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Trach Care and Suction Videos

16 Mar



More under the cut
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IV Promethazine/Phenergan tips and tricks

28 Jan

IV Phenergan, if given improperly can cause severe damage to your patient. Here’s the FDA’s short video tutorial on ways to avoid troubles with this powerful antiemetic

IV Team

2 Oct

IV Team talks about Purple Glove Syndrome

While studying for NCLEX I saw a test question asking about “purple glove syndrome” My what a cheerful name for a not cheerful thing! IV team talks about it here and seeing a pic is a really good reminder to pay attention to where you’re putting that Dilantin.

Ways I’ll remember:Dilantin: Give it the backhand cos it don’t want none! Give it your arm instead! or “Dilantin: give it a strong arm”

And never forget what happens if you don’t…

Study for Blood Pressure

20 Jan

Found a great site to practice some blood pressures on. My problem is that it’s hard for me to hear the right sounds unless I know what I’m listening for so the flash tutorial really helped with letting you hear the sounds and then try a few simulations. Give it a shot!

Flash Blood Pressure Tutorial

Basic Assessments part 1

12 Jan

Week 1 Lab Notes: May other students find them useful

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beginning your assessment from head to toe.

REMEMBER: No question is wrong! Just ask! Don’t assume anything!

Start…by looking at your patient:

  1. Do they look their age?
  2. Do they appear to be what they say to be? Chronic health problems, living situations, trauma may make the person look older. Example:  The patient says she’s 40, but she looks at least 60! She says that she always likes to tan and it’s obvious that her sun worshipper habits have made her look much older than she should
  3. How are they dressed, what is their grooming like? What’s their body language saying to you?
  4. If they look sick, they probably are!

Next….LISTEN!

Look! LISTEN!

Listen!

  1. Before each step it’s important to listen to them.
  2. When you take their blood pressure/pulse, it helps to ask them “Sir/ma’am do you run high or low?” This helps to make sure that you’re right
  3. If they’re scared or upset or confused, listen to them
  4. Use your ears when charting breathing, blood pressure, etc

MOST IMPORTANT THING YOU DO? Take vitals!

The first thing every nurse does with a patient is take their vitals. While doing this, keep “Every Good Worker Cares Always” in mind:

Every = explain what you’re doing

Good = gather your equipment by age and size.

Worker = warm your stethoscope or hands before touching your person

Cares = be CAREful! The patients comfort always comes first! If you don’t get the blood pressure right in the first two tries, it’s time to take a break, change the arm or come back later.

Always = At ease: a calm patient is easier to get readings from. If they’re nervous, scared etc then your vital signs may be distorted! Comfort and care for better information.

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