Introduction Central venous cannulation is a routine procedure‚ which is safe in experienced hands‚ especially under ultrasound guidance. Central venous cannulation is associated with various complications‚ some being potentially dangerous like inadvertent arterial puncture. We hereby report a case of inadvertent cannulation of left subclavian artery during ultrasound guided placement of central venous catheter in left internal jugular vein(IJV). Case Report A 46-year-old female with no co-morbidities
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1. Diagnosis: Risk for injury r/t bleeding from uterine atony‚ retained placental fragments‚ lacerations‚ or hematoma. Short term goal: Patient will not experience any excessive bleeding & Patient will verbalize an understanding about warning signs of excessive bleeding Long term goal: Patient’s bleeding will be lighter in color and she will regain her prepregnant state without complications to hemorrhage. 1. Assess and teach pt to palpate uterus for height and firmness and location
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HESI REVIEW CH # 1 Lab Ranges * Hgb | * Male 14-18 * Female 12-16 | * High-altitude living increases values. Slight Hgb decreases normally occur during pregnancy | * | * Hct | * Male 42-52 * Female 37-47 | * Prolonged stasis from vasoconstriction secondary to tourniquet can alter values | * | * RBC | * Male 4.7-6.1 * Female 4.2-5.4 | * Never draw specimen from an arm with an infusing IV. | * | * WBC | * 5‚000-10‚000 | * Anesthetics
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is all that is typically required. Blood transfusion is not typically required. 3. Class III Hemorrhage involves loss of 30-40% of circulating blood volume. The patient ’s blood pressure drops‚ the heart rate increases‚ peripheral hypoperfusion (shock)‚ such as capillary refill worsens‚ and the mental status worsens. Fluid resuscitation with crystalloid and blood transfusion are usually necessary. 4. Class IV Hemorrhage involves loss of >40% of circulating blood volume. The limit of the body ’s
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Thrombocytopenia Thrombocytopenia is a disorder that causes platelets to be destroyed at an accelerated rate. Platelets are produced from the fragmentation of bone marrow megakaryocytes and then are released into the circulation where they play an important role in hemostasis by forming a platelet plug when needed. They do this by binding to a damaged vessel wall‚ which is then stabilized by fibrin. When platelets are prematurely destroyed‚ it causes abnormal hemostasis. Thrombocytopenia is the
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Nursing Assessment of the Postpartum Patient Date of data collection:___13 November 2014___ Patient initials _K.M.___ Age__28_ PP day _1__ (# days since delivery- 0‚ 1‚2 3‚ etc) Grav _4__ Para _3__ Term _3__ Preterm _0___ Ab_0__ LC___ Weeks gestation @ delivery (via EDC) _39.2____ Weeks gestation at delivery (from neonatal maturity rating/Ballard exam):_ 40_____ Date/time of delivery _12 Nov. / 1640_________ Labor onset - induced or spontaneous (circle one) If induced: indication (why)
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constant ache) Not always present if pt has renal disease (don’t have w/ proteinuria or hematuria) Have CVA tenderness (hit hand over kidney)‚ lower abdominal pain‚ intermittent pain(indicates renal stones)‚ flank pain (side) N/V‚ diaphoresis‚ s/sx of shock. Cause: Acute obstruction like stone‚ clot BLADDER- lower ABD pain (usually seen w/ distention) dull‚ continuous pain may be intense after voiding S/Sx: Urgency‚ pain after voiding (from spasms) Causes: Infection‚ cystitis‚ over distended bladder
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CARDIOVASCULAR SYSTEM ASSESSMENT INTRODUCTION A careful and detailed clinical assessment is essential in order to assess the likely cause and severity of symptoms‚ arrange appropriate investigations and referral‚ avoid unnecessary investigations‚ and to assess individual risk of cardiovascular disease or cardiomyopathy. PREPARATION OF PATIENT • Room that is warm & “quiet” • Examining table positioned so you can stand on the patient’s right side • Explain the procedure to
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GASTROINTESTINAL DISORDERS Below is your answer sheet. Please submit only the answer sheet next meeting. 1. A 3- year-old child is hospitalized because of persistent vomiting. A nurse monitors the child closely for A. Diarrhea B. Metabolic acidosis C. Metabolic alkalosis D. Hyperactive bowel sounds 2. A nurse is monitoring for signs of dehydration in a one year old child who has been hospitalized for diarrhea. The nurse prepares to take the child’s temperature and avoids
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failure complains of increasing shortness of breath and is agitated and coughing up pink-tinged‚ foamy sputum. The nurse should recognize these as signs and symptoms of A. right-sided heart failure. B. acute pulmonary edema. C. pneumonia. D. cardiogenic shock. 4. What ’s the most appropriate nursing diagnosis for a client exhibiting obsessive-compulsive behavior? A. Ineffective coping. B. Imbalanced nutrition: Less than body requirements. C. Imbalaneed nutrition: More than body requirements. D. Interrupted
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