? Before angiography, the nurse should ask the patient whether he’s allergic to the dye, shellfish, or iodine and advise him to take nothing by mouth for 8 hours before the procedure.
? During myelography, approximately 10 to 15 ml of cerebrospinal fluid is removed for laboratory studies and an equal amount of contrast media is injected.
? After angiography, the puncture site is covered with a pressure dressing and the affected part is immobilized for 8 hours to decrease the risk of bleeding.
? If a water-based medium was used during myelography, the patient remains on bed rest for 6 to 8 hours, with the head of the bed elevated 30 to 45 degrees. If an oil-based medium was used, the patient remains flat in bed for 6 to 24 hours.
? The level of amputation is determined by estimating the maximum viable tissue (tissue with adequate circulation) needed to develop a functional stump.
? Heparin sodium is included in the dialysate used for renal dialysis.
? Paroxysmal nocturnal dyspnea may indicate heart failure.
? A patient who takes a cardiac glycoside, such as digoxin, should consume a diet that includes high-potassium foods.
? The nurse should limit tracheobronchial suctioning to 10 to 15 seconds and should make only two passes.
? Before performing tracheobronchial suctioning, the nurse should ventilate and oxygenate the patient five to six times with a resuscitation bag and 100% oxygen. This procedure is called bagging.
? Signs and symptoms of pneumothorax include tachypnea, restlessness, hypotension, and tracheal deviation.
? The cardinal sign of toxic shock syndrome is rapid onset of a high fever.
? A key sign of peptic ulcer is hematemesis, which can be bright red or dark red, with the consistency of coffee grounds.
? Signs and symptoms of a perforated peptic ulcer include sudden, severe upper abdominal pain; vomiting; and an extremely tender, rigid (boardlike) abdomen.
? Constipation is a common adverse reaction to aluminum hydroxide. Continue reading Medical Surgical Nursing Bullet II (Belajar KMB itu mudah)