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Ati Video Case Study Mixing Insulin Quizlet

Test: Bstrandable Nclex Musculoskeletal And Immune | Quizlet

Test: Bstrandable Nclex Musculoskeletal And Immune | Quizlet

I/O, monitor BUN/Creatinine, maintain normal blood glucose, restrict dietary protein, sodium, potassium Rationale: Autonomic dysreflexia can be caused by kinked catheter tubing allowing the bladder to become full, triggering massive vasoconstriction below the injury site, producing the manifestations of this process. Acute symptoms of autonomic dysreflexia, including a sustained elevated blood pressure, may indicate fecal impaction. The other answers will not cause autonomic dysreflexia. A patient has manifestations of autonomic dysreflexia. Which of these assessments would indicate a possible cause for this condition? 1. maintaining intravenous fluids at KVO (keep vein open) 3. referring the patient for a physical therapy consult 4. recording the patient's ongoing calorie count 5. assessing the patient's urinary output every hour Explain the nursing care of the patient with a CVA. Interventions for individual with latex allergy Would you expect the TSH level to be high or low in someone with hyperthyroidism What is the cause of sensoneural hearing loss? This should be available at the bedside of a client who had a thyroidectomy? two injections at same time in different extremities What type of fractures do you see with fat embolisms? gradual progression of neurological deterioration w/ super-imposes relapses. Discuss conditions that result in increased ICP. Discuss educational challenges in the care of the MR. Explanation: The nurse should initially perform neurovascular assessments a minimum of every 15 minutes until stable in a patient with a dislocation to assess for compartment syndrome. It is a complication associated with dislocation. A patient with a dislocation does not experience an increased risk of complications such as GI bleeding, carpal tunnel syndrome, Continue reading >>

Ati- Med Admin. 3 Flashcards | Quizlet

Ati- Med Admin. 3 Flashcards | Quizlet

to withdraw or remove, via a syringe or other apparatus the component of a syringe that encases the plunger and is marked with volume calibrations the slanted surface at the tip of a needle referring to the action of injecting quickly and without hesitation a special type of needle required when drawing up certain types of medications to keep small particles of medication or rubber or glass (from a vial or ampule) from entering the syringe and being injected along with the intended solution the standard of measurement used to quantify a needle's size, with lower numbers reflecting larger needles and vice versa a broad, flat process at the upper end of the lateral surface of the femur to which several muscles are attached and serving as a landmark for identifying the vastus lateralis injection site the part of a needle that attaches to the syringe a patented, threaded tip of a syringe that can be twisted onto certain ports and needles to create a firm "lock" the rubber-tipped portion of a syringe that fits inside the barrel and is pulled outward to draw fluid or air into the syringe and pushed inward to insert fluid into the body or fluid or air into a container convert medication in a powdered form to a liquid for injection by adding diluent to the powder the flat, triangular bone in the back of the shoulder; the shoulder blade a smooth, reddened or pale, slightly elevated area on the skin that is either induced via intradermal injection or is typical of allergic reactions a method of injection that involves displacing the skin and the subcutaneous tissue at the injection site, maintaining this displacement throughout the injection, and releasing it immediately after withdrawing the needle from the skin glass, single-use containers for liquid injectable medications. am Continue reading >>

Steps To Mix Insulin

Steps To Mix Insulin

Steps to mix insulin 1. Wash hands 2. Gently rotate NPH insulin bottle 3. Wipe off tops of insulin vials with alcohol wipe 4. Draw back amount of air into the syringe that equals total dose 5. Inject air equal to NPH dose into NPH vial. 6. Inject air equal to regular dose into regular vial 7. Invert regular insulin bottle and withdraw regular insulin dose 8. Without adding more air to NPH vial, carefully withdraw NPH dose. Continue reading >>

Mixing Two Kinds Of Insulin In One Syringe

Mixing Two Kinds Of Insulin In One Syringe

Identifies the patient according to agency policy; attends appropriately to standard precautions, hand hygiene, safety, privacy, body mechanics, and documentation. Prepares and administers medications according to "Medication Guidelines: Steps to Follow for All Medications." Before beginning, determines the total volume of both Recaps needles throughout,using approved one-handed technique that has a low risk of contaminating the sterile Maintains sterility of needles and medication Avoids contaminating a multidose vial with a second Before preparation, rotates the insulin vials between the palms of your hands for at least 1 minute, and inverts them to ensure an adequate concentration. Does not shake Scrubs the tops of vials with an alcohol prep pad or other antiseptic (according to agency procedure). Places the needle cap on an opened, sterile alcohol Using an insulin syringe and needle,draws up same amount of air into the syringe as the total medication doses Injects an appropriate amount of air (equal to the modified insulin order) to the modified insulin (cloudy vial). Does not allow the needle tip to touch the insulin. Using the same syringe, injects the appropriate amount of air (equal to the regular insulin order) into the vial of Does not withdraw the needle; withdraws the correct Removes the syringe from regular insulin. Assures Calculates the total amount on the syringe that the combined types of insulin should measure. Inserts needle into the vial of modified insulin Withdraws the insulin slowly and exactly to the total dose, being very careful not to create bubbles and to Excess medication cannot be returned to the vial. If excess medication is inadvertently drawn into the syringe, recognizes the error, discards the medication in Removes the needle from vial Continue reading >>

Practice For The Nclex-pn: Practice Exam 3 And Rationales

Practice For The Nclex-pn: Practice Exam 3 And Rationales

Practice for the NCLEX-PN: Practice Exam 3 and Rationales This chapter provides a sample NCLEX-PN exam with detailed explanations for each of the answers to help you practice. Chapter 3: Practice Exam 3 and Rationales - Title Page A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty: A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is: The nurse is caring for a client following removal of the thyroid. Immediately post-op, the nurse should: Maintain the client in a semi-Fowler's position with the head and neck supported by pillows Encourage the client to turn her head side to side, to promote drainage of oral secretions Maintain the client in a supine position with sandbags placed on either side of the head and neck Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased incidence of gastric cancer? A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client's record, the nurse could expect to find: The licensed vocational nurse may not assume the primary care for a client: The physician has ordered dressings with Sulfamylon cream for a client with full-thickness burns of the hands and arms. Before dressing changes, the nurse should give priority to: Obtaining a blood glucose by finger stick The nurse is teaching a group of parents about gross motor development of the Continue reading >>

Giving Yourself An Insulin Shot For Diabetes

Giving Yourself An Insulin Shot For Diabetes

For those with diabetes, an insulin shot delivers medicine into the subcutaneous tissue -- the tissue between your skin and muscle. Subcutaneous tissue (also called "sub Q" tissue) is found throughout your body. Please follow these steps when using an insulin syringe. Note: these instructions are not for patients using an insulin pen or a non-needle injection system. Select a clean, dry work area, and gather the following insulin supplies: Bottle of insulin Sterile insulin syringe (needle attached) with wrapper removed Two alcohol wipes (or cotton balls and a bottle of rubbing alcohol) One container for used equipment (such as a hard plastic or metal container with a screw-on or tightly secured lid or a commercial "sharps" container) Wash hands with soap and warm water and dry them with a clean towel. Remove the plastic cap from the insulin bottle. Roll the bottle of insulin between your hands two to three times to mix the insulin. Do not shake the bottle, as air bubbles can form and affect the amount of insulin withdrawn. Wipe off the rubber part on the top of the insulin bottle with an alcohol pad or cotton ball dampened with alcohol. Set the insulin bottle nearby on a flat surface. Remove the cap from the needle. If you've been prescribed two types of insulin to be taken at once (mixed dose), skip to the instructions in the next section. Draw the required number of units of air into the syringe by pulling the plunger back. You need to draw the same amount of air into the syringe as insulin you need to inject. Always measure from the top of the plunger. Insert the needle into the rubber stopper of the insulin bottle. Push the plunger down to inject air into the bottle (this allows the insulin to be drawn more easily). Leave the needle in the bottle. Turn the bottle an Continue reading >>

Ati Peds Diabetes Mellitus

Ati Peds Diabetes Mellitus

Sort S&S of DM Hypoglycemia (BG< 60) S&S - ANS RESPONSES= RAPID ONSET, hunger, lightheadedness, and shakiness, HA, anxiety, irritability, pale/cool skin, diaphoresis, normal or shallow resps, tachycardia, palpitations -IMPAIRED CEREBRAL FUNCTION=GRADUAL ONSET- strange or unusual feelings, decrease LOC, difficulty thinking and inability to concentrate, change in emotional behavior, slurred speech, HA, blurred vision, seizures leading to coma Hyperglycemia (BG> 250) S&S- thirst, polyuria (early), oliguria (late), N/V, abdominal pain, skin that is warm/dy/flushed with poor turgor, dry mucous membranes, confusion, weak, lethargic, weak pulse, diminished reflexes, rapid/deep resps. fruity odor Self-monitored blood glucose (SMBG) 1) How often should the diabetic measure their glucose? 1) BG check before meals and at bedtime 2) Follow or ensure that the child follows the proper procedure for blood sample collection and use of a glucose meter. Client Education - Instruct the child to check the accuracy of the strips with the control solution provided. - Advise the child to keep a record of the SMBG that includes time, date, serum glucose level, insulin dose, food intake, and other events that may alter glucose metabolism, such as activity level or illness. Nursing Care VS, BG (other MEDs, diet, and/or activity), I&O, weight. ■ Skin integrity (close attention to feet and skin folds) ■ Visual or Sensory alterations (tingling, numbness)? ■ Infections -exercise patterns ◯ EXAM EYES, DENTAL, & health visits REGULARLY TIME meals (factoring activity, insulin onset & peak) 15 g of carbs= 1 carbohydrate exchange. ◯ Teach appropriate techniques for SMBG, including obtaining blood samples, recording and responding to results, and correctly handling supplies and equipment. ◯ As Continue reading >>

Mixing Insulin

Mixing Insulin

Rapid acting insulin Regular(Novalin R) -Can be given SQ or IV Insulin lispro(Humalog) -SQ only Insulin apart(Novolog) -SQ only *Rescue insulin or sliding scale Long Acting Insulin Insulin Glargine (Lantus) -Clear -Lasts 24 hours Insulin detemir (Levemir) -Clear -Lasts 24 hours Ultralente (Humulin U) -Cloudy -Lasts 36 hours Continue reading >>

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