“Pain will become less each day.”
“This is a normal reaction after surgery.”
“With a pillow, apply pressure against the incision.”
“I will give you the pain medication the physician ordered.”
Are expected to experience chronic pain
Have a decreased pain threshold
Experience reduced sensory perception
Have altered mental function
The patient is having an allergic reaction to the drug.
The patient needs a higher dose of this drug
This is normal side-effect of AtSO4
The patient is anxious about upcoming surgery
Put the client in modified Trendelenberg’s position.
Administer oxygen at 100%.
Monitor urine output every hour.
Administer Demerol 50mg IM q4h
"Good evening, Mr. Pablo. Wasn’t it a pleasant day, today?"
"Mr, Pablo, you must be so worried, I’ll leave you alone with your thoughts.
“Mr. Pablo, you’ll wear out the hospital floors and yourself at this rate."
"Mr. Pablo, you appear anxious to me. How are you feeling about tomorrow’s surgery?"
Call the physician immediately.
Administer the prescribed antiemetic.
Check the patency of the nasogastric tube for any obstruction.
Change the patient’s position.
Reassure him that the nurses will not hurt him
Let him perform his own activities of daily living
Handle him gently when assisting with required care
Complete A.M. care quickly as possible when necessary
Notify his physician.
Take his vital signs again in 15 minutes.
Take his vital signs again in an hour.
Place the patient in shock position.
A depressed fontanel
Bleeding from ears
An elevated temperature
“I exercise every other day.”
“My father died of Myasthenia Gravis.”
“My cholesterol is 180.”
“I smoke 1 1/2 packs of cigarettes per day.”
It has positive inotropic and negative chronotropic effects
The positive inotropic effect will decrease urine output
Toxixity can occur more easily in the presence of hypokalemia, liver and renal problems
Do not give the drug if the apical rate is less than 60 beats per minute.
Use of stool softeners.
Gagging while toothbrushing.
Lifting heavy objects
Take the pulse rate once a day, in the morning upon awakening
May be allowed to use electrical appliances
Have regular follow up care
May engage in contact sports
“When your chest pain begins, lie down, and place one tablet under your tongue. If the pain continues, take another tablet in 5 minutes.”
“Place one tablet under your tongue. If the pain is not relieved in 15 minutes, go to the hospital.”
“Continue your activity, and if the pain does not go away in 10 minutes, begin taking the nitro tablets one every 5 minutes for 15 minutes, then go lie down.”
“Place one Nitroglycerine tablet under the tongue every five minutes for three doses. Go to the hospital if the pain is unrelieved.
Apply a heating pad to the involved site.
Elevate the client’s legs 90 degrees.
Instruct the client about the need for bed rest.
Provide active range-of-motion exercises to both legs at least twice every shift.
It dissolves existing thrombi.
It prevents conversion of factors that are needed in the formation of clots.
It inactivates thrombin that forms and dissolves existing thrombi.
It interferes with vitamin K absorption.
Dyspnea on exertion
Foamy, blood-tinged sputum
Wheezing sound on inspiration
Cough or change in a chronic cough
Xygen at 1-2L/min is given to maintain the hypoxic stimulus for breathing.
Hypoxia stimulates the central chemoreceptors in the medulla that makes the client breath.
Oxygen is administered best using a non-rebreathing mask
Blood gases are monitored using a pulse oximeter.
Lubricate the catheter tip with sterile saline before insertion.
Use sterile technique with a two-gloved approach
Suction until the client indicates to stop or no longer than 20 second
Hyperoxygenate the client before and after suctioning
Cause less irritation to the gastrointestinal tract
Destroy resistant organisms and promote proper blood levels of the drugs
Gain a more rapid systemic effect
Delay resistance and increase the tuberculostatic effect
Reduce incisional pain.
Facilitate ventilation of the left lung.
Equalize pressure in the pleural space.
Increase venous return
Breath in and out as fully as possible before placing the mouthpiece inside the mouth.
Inhale slowly through the mouth as the canister is pressed down
Hold his breath for about 10 seconds before exhaling
Slowly breath out through the mouth with pursed lips after inhaling the drug.
Food and fluids will be withheld for at least 2 hours
Warm saline gargles will be done q 2h.
Coughing and deep-breathing exercises will be done q2h.
Only ice chips and cold liquids will be allowed initially.
Take heart rate and blood pressure
Call the physician
Lower the oxygen rate
Position the client in a Fowler’s position.