Download Ask a Colleague: Expert Nurses Answer More Than 1,000 by Springhouse PDF

By Springhouse

Protecting a variety of topics—from basics to review, tracking, diagnostic assessments, methods, issues and coverings linked to assorted physique structures, psychiatric stipulations, criminal concerns, and soreness management—Ask a Colleague offers the best resolution fast, delivering basic scientific assistance on greater than 1,000 tricky nursing questions. those aren't easily wisdom questions yet questions that require serious pondering; questions that nurses frequently fight to respond to accurately; questions nurses want to seek advice from their friends to figure out the right kind resolution yet in cutting-edge global locate this hard. Now a nurse can simply Ask a Colleague for the solutions on the place of work or at domestic.

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Inform him that the insertion site will be made numb and that he may feel pressure as the catheter moves along the blood vessel. • Explain that injection of a contrast medium through the catheter may produce a hot, flushing sensation or nausea that quickly passes. • Tell him to follow directions to cough or breathe deeply. • Inform him that he'll be given medication if he experiences chest pain during the procedure and that he may also receive nitroglycerin periodically to dilate coronary vessels and aid visualization.

His response also depends on the amount of blood lost during an acute bleeding period. How will my patient respond to acute GI hemorrhage and hypovolemia? 42 Estimating fluid loss The following assessment parameters indicate the severity of fluid loss. Minimal fluid loss Moderate fluid loss Intravascular volume loss of about Intravascular volume loss of 10% to 15% is 25% is regarded as moderate. Signs regarded as minimal. Signs and symptoms and symptoms include: include: • slight tachycardia • normal supine blood pressure • positive postural vital signs, including a decrease in systolic blood pressure >10 mm Hg or an increase in pulse rate >20 beats/minute • increased capillary refill time >3 seconds • urine output >30 ml/hour • cool, pale skin on arms and legs • anxiety.

Can a pericardial friction rub sound like a systolic murmur? If your patient has a regular rhythm, 30 seconds is usually long enough to get an accurate radial pulse rate. However, if your patient has an irregular heart rhythm, count the apical heart rate and keep counting for the full 60 seconds. Must I count a patient's pulse for a full 60 seconds, or will 15 or 30 seconds give me just as accurate a result? Accuracy is important. Each pulsation corresponds to a heartbeat. A patient's pulse can reveal much about heart function and, indirectly, about tissue perfusion.

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