FINAL BLUEPRINT 1. Transfusion – s/s - fever, back pain, hemolytic reaction normal saline to prime line/ change tubing) chapter 28 2. MI (lab test, s/s) – Cardiac enzymes (troponin, myoglobin, ckmb) s/s – (hypotension, left arm pain, dizziness, dyspnea, diaphoretic, weakness, epigastric pain in females, chest pressure, jaw pain in males) EKG - (ST elevation) NSTEMI in EKG – (same as ST) MONA –(Morphine, Oxygen, Nitroglycerin, Aspirin) chapter 23. 3. DVT – s/s- edema, localized pain, warmth, no massage, Risk- (obesity, immobility, birth control) Diagnosis - (labs or doppler ultrasound) Tx – (heparin & warfarin before pt goes home) chapter 26. 4. Shock (type of shock, cause, stages, s/s tx) – Neurogenic – (bradycardia), Cardiogenic, Anaphylactic, Hypovolemic – (low cardiac output & low tissue perfusion- kidneys fail and shows by low urine output lower than 30 ml/hr) , septic, s/s- (hypo, tachycardia, tachypnea, electrolyte imbalance) Tx- (fluids to reduce lactic acid) chapter 11. 5. Cardiovascular disease – Right heart failure- rest of bod/ peripheral edema. Left heart failure – lungs/ pulmonary edema) Low cardiac contraction Tx - with dobutamine and see increase in urine output) Pulmonary Edema- (pink, frothy) chapter 23, 24, 25 6. EKG (regular, & irregular heart rhythms, s/s, medication, procedures) PCMK – Atrial pcmk spike before P wave/ Ventricular pcmk spike comes before each QRS 7. COPD – chronic sputum productive, chronic cough, dyspnea, barrel chestchapter 20 8. Asthma, Emphysema, TB, Pneumonia – chapter 20 9. Chest tube – videos chapter 19 10. Ventilation – chapter 17 11. Pulmonary embolism – anticoagulants, heparin, Luvunox, chapter 19, 26 12. Anemia – blood transfusion chapter 29 13. Electrolytes – (ranges, s/s, of hyper and hypo’s) Lower potassium kayexalate/ lower sodium with polystyrene sulfonate – chapter 10 14. Angina – stable & unstable / Tx (stable with rest or nytroglycerin and unstable is untreatable/ after second call 911) chapter 23 15. Nitro – chapter 23 16. ABG’s – 17. Diet (cardiovascular) – DASH diet 18. HIV – lower than 200 CD4 is AIDS , T-cell count chapter 32 19. Cancer/ chemotherapy – strong substance that attacks bone marrow causing myelosuppression, risk for infection, low WBC, RBC Platelets) chapter 12 20. SLE – Autoimmune disorder s/s- (butterfly rash, sunblock, mild shampoo) Tx- (reverse isolation, immunosuppressants) chapter 34 21. Sepsis – chapter 11 22. Wait 48 hrs before starting procedure if pt takes metphormin 23. Pt with A-fib at risk for embolic stroke and take anticoagulants for life 24. Pneumothorax - air in the pleura space, trachea deviation to the unaffected side, collapsed lung, tx- chest tube below the pt chest, 25. Cardiac tamponade – compression of heart due to fluid excess in pericardium. s/s – (becks triad – low arterial blood pressure, muffled heart sound, JVD) Tx- (pericardial synthesis) 26. Tx hypertention – diuretics 27. Betablocker contraindication - respiratory issue patients 28. TB findings- night sweats, red/ blood, 29. LAB Values- Hemoglobin: Males 14-18 Females 12-16 Hematocrit: Males 42-54% Females 37-47% CMP: BMP: Platelets: WBC: CBC: 30. When potassium low (hypokalemia) careful with heart flat T waves long QT waves prominent U waves

Final Blueprint Nursing

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