Nursing Tips

Med-Surg (81)

Best practices for patients with DYSPHAGIA: Sit patient in upright position (High-fowler's). Lightly stroke chin/throat to promote swallowing. Teach patient to tuck their chin towards their chest when swallowing. Thicken thin liquids.

Dysphagia Best Practices

Cathy Parkes RN, BSN, PHN, CWCN

Best practices for patients with DYSPHAGIA

Dysphagia Best Practices

Cathy Parkes RN, BSN, PHN, CWCN

Best practices for patients with DYSPHAGIA

Dementia has slow onset, does NOT alter vital signs, and is irreversible. Delirium has rapid onset, can alter vital signs and level of consciousness, and is reversible.

Dementia vs. delirium

Cathy Parkes RN, BSN, PHN, CWCN

Dementia vs delirium: Dementia has slow onset, does NOT alter vital signs, and is irreversible. Delirium has rapid onset, can alter vital signs and level of consciousness, and is reversible.

Dementia vs. delirium

Cathy Parkes RN, BSN, PHN, CWCN

Dementia vs delirium: Dementia has slow onset, does NOT alter vital signs, and is irreversible. Delirium has rapid onset, can alter vital signs and level of consciousness, and is reversible.

Patients with asthma should monitor their airway with a peak flow meter. This device can detect airway narrowing BEFORE the onset of symptoms.

Lung capacity measurement

Cathy Parkes RN, BSN, PHN, CWCN

Patients with asthma should monitor their airway with a peak flow meter. 

Lung capacity measurement

Cathy Parkes RN, BSN, PHN, CWCN

Patients with asthma should monitor their airway with a peak flow meter. 

Diagnosis of meningitis is done by analyzing the patient's CSF (cerebrospinal fluid).  Bacterial meningitis: CSF is cloudy with ↓ glucose. Viral meningitis: CSF is clear and glucose levels are typically normal.

Meningitis diagnosis

Cathy Parkes RN, BSN, PHN, CWCN

Diagnosis of meningitis is done by analyzing the patient's CSF (cerebrospinal fluid).

Meningitis diagnosis

Cathy Parkes RN, BSN, PHN, CWCN

Diagnosis of meningitis is done by analyzing the patient's CSF (cerebrospinal fluid).

Diabetic foot care teaching: Inspect feet daily using a mirror. Check shoes for objects; Apply moisturizer to feet, but not between toes; Wear cotton socks; Cut nails straight across; Do not use OTC products; Do not use heating pads on feet.

Diabetic Foot Care

Cathy Parkes RN, BSN, PHN, CWCN

Diabetic foot care teaching: Inspect feet; Apply moisturizer; Wear cotton socks; Cut nails straight across; Don't use OTC products or use heating pads on feet.

Diabetic Foot Care

Cathy Parkes RN, BSN, PHN, CWCN

Diabetic foot care teaching: Inspect feet; Apply moisturizer; Wear cotton socks; Cut nails straight across; Don't use OTC products or use heating pads on feet.

With Diabetes InSIPidus, you will want to SIP a lot of water. Diabetes Insipidus causes the patient to urinate large quantities of dilute urine, leaving the patient dehydrated and thirsty!

Diabetes Insipidus

Cathy Parkes RN, BSN, PHN, CWCN

With Diabetes InSIPidus, you will want to SIP a lot of water. Diabetes Insipidus causes the patient to urinate large quantities of dilute urine, leaving the patient dehydrated and thirsty!

Diabetes Insipidus

Cathy Parkes RN, BSN, PHN, CWCN

With Diabetes InSIPidus, you will want to SIP a lot of water. Diabetes Insipidus causes the patient to urinate large quantities of dilute urine, leaving the patient dehydrated and thirsty!

Chlamydia and Gonorrhea are STDs that can lead to Pelvic Inflammatory Disease (PID) and infertility if not treated promptly.

Chlamydia & Gonorrhea

Cathy Parkes RN, BSN, PHN, CWCN

Chlamydia and Gonorrhea are STDs that can lead to Pelvic Inflammatory Disease (PID) and infertility if not treated promptly.

Chlamydia & Gonorrhea

Cathy Parkes RN, BSN, PHN, CWCN

Chlamydia and Gonorrhea are STDs that can lead to Pelvic Inflammatory Disease (PID) and infertility if not treated promptly.

During a patient's seizure: Lower patient to the bed or floor if standing/sitting. Turn the patient to his/her side. Loosen restrictive clothing. Do NOT put anything in the patient’s mouth. Do NOT restrain patient. Note onset/duration of seizure.

Seizures

Cathy Parkes RN, BSN, PHN, CWCN

During a seizure, take these important nursing actions

Seizures

Cathy Parkes RN, BSN, PHN, CWCN

During a seizure, take these important nursing actions

Innate vs. Acquired Immunity. Innate Immunity: Defense mechanisms in the body that respond immediately to all antigens. Acquired Immunity: Body produces antibodies in response to a specific antigen through the action of B and T lymphocytes.

Innate v. Acquired Immunity

Cathy Parkes RN, BSN, PHN, CWCN

Innate vs. Acquired Immunity Pathophysiology

Innate v. Acquired Immunity

Cathy Parkes RN, BSN, PHN, CWCN

Innate vs. Acquired Immunity Pathophysiology

Nursing Tips - Syndrome of Inappropriate ADH

Syndrome of Inappropriate ADH

Cathy Parkes RN, BSN, PHN, CWCN

Syndrome of Inappropriate ADH (SIADH) causes the excess water to be reabsorbed by the kidneys, resulting in hypervolemia.

Syndrome of Inappropriate ADH

Cathy Parkes RN, BSN, PHN, CWCN

Syndrome of Inappropriate ADH (SIADH) causes the excess water to be reabsorbed by the kidneys, resulting in hypervolemia.

Nursing Tips - Dysphagia

Dysphagia

Cathy Parkes RN, BSN, PHN, CWCN

Patients with dysphagia (difficulty swallowing) need to have a swallow evaluation by a speech language pathologist.

Dysphagia

Cathy Parkes RN, BSN, PHN, CWCN

Patients with dysphagia (difficulty swallowing) need to have a swallow evaluation by a speech language pathologist.

Nursing Tips - Rheumatoid Arthritis

Rheumatoid Arthritis Labs

Cathy Parkes RN, BSN, PHN, CWCN

Expected labs with Rheumatoid Arthritis: Positive Rheumatoid Factor (RF) antibody and Positive ANA titer

Rheumatoid Arthritis Labs

Cathy Parkes RN, BSN, PHN, CWCN

Expected labs with Rheumatoid Arthritis: Positive Rheumatoid Factor (RF) antibody and Positive ANA titer

Nursing Tips - Menorrhagia

Menorrhagia

Cathy Parkes RN, BSN, PHN, CWCN

Menorrhagia = Excessive menstrual bleeding. This can result in anemia.If you have menorrhagia, it will make you want to rage!

Menorrhagia

Cathy Parkes RN, BSN, PHN, CWCN

Menorrhagia = Excessive menstrual bleeding. This can result in anemia.If you have menorrhagia, it will make you want to rage!

Nursing Tips - External Radiation Therapy Patient Teaching

External Radiation Therapy Patient Teaching

Cathy Parkes RN, BSN, PHN, CWCN

Patient teaching for external radiation therapy.

External Radiation Therapy Patient Teaching

Cathy Parkes RN, BSN, PHN, CWCN

Patient teaching for external radiation therapy.

Nursing Tips - Pyelonephritis

Pyelonephritis

Cathy Parkes RN, BSN, PHN, CWCN

Costovertebral tenderness is a key symptom with Pyelonephritis.

Pyelonephritis

Cathy Parkes RN, BSN, PHN, CWCN

Costovertebral tenderness is a key symptom with Pyelonephritis.

Nursing Tips - Hormone Replacement Therapy

Hormone Replacement Therapy

Cathy Parkes RN, BSN, PHN, CWCN

Hormone Replacement therapy can be used to treat the signs/symptoms of menopause. However, it is important to remember that HT increases the risk of embolic events (DVT, MI, stroke) and...

Hormone Replacement Therapy

Cathy Parkes RN, BSN, PHN, CWCN

Hormone Replacement therapy can be used to treat the signs/symptoms of menopause. However, it is important to remember that HT increases the risk of embolic events (DVT, MI, stroke) and...

Neutropenia and Thrombocytopenia

Neutropenia and Thrombocytopenia

Cathy Parkes RN, BSN, PHN, CWCN

Neutropenia and Thrombocytopenia are key symptoms of hematologic cancers (ex: leukemia, multiple myeloma). Key Nursing priority: Prevent infection and bleeding!

Neutropenia and Thrombocytopenia

Cathy Parkes RN, BSN, PHN, CWCN

Neutropenia and Thrombocytopenia are key symptoms of hematologic cancers (ex: leukemia, multiple myeloma). Key Nursing priority: Prevent infection and bleeding!

Peritoneal Dialysis

Peritoneal Dialysis

Cathy Parkes RN, BSN, PHN, CWCN

With peritoneal dialysis, bloody or cloudy outflow indicates possible infection!

Peritoneal Dialysis

Cathy Parkes RN, BSN, PHN, CWCN

With peritoneal dialysis, bloody or cloudy outflow indicates possible infection!

Prostate Cancer Screening

Prostate Cancer Screening

Cathy Parkes RN, BSN, PHN, CWCN

When screening a patient for prostate cancer, be sure to obtain the PSA (prostate specific antigen) before performing a DRE (digital rectal exam).

Prostate Cancer Screening

Cathy Parkes RN, BSN, PHN, CWCN

When screening a patient for prostate cancer, be sure to obtain the PSA (prostate specific antigen) before performing a DRE (digital rectal exam).

Urolithiasis

Urolithiasis

Cathy Parkes RN, BSN, PHN, CWCN

For a patient with urolithiasis (kidney stone), a key nursing intervention is to strain the patient's urine. Send stone for lab analysis!

Urolithiasis

Cathy Parkes RN, BSN, PHN, CWCN

For a patient with urolithiasis (kidney stone), a key nursing intervention is to strain the patient's urine. Send stone for lab analysis!

Gastric and Duodenal Ulcers

Gastric and Duodenal Ulcers

Cathy Parkes RN, BSN, PHN, CWCN

Key differences in symptoms for Gastric and Duodenal ulcers: Gastric ulcer: Pain 30-60 minutes after meal, worse in DAY, worse with eating. Duodenal ulcer: Pain 1.5-3 hours after meal, worse...

Gastric and Duodenal Ulcers

Cathy Parkes RN, BSN, PHN, CWCN

Key differences in symptoms for Gastric and Duodenal ulcers: Gastric ulcer: Pain 30-60 minutes after meal, worse in DAY, worse with eating. Duodenal ulcer: Pain 1.5-3 hours after meal, worse...

Malignant Hyperthermia

Malignant Hyperthermia

Cathy Parkes RN, BSN, PHN, CWCN

Malignant hyperthermia is a life-threatening complication due to certain general anesthesia medications. Symptoms: Muscle rigidity, tachycardia, fever, dysrhythmias, tachypnea, hypotension, cyanosis.

1 comment

Malignant Hyperthermia

Cathy Parkes RN, BSN, PHN, CWCN

Malignant hyperthermia is a life-threatening complication due to certain general anesthesia medications. Symptoms: Muscle rigidity, tachycardia, fever, dysrhythmias, tachypnea, hypotension, cyanosis.

1 comment
Continuous Bladder Irrigation

Continuous Bladder Irrigation

Cathy Parkes RN, BSN, PHN, CWCN

When administering Continuous Bladder Irrigation (CBI) for a patient following a Transurethral Resection of the Prostate (TURP), be sure to increase the CBI rate if outflow is bright red or...

Continuous Bladder Irrigation

Cathy Parkes RN, BSN, PHN, CWCN

When administering Continuous Bladder Irrigation (CBI) for a patient following a Transurethral Resection of the Prostate (TURP), be sure to increase the CBI rate if outflow is bright red or...

Herpes Zoster

Herpes Zoster

Cathy Parkes RN, BSN, PHN, CWCN

Key symptom of Herpes Zoster: Painful, unilateral vesicular rash that runs along a dermatome

Herpes Zoster

Cathy Parkes RN, BSN, PHN, CWCN

Key symptom of Herpes Zoster: Painful, unilateral vesicular rash that runs along a dermatome

Mastectomy Care

Mastectomy Care

Cathy Parkes RN, BSN, PHN, CWCN

Mastectomy Care and Patient Teaching: Nursing Care: Do not administer injections, obtain blood, or take BP in the affected arm. Patient Teaching: Wear sling when ambulating, wear loose clothing, perform...

Mastectomy Care

Cathy Parkes RN, BSN, PHN, CWCN

Mastectomy Care and Patient Teaching: Nursing Care: Do not administer injections, obtain blood, or take BP in the affected arm. Patient Teaching: Wear sling when ambulating, wear loose clothing, perform...

Patient Teaching for GERD

Patient Teaching for GERD

Cathy Parkes RN, BSN, PHN, CWCN

Patient teaching for GERD: Avoid fatty, fried, citrus, spicy foods. Eat smaller meals. Remain upright after meals. Avoid tight-fitting clothing. Lose weight (if applicable). Quit smoking. Elevate HOB with blocks.

Patient Teaching for GERD

Cathy Parkes RN, BSN, PHN, CWCN

Patient teaching for GERD: Avoid fatty, fried, citrus, spicy foods. Eat smaller meals. Remain upright after meals. Avoid tight-fitting clothing. Lose weight (if applicable). Quit smoking. Elevate HOB with blocks.

Potassium Ranges

Potassium Ranges

Cathy Parkes RN, BSN, PHN, CWCN

Potassium (K) expected range: 3.5 - 5.0 mEq/L HINT #1: There are ~3.1 miles in a 5K HINT #2: Bananas (high in Potassium!) come in bunches of 3-5.

Potassium Ranges

Cathy Parkes RN, BSN, PHN, CWCN

Potassium (K) expected range: 3.5 - 5.0 mEq/L HINT #1: There are ~3.1 miles in a 5K HINT #2: Bananas (high in Potassium!) come in bunches of 3-5.

Magnesium Ranges

Magnesium Ranges

Cathy Parkes RN, BSN, PHN, CWCN

Magnesium (Mg) expected range: 1.3 - 2.1 mEq/L HINT: MGs are very small British cars - you can only fit 1-2 people in them.

Magnesium Ranges

Cathy Parkes RN, BSN, PHN, CWCN

Magnesium (Mg) expected range: 1.3 - 2.1 mEq/L HINT: MGs are very small British cars - you can only fit 1-2 people in them.

Stomatitis

Stomatitis

Cathy Parkes RN, BSN, PHN, CWCN

Stomatitis is inflammation of the mouth/lips. It is a common side effect of chemotherapy. If your patient has stomatitis, provide the following teaching: Do not use alcohol based mouthwash! Use...

Stomatitis

Cathy Parkes RN, BSN, PHN, CWCN

Stomatitis is inflammation of the mouth/lips. It is a common side effect of chemotherapy. If your patient has stomatitis, provide the following teaching: Do not use alcohol based mouthwash! Use...

Contrast Dye

Contrast Dye

Cathy Parkes RN, BSN, PHN, CWCN

Any time your patient needs to have a procedure that uses contrast dye (ex: angiogram, CT/MRI with contrast, hysterosalpingography), be sure to check for an allergy to shellfish and iodine...

Contrast Dye

Cathy Parkes RN, BSN, PHN, CWCN

Any time your patient needs to have a procedure that uses contrast dye (ex: angiogram, CT/MRI with contrast, hysterosalpingography), be sure to check for an allergy to shellfish and iodine...

How to treat a seizure

How to treat a seizure

Cathy Parkes RN, BSN, PHN, CWCN

During a seizure, turn the patient to his/her side, loosen restrictive clothing, and DO NOT insert airway or restrain patient.

How to treat a seizure

Cathy Parkes RN, BSN, PHN, CWCN

During a seizure, turn the patient to his/her side, loosen restrictive clothing, and DO NOT insert airway or restrain patient.

Bone loss and aging

Bone loss and aging

Cathy Parkes RN, BSN, PHN, CWCN

Bone loss begins at 35 years old. In order to prevent osteoporosis, individuals should engage in weight-bearing exercises. FYI - swimming is NOT weight-bearing.

Bone loss and aging

Cathy Parkes RN, BSN, PHN, CWCN

Bone loss begins at 35 years old. In order to prevent osteoporosis, individuals should engage in weight-bearing exercises. FYI - swimming is NOT weight-bearing.

Blood transfusion reaction

Blood transfusion reaction

Cathy Parkes RN, BSN, PHN, CWCN

If a patient has a blood transfusion reaction: stop the transfusion, infuse 0.9% NACL through a separate line, and be sure to send the blood bag back to the lab....

Blood transfusion reaction

Cathy Parkes RN, BSN, PHN, CWCN

If a patient has a blood transfusion reaction: stop the transfusion, infuse 0.9% NACL through a separate line, and be sure to send the blood bag back to the lab....