Parkes July 31, 2020

For a patient who has suffered a BURN, be sure to assess for inhalation injury. Symptoms: singed eyebrows or nasal hair, and sooty sputum.
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Neutropenia and Thrombocytopenia

Neutropenia and Thrombocytopenia

by Cathy Parkes July 29, 2020

Neutropenia and Thrombocytopenia are key symptoms of hematologic cancers (ex: leukemia, multiple myeloma). Key Nursing priority: Prevent infection and bleeding!
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