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What are some nursing interventions of hypoxia?
1. Oxygenate - nasal cannula or mask
2. Place in high fowlers position
4. Medicate as ordered
2. Place in high fowlers position
4. Medicate as ordered
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Tetanus is not contagious between persons, so -- while normal medical prophylacsis should be maintained, no special procedures are required. Tetanus is a bacterium, Clostridiu…m tetani, often found out of doors in soil or excrement, tending to prosper is damp, warm places. The epidemiology of tetanus is that it is easily preventable with vaccines, so it is far less common in financially advanced countries, and for more prevalent in countries that can't afford a widespread program of vaccination. Once contractred, C. tetani is frequently fatal, with 11% M&M in reported cases (which is actually misleading in that Europe and North American cases are rare and not as often fatal). Tetanus attacks the skeletal and later the cardiac muscles (hence the name lockjaw). This makes is difficult to treat. Moderate cases can be treated with a 10-day course of Flagyl IV, using diazapam (push, PRN) to help, and of course, tetanus immune globulin adminsitered IV or IM. Severe cases are handled in the ICU. The patient may not be able to breath for themselves, so intubation is a consideration, as is a continuous IV of diazapam as well as magnesium. Note also, lytes will almost certainly be abnormal as the disease runs its course. As this is a muscular effective, be prepared to handle rapidly changing hyper and hypotensive episodes. Specific Nursing COnsiderations include: While a very dangerous disease, it's not (easily) communicable1. Lots of IV's in a convulsive patient spell trouble with sharps; be Very alert. Restraints are problematic in that the patient is not in control of the spasms, and so you cannot assume that pain will act to slow the patient down; be prepared for potental damage from restriants, if used. Cardiac and respiratory problems abound, so constant observation in severe cases is called for, even more than is usual in ICU's. Personally, I'd go with actual visual observation and not rely solely in telemetry. In addition to the anitbiotic, supportive, and diazepam lines, be aware ahead of time that this will present a confusing case in a logistic sense. As tetanus is far more prevalent in countries with rural populations and comparitively depressed economies, be prepared for the overall medical situation one encounters in such countries, e.g. supply issues, rarer diseases, nutritional issues, prophylacsis, language difficulties, different epidemiology, etc. To the extent that you can be, be prepared for supply shortages and do what you can to offset. Note that neonatal tetanus does in fact exist and should be a consideration in administering childbirths. 1 While all my text books tell me this disease is hard to contract in general, and cannot be contracted directly from the patient, I have to confess that I would be personally inclined to treat it as I would a blood-born pathogen in the way I'd handle the scene. I realize this is not in keeping with current views of this (in the West) rare disease. And I've never had direct experience with this disease.
Sometimes no intervention is necessary, but a shunt, medication, or both is usually prescribed.
Tuberculosis (TB), is an infection caused by Mycobacterium tuberculosis bacteria. Pulmonary TB is spread through these airborne bacteria. Symptoms are persistent cough, fever,… and weight loss. It is a growing and serious public health, social, and economic problem with approximately 8 million cases world wide each year. 95% of the cases are in developing countries but more are occurring in crowded urban settings in developed countries recently, too. Treatments are effective and readily available in developed countries, however, poor access to health care and inadequate health care coverage along with a reluctance to report suspected TB due to stigma, immigration issues, and misunderstanding of current therapy, has made it more and more difficult to identify, treat, and prevent. Cure rates can be low because of interrupted treatment, since the course of treatment is a long 6-8 months of medication therapy until the patient is verified as negative by sputum testing. Sputum checks are done at about two month intervals. It is critical that treatment is not interrupted to prevent development of drug-resistant TB which is far more difficult and costly to treat. For the patient, remembering to take the drugs for 6 to 8 months can be a problem. Education by nursing professionals is a key intervention. To answer the question about nursing interventions in this condition, an assumption will be made that the question is about pulmonary TB (TB can affect other areas of the body) and that the setting is outpatient or home care. Each Nursing Plan of Care must be individualized to a specific patient's needs. Ethnic, social, and economic differences, as well as education and living conditions are just some of the variables that play a role in the approach to care. Some common Nursing Diagnoses and interventions for this condition would be: Risk for infection * Monitor sputum for changes indicating infection * Monitor vital signs * Teach patient and family the purpose and techniques for infection control such as hand washing, patient covering mouth when coughs, maintaining isolation if necessary * Teach patient the purpose, importance and how to take medications as prescribed consistently over the long term therapy Deficient knowledge * Determine who will be the learner, patient or family * Assess ability to learn * Identify any existing misconceptions about the material to learn * Assist the learner to integrate the information into daily life * Give clear thorough explanations and demonstrations Noncompliance * Determine if there has been past noncompliance and the reasons * Ask to see prescription drugs periodically and count the remaining pills * If economics are a reason for noncompliance, explore community resources * Increase the amount of supervision provided, follow up visits, phone calls, etc. Ineffective therapeutic regimen management * Assess prior efforts to follow regimen * Assess patient's perceptions of their health problem * Assess other factors that may affect success in a negative way * Inform patient of the benefits of conforming with the regimen * Concentrate on the behaviors that will make the most difference to the therapeutic effect * Include family, support system in teachings and explanations * Instruct patient on the importance of ordering refills of medications several days ahead of running out. Activity intolerance * Assess patient's level of mobility * Observe and document response to activity * Assess emotional response to change in physical status * Anticipate patient's needs to accommodate * Teach energy conservation techniques * Refer to community resources as needed Ineffective airway clearance * Auscultate lungs for wheezing, decreased breath sounds, coarse sounds * Use universal precautions if secretions are purulent even before culture reports * Assess cough for effectiveness and productivity * Note sputum amount, color, odor, consistency * Send sputum specimens for culture as prescribed or prn * Institute appropriate isolation precautions if cultures are positive * Use humidity to help losen sputum * Administer medications, noting effectiveness and side effects * Teach effective deep breathing and coughing techniques Ineffective health maintenance * Assess patient's knowledge of health maintenance behaviors * Assess to what degree environmental, social, intrafamilial disruptions, or changes have correlated with poor health behaviors * Determine patient's motives for failing to report symptoms reflecting changes in health status * Assess whether economic problems present a barrier to maintaining health behaviors * Provide patient with a means to contact health care providers * Involve family and friends in health planning conferences
Nursing interventions are things that nurses do in caring for patients. This includes communications, therapies and treatments, procedures, and other things. Nursing Interve…ntion in one stage of the Nursing Process which includes Assessment, Diagnosis, Planning, Intervention, and Evaluation. There is a loose taxonomy called the Nursing Interventions Classification [NIC] system which assigns particular common tasks to categories and clusters; this is being used more and more within electronic computer informatics systems for care delivery, research, and evidence-based practice.
You can prop the patient up so they more easily breathe. Then they will administer oxygen and instruct you to take deep slow breaths. If this is caused by anxiety, further… medication may be given.
lots of clear liquid, rest, make sure that your unrinating as usual. if not that could lead to severe dehydration and may need to get iv fluids to get your levels up qui…cker.
Fluids, Rest, Bronchodilators. Antibiotics aren't really used unless there is an infection to get rid of.
ultrasound: noninvasive proceure use height frequency sounf wave which are passed into body structure and recorded as they are reflected. a conductive gel [lubrecant jelly] is… applied to the skin and a transducer ia placed on the area. abdomenal ultrasound: study detect abdomenal masses [tumer & cysts] and also asses ascites nursing responsibility: before procedure: instruct pt to be NPO 8-12 hrs >>air or gas car reduse quality of image assess abdomenal distention >> it may affect quality of image during procedure: keep pt in supine position
There are many, depending on the stage of the patient's related conditions. Some are: Provide positioning with the head of bed the elevated (Fowler's position). Give adequ…ate oxygen supply. Monitor vital signs regularly and before medications if indicated. Identify early signs or worsening signs of CHF, such as reduced oxygen saturations, pedal edema, heart irregularities, heart rate, increased work of breathing, rapid weight changes, etc. and notify the physician if changed from baseline. Monitor intake and output. Report changes in lab results.
In cases of paralytic ileus, it is of paramount importance to ensure the patient is receiving adequate hydration and nutrition. Decompression treatment is often employed to at…tempt to clear the blockage, as is medication. However, some cases of paralytic ileus will require surgery.
aspirin nursing intervention
DVT=deep vein thrombosis, most often occuring in the legs or pelvis. The affected part should be elevated to promote venous drainage, heat may be applied for comfort and to in…crease circulation, administration of anticoagulants and monitoring of the levels to ensure proper dosing, bedrest initially, avoid standing, sitting with legs down, crossing legs, do not massage legs which could cause clots to break off and travel to lungs (pulmonary emboli). Best interventions are those to prevent DVT- early ambulation after surgery, anti-thrombus devices, keep well hydrated, avoid prolonged standing, sitting and immobility in general.
the pt should be first brought in a cooler area,there must be dehydration so water should be provided,the area of sunburn should be clean with normal water to avoid further re…dness,if it on the back clothes should be taken of and proper medication should be provided,rest should be taken,avoid area for sleeping