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Raw Basic Anemias

17 Jan

Since everybody else as done a very good job with some in depth coverage of the different anemias, guess I’ll throw out a basic “easy memory” review with pictures!

Lets start with anemias with normal looking blood cells (General Anemias)

— The RBCs in general anemia appear to be normal however they may be in the wrong place due to patient bleeding. This bleeding could be occult, from a traumatic injury, or due to another bleeding disorder. There can also be less blood cells produced or more of them destroyed such as the fragmented RBC on the bottom right of the diagram.

-Heart must pump harder and faster in order to keep the body oxegenated with less O2 carriers around. Patient becomes fatigued and week and may have chest pain and confusion.

-Patient treated by stoping the cause of the bleeding, keeping them calm, comfortable, hydrated, and 02 perfused.
(more under the cut)
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GI Rap

10 Apr

Strangely entertaining and educational…if you can keep from laughing like an idiot lol

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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