 Renal Disease- AVOID POTASSIUM

 Ileostomy or on Diuretics- Need Potassium

 ^ Ammonia=Coma
 Uric acid= Gout
 ^ Fiber= lowered cholesterol
 Nasal Cannula= highest 6L
 Cholecystectomy- post op do no change dressing- reinforce the dressing
 Pernicious anemia- Vitamin B12- Diet
 Newborn cord- wash 3-4 ties a day w a cotton ball, it can turn dark
 ECF electrolytes- Na & Cl
 Strain- stretching of ligaments
 Sprain-twisting of muscle
 Cord compression= variable deceleration
 Change TPN q 24 hours
 How many teeth should a child have at a certain age?- subtract 6 months from the child’s
age in months- 18 month old child- 18-6=12
 Serotonin antagonist- Zofran
 Eggs are a complete protein

TURP
Removal of enlarged portions of the prostate throughout the urethra using endoscopic
instrument.
 CBI-Continuous Bladder Irrigation
 Traction=When you tug on the catheter so that the ballon is snug and applying pressure
on the prostate/neck of the bladder to stop the bleeding. (secure on leg, straight, rather
than secured on the abdomen.)
 Can only release traction with physician order.

 Pale yellow, pink tinged drainage =Normal

 Blood tinged, clots, tissue debris drainage=Semi normal, but may need to increase
irrigation, and may need to irrigate manually
 Bright red Drainage=Arterial problem, -Increase flow, traction and call STAT!
 Deep Burgundy=Venous problem,-Increase flow, traction and notify physician

4 Indicators of catheter occlusion

1. urine leakage around the catheter
2. pt reports spasms, urge to void
3. no output in bag
4. input greater than output

Spasms can=Increase bleeding risk

To help Spasms one can use =B&O suppository - can work better than morphine
(belladonna & opium)
3 Catheter Removal potential problems include
1. Bleeding
2. inability to void
3. blocked urethra with residual debris

6 things pt should expect when being discharged

1. Burning
2. frequency
3. dribbling
4. leakage
5. small clots
6. tissue debris for several days

Oxygen Therapy Safety Precautions:

✓ Place cautionary signs reading “No Smoking: Oxygen in Use” on the client’s door, at the foot or
head of the bed, and on the oxygen equipment.

✓ Handle and store oxygen cylinders with caution, and strap them securely in wheeled transport
devices or stands to prevent possible falls and outlet breakages. Place them away from traffic areas
and heaters.

✓ Instruct the client and visitors about the hazard of smoking with oxygen in use. Teach family
members and roommates to smoke only outside or in provided smoking rooms away from the
client.

✓ Make sure that electric devices (e.g., razors, hearing aids, radios, televisions, and heating pads)
are in good working order to prevent the occurrence of short-circuit sparks.

✓ Avoid materials that generate static electricity, such as woolen blankets and synthetic fabrics.
Advise clients and caregivers to wear cotton fabrics and use cotton blankets.

✓ Avoid the use of volatile, flammable materials, such as oils, greases, alcohol, ether, and acetone
(e.g., nail polish remover), near clients receiving oxygen.
Morphine:
Side/Adverse Effects
 Sedation, dizziness, lightheadedness, drowsiness (diphenoxylate/atropine)
 Anticholinergic effects (dry mouth, urinary retention
Interventions
 Monitor for anticholinergic effects.
 Monitor urinary elimination patterns, especially in older adults.
 Monitor patients when ambulating.
 Recommend the lowest effective dose for the shortest period of time
Patient Instructions
 Do not take prior to driving or activities requiring mental alertness.
 Sit or lie down if feeling lightheaded.
 Change positions gradually
 Suck on hard candy or chew gum.
 Sip water.
 Urinate every 4 hr and report any undesirable changes in urinary elimination.
 Tell patients with diarrhea to avoid fluid and electrolyte imbalances by drinking clear
liquids or a commercial oral electrolyte solution, and to avoid caffeine because it increases
gastrointestinal motility.

Beta-blockers such as timolol (Timoptic) may mimic the signs and symptoms of hypoglycemia and
therefore are used in caution with patients with diabetes mellitus.
Meniere’s disease causes fluid build up in the inner ear, a diet rich in sodium can make the
symptoms worse since the salt attracts water retention which can increase inner ear fluid pressure,
therefore food such as unsalted pretzel which is low in sodium is allowed.