Compression Paddles

S.P. should be up out of bed post-op day 1 and wearing TED hose continuously, as well as wearing SCDs overnight in bed. Constipation prevention should e achieved by administering scheduled doses of Colace. Proper nutrition should be encouraged to include plenty of protein to ensure proper wound healing and avoid development of pressure ulcers (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). S.P. should practice coughing and deep breathing throughout her hospital stay to avoid lung congestion and occurrence of pneumonia infection, educating the patient about smoking cessation assistance can be helpful as well.

Today in clinical I experienced how to properly position a patient to prevent the risk of further damage, such as pressure ulcers.

For example, intermittent fluoroscopy, last image hold and pulsed fluoroscopy. These principles that are listed are involved with dose reduction. Intermittent fluoroscopy is known as keeping the x-rays on for a few seconds, to only view what they are looking at. This can help reduce the total fluoroscopy time used for a procedure. Last image hold is when the last image taken is held on the monitor after the x-ray is terminated. According to Mahadevappa, Last image hold is a dose-saving feature, since it allows physicians to contemplate the last image and plan the next move without additional radiation exposure in an interventional procedure. Pulsed fluoroscopy is when the fluoroscopy machine can emit x-rays in short pulses rather than

My first nursing intervention was to also get a certified translator. I did not however, have no nursing intervention for the N.G. tube because the diet for a bowel surgery changes to a different diet within 24-48 hours based assess of bowel movement and flatus. I also assess the bowel movement before pain instead because based on Maslow hierarchy the physiological needs to be assess before assessing the patient comfort level. I did check the values of fluids and feeding. You have great interventions. However, I have a different one and a different order.

Toilet substitutes include urinal, bedpan and commode. The patient would be able to use the urinal without assistance and lessen the chance of incontinence. The absorbent bed pads would give the patient protection if he is not able to get to the commode or urinal fast enough and provide a barrier between the sheets and his skin as most of the pads are moisture absorbent. The commode next to the bed would be the last resort in interventions as the patient would still need assistance to transfer from the bed. Putting these interventions into place would help the patient with incontinence and give him a sense of self help (Ebersole & Hess’,

Obtain in front of you the following materials: the appropriate blood collection tubes, cotton gauge, alcoholic pads, bandages, a tube holder, and a tourniquet.

You’ll first have to calculate for the dehydration, 8lb. is converted to 3.63kg. Take 3.63kg x 0.1(10%) = 0.363L/8hrs. Deficit of 0.045375L/hr x 1000L= 45mL/hr. Once patient is properly rehydrated and no sudden loses such as vomiting or diarrhea, drop down to a maintenance dose. You can calculate the maintenance dose by multiplying the weight in kg by itself twice. Press the square root button twice and multiple the result by 80 and divide the end result by 24. So, 3.63*3.63*3.63= 47.83, square root of 47.83= 6.91. Square root of 6.91 = 2.62. 2.62*80=210.38/24=8.76mL/hr. Place an IV catheter and monitor the catheter site for infection or swelling. “Intravenous fluid therapy involves placing an intravenous catheter in the leg or neck so that a continuous drip of fluids can be given directly into the bloodstream.”(Brooks) It’s important to monitor this patient closely, too much fluids on any animal can cause overload, “development of pulmonary edema from overload of the left side of the heart”, monitor respiratory rate and signs of distress. Continue to check the skin turgor of the patient and check the capillary refill time. Once the patient is of normal hydration, fluids can be discontinued at the

A universal precaution and a sterile field must be maintained during the procedure. All foley must have a stat lock retention device placed to patient’s inner thigh area to keep the foley stable. The foley drainage bag and chamber must be placed below the knee at all times to avoid back flow of urine into the bladder. The order set directs the nurses on how to document for care every eight hours. The documentation includes checking the potency, including any twisting or kinking of the catheter, emptying the foley every two hours, and performing foley care every 8 hours. As part of the policy, every nurse is required to attend bi-annual skills fair

For you to do this procedure you are going to need three pillows, not including the pillow underneath the patient's head. After you got the pillows, you go to the patient’s room and knock before you enter. Put the pillows on the bedside table and put on your gloves now before you touch the patient. Then put up the safety guards on the bed and raise the bed to your hip height. You raise the bed to your hip, so you don’t bend and hurt your back. Then put down the safety guard only on your side of the bed you are going to be standing at. Then turn the patient on their side by the blanket underneath him or her. Tell them to hold on the safety guard on their side of the bed, while he or she is holding get a pillow. Then tuck the pillow behind their back and kind of a little underneath them. Then tell your patient to now lay back, but they still will be on their side. Now put up the safety guard on your side of the bed and go on over to the other side of the bed. Take a pillow and place it between his or her legs at the knees, which then the feet won’t touch each other. Then you would bent the top knee, but keep the bottom leg straight. After that take the last pillow and put it front of the patient and place the hand that is on top of the body, on the pillow. Next, pull the pillow underneath the patient’s head towards you, facing their hand a little more towards the ceiling. Now your done, just remove your gloves and trash them then wash your

-Place a container near the patients to receive the used catheter and to catch any urine spillage, Change gloves and attach the syringe to the catheter valve to deflate the balloon. Do not pull on the syringe, but allow the water to come back naturally, if the balloon are fully deflated then gently withdraw the catheter. Remove gloves then wash hands, document

After surgery Mr. Hall was placed on a clear liquid, which does not provide ample nutrients. The use of this diet should not exceed more than a few days, for its purpose is primarily for hydration, and it is easy on the gastrointestinal tract. His diet will progress to continuous feedings when there are no signs of gastrointestinal discomfort, and regular sounds of the stomach are present. Continuous tube feedings will be most beneficial with the use of a colostomy to prevent large gastric residuals, and aspiration. While Mr. Hall is in the hospital, his nurse will do the following to prevent any complications; keep the head of the bed at a 30-45-degree angle, flush the tube every four hours, flush the tube before and after administering medications, monitor gastric residuals, consult with pharmacist, assess the osmolality of the formula, keep feedings at room temperature, and use proper hygiene when handling the formula or equipment (Tucker & Dauffenback, 2011, p.

When prepping for an operation, a thorough check and count of tools and supplies needed for the surgery is completed. It is estimated that in intraabdominal surgeries, retention of sponges and instruments occur in 1 out of every 1000 operations (Epstein et al., 2010). It is recommended that operating rooms and hospitals monitor their sponge counts and follow a consistent standard of counting for every operation.

When you arrange the barium entrail cleanse, you will get point by point headings for how to get prepared. Since your colon must be absolutely unfilled, you ought to take after a restricted eating routine including either fragile sustenances or clear liquids, for instance, without fat bouillon or stock, dull coffee, and strained common item squeeze, for one to three days before the procedure.You will in like manner need to take a diuretic or give yourself a gut cleanse the day or night before your game plan to remove any staying waste from the colon. In case your authority supports a laxative, it will be either a pill or a powder that you mix with water before drinking. In either outline, the diuretic will make you use the washroom from time

Cost pressure is growing worldwide in the healthcare system, as is the need for imaging systems that offer a good price-performance ratio. The decision to purchase CT scanner is often an outstanding constraint due to cost pressure but even so the equipment improves medical outcomes. A CT scanner is a doughnut shaped machine (the doughnut shape is known as the gantry) that uses advanced x-ray technology to take pictures of a patient's body. Immediately after it scans the body, a computer in the scanner reconstructs the data into cross-sectional pictures of a body, called slices or sections. CT technology allows radiologists and the referring physician the ability to see more than what a regular x-ray would provide. CT scanners provide images of exceptional quality and lowest possible radiation dose. Higher quality images mean more information to diagnose and plan the treatment, while lower dose means increased safety.

Physical preparation usually consists of a complete medical history and physical exam, including the patient's surgical background. The patient should inform the nursing staff if he or she has ever had an adverse reaction to anesthesia (such as anaphylactic shock). Laboratory tests may include complete blood count , and urinalysis . The patient may also have an electrocardiogram (EKG) if they are over 50 years of age or if he or she has a history of cardiac disease . A chest x ray may be done if a patient has a history of respiratory disease. Part of the preparation includes assessment for risk factors, such as nutritional deficiencies, steroid , drug or alcohol abuse and metabolic diseases such as diabetes as these may affect healing time. The patient should also provide a list of all medications or food supplements that they use. Supplements are often overlooked, but may cause adverse