Nursing Tips (632)

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!

Anticoagulant Side Effects

Anticoagulant Side Effects

Cathy Parkes RN, BSN, PHN, CWCN

The key side effect to remember with ALL anticoagulants (ex: heparin, warfarin, rivaroxaban) is BLEEDING!

Anticoagulant Side Effects

Cathy Parkes RN, BSN, PHN, CWCN

The key side effect to remember with ALL anticoagulants (ex: heparin, warfarin, rivaroxaban) is BLEEDING!

Epoetin Alfa

Epoetin Alfa

Cathy Parkes RN, BSN, PHN, CWCN

Taking epoetin alfa will fix your anemia so you can grow up to be a strong alpha male.

Epoetin Alfa

Cathy Parkes RN, BSN, PHN, CWCN

Taking epoetin alfa will fix your anemia so you can grow up to be a strong alpha male.

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!

Niacin Hypercholesterolemia

Niacin Hypercholesterolemia

Cathy Parkes RN, BSN, PHN, CWCN

Niacin (Vitamin B3) can be used to treat hypercholesterolemia. Key side effect is flushing of the face. My face doesn't look very nice after taking niacin (because it is flushed!)

Niacin Hypercholesterolemia

Cathy Parkes RN, BSN, PHN, CWCN

Niacin (Vitamin B3) can be used to treat hypercholesterolemia. Key side effect is flushing of the face. My face doesn't look very nice after taking niacin (because it is flushed!)

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...

Ferrous Sulfate

Ferrous Sulfate

Cathy Parkes RN, BSN, PHN, CWCN

Ferrous Sulfate is an iron supplement that can stain the teeth. I'm furious that my teeth got stained from ferrous sulfate!

Ferrous Sulfate

Cathy Parkes RN, BSN, PHN, CWCN

Ferrous Sulfate is an iron supplement that can stain the teeth. I'm furious that my teeth got stained from ferrous sulfate!

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...

Magnesium Toxicity

Magnesium Toxicity

Cathy Parkes RN, BSN, PHN, CWCN

Too much magnesium (magnesium toxicity) brought Maggie to her knees (due to cardiac and respiratory depression).

Magnesium Toxicity

Cathy Parkes RN, BSN, PHN, CWCN

Too much magnesium (magnesium toxicity) brought Maggie to her knees (due to cardiac and respiratory depression).

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.

Joint Dislocation Prevention

Joint Dislocation Prevention

Cathy Parkes RN, BSN, PHN, CWCN

To prevent joint dislocation after a total hip arthroplasty, do not allow hip flexion > 90°.

Joint Dislocation Prevention

Cathy Parkes RN, BSN, PHN, CWCN

To prevent joint dislocation after a total hip arthroplasty, do not allow hip flexion > 90°.

Lithium

Lithium

Cathy Parkes RN, BSN, PHN, CWCN

Lithium is a mood stabilizer, used for Bipolar Disorder. Patients on lithium need adequate fluid and sodium intake! Diuretics, anticholinergics, NSAIDs are not recommended.

Lithium

Cathy Parkes RN, BSN, PHN, CWCN

Lithium is a mood stabilizer, used for Bipolar Disorder. Patients on lithium need adequate fluid and sodium intake! Diuretics, anticholinergics, NSAIDs are not recommended.

MAOIS for Depression

MAOIS for Depression

Cathy Parkes RN, BSN, PHN, CWCN

MAOIs are used to treat depression. Important points about MAOIs: They interact with MANY other medications. Eating foods rich in tyramine can cause a hypertensive crisis. Foods rich in tyramine include...

MAOIS for Depression

Cathy Parkes RN, BSN, PHN, CWCN

MAOIs are used to treat depression. Important points about MAOIs: They interact with MANY other medications. Eating foods rich in tyramine can cause a hypertensive crisis. Foods rich in tyramine include...

Doxorubicin

Doxorubicin

Cathy Parkes RN, BSN, PHN, CWCN

Doxorubicin is an antitumor antibiotic used to treat cancer. Think "ruby" RED. This medication can cause RED discoloration of sweat, urine, and tears.

Doxorubicin

Cathy Parkes RN, BSN, PHN, CWCN

Doxorubicin is an antitumor antibiotic used to treat cancer. Think "ruby" RED. This medication can cause RED discoloration of sweat, urine, and tears.

Vitamin C and Iron

Vitamin C and Iron

Cathy Parkes RN, BSN, PHN, CWCN

Vitamin C increases the absorption of iron. If your patient is taking an iron supplement, be sure they eat foods rich in Vitamin C! Examples: citrus fruit or juices, tomatoes,...

Vitamin C and Iron

Cathy Parkes RN, BSN, PHN, CWCN

Vitamin C increases the absorption of iron. If your patient is taking an iron supplement, be sure they eat foods rich in Vitamin C! Examples: citrus fruit or juices, tomatoes,...

Leuprolide

Leuprolide

Cathy Parkes RN, BSN, PHN, CWCN

Leuprolide is a medication used to treat prostate cancer. HINT: Dr. Lou lied to me about the side effects of this medication, which include: hot flashes, gynecomastia, decreased libido.

Leuprolide

Cathy Parkes RN, BSN, PHN, CWCN

Leuprolide is a medication used to treat prostate cancer. HINT: Dr. Lou lied to me about the side effects of this medication, which include: hot flashes, gynecomastia, decreased libido.

Cholesterol Intake

Cholesterol Intake

Cathy Parkes RN, BSN, PHN, CWCN

Cholesterol intake should be limited to 200-300 grams/day to prevent heart disease.

Cholesterol Intake

Cathy Parkes RN, BSN, PHN, CWCN

Cholesterol intake should be limited to 200-300 grams/day to prevent heart disease.

Vincristine

Vincristine

Cathy Parkes RN, BSN, PHN, CWCN

Vincristine is an antimitotic medication used to treat cancer. A key side effect with this medication is peripheral neuropathy. HINT: Vin = wine in French. If you drink too much...

Vincristine

Cathy Parkes RN, BSN, PHN, CWCN

Vincristine is an antimitotic medication used to treat cancer. A key side effect with this medication is peripheral neuropathy. HINT: Vin = wine in French. If you drink too much...

B-Complex Vitamin Deficiencies

B-Complex Vitamin Deficiencies

Cathy Parkes RN, BSN, PHN, CWCN

Important conditions caused by B-complex vitamin deficiencies: Deficiency of Thiamin (B1) = Beriberi Deficiency of Riboflavin (B2) = Cheilosis, Glossitis Deficiency of Folate (B9) = Neural tube defects (in utero)...

B-Complex Vitamin Deficiencies

Cathy Parkes RN, BSN, PHN, CWCN

Important conditions caused by B-complex vitamin deficiencies: Deficiency of Thiamin (B1) = Beriberi Deficiency of Riboflavin (B2) = Cheilosis, Glossitis Deficiency of Folate (B9) = Neural tube defects (in utero)...

Phenazopyridine

Phenazopyridine

Cathy Parkes RN, BSN, PHN, CWCN

Phenazopyridine is a urinary tract analgesic. It is used to treat the symptoms of a UTI (burning, pain, frequency, urgency). It is not an antibiotic! HINT: Pyro = Fire, and...

Phenazopyridine

Cathy Parkes RN, BSN, PHN, CWCN

Phenazopyridine is a urinary tract analgesic. It is used to treat the symptoms of a UTI (burning, pain, frequency, urgency). It is not an antibiotic! HINT: Pyro = Fire, and...

Phosphorus and Calcium Nutrition

Phosphorus and Calcium Nutrition

Cathy Parkes RN, BSN, PHN, CWCN

There is an INVERSE relationship between Phosphorus and Calcium. If calcium is high, phosphorus is low. If calcium is low, phosphorus is high.

Phosphorus and Calcium Nutrition

Cathy Parkes RN, BSN, PHN, CWCN

There is an INVERSE relationship between Phosphorus and Calcium. If calcium is high, phosphorus is low. If calcium is low, phosphorus is high.

Tamoxifen

Tamoxifen

Cathy Parkes RN, BSN, PHN, CWCN

Tamoxifen is a medication used to treat breast cancer. It works by competing with estrogen for binding sites in breasts. HINT: Tammy is a foxy lady with breast cancer.

Tamoxifen

Cathy Parkes RN, BSN, PHN, CWCN

Tamoxifen is a medication used to treat breast cancer. It works by competing with estrogen for binding sites in breasts. HINT: Tammy is a foxy lady with breast cancer.

Acarbose

Acarbose

Cathy Parkes RN, BSN, PHN, CWCN

Acarbose is an alpha glucosidase inhibitor used to treat type 2 Diabetes. It works by inhibiting glucose absorption in the GI tract. HINT: A = "NO" + CARBS. So "No...

Acarbose

Cathy Parkes RN, BSN, PHN, CWCN

Acarbose is an alpha glucosidase inhibitor used to treat type 2 Diabetes. It works by inhibiting glucose absorption in the GI tract. HINT: A = "NO" + CARBS. So "No...

Dumping Syndrome Nutrition

Dumping Syndrome Nutrition

Cathy Parkes RN, BSN, PHN, CWCN

Nutrition recommendations to prevent DUMPING syndrome: Consume small frequent meals. Do not drink liquids with meals. Include protein and fat at each meal. Avoid dairy products and concentrated sugar.

Dumping Syndrome Nutrition

Cathy Parkes RN, BSN, PHN, CWCN

Nutrition recommendations to prevent DUMPING syndrome: Consume small frequent meals. Do not drink liquids with meals. Include protein and fat at each meal. Avoid dairy products and concentrated sugar.

Diverticulitis Nutrition

Diverticulitis Nutrition

Cathy Parkes RN, BSN, PHN, CWCN

Patients with Diverticulitis should avoid seeds and husks. Avoid: popcorn, tomatoes, berries.

Diverticulitis Nutrition

Cathy Parkes RN, BSN, PHN, CWCN

Patients with Diverticulitis should avoid seeds and husks. Avoid: popcorn, tomatoes, berries.

Propylthioruracil (PTU)

Propylthiouracil (PTU)

Cathy Parkes RN, BSN, PHN, CWCN

Propylthiouracil (PTU) is used for Grave's disease (and in preparation for a thyroidectomy). HINT: PTU will Prevent Thyroid from being Up too high.

Propylthiouracil (PTU)

Cathy Parkes RN, BSN, PHN, CWCN

Propylthiouracil (PTU) is used for Grave's disease (and in preparation for a thyroidectomy). HINT: PTU will Prevent Thyroid from being Up too high.

Cholecystitis Nutrition

Cholecystitis Nutrition

Cathy Parkes RN, BSN, PHN, CWCN

Patients with cholecystitis should consume a LOW FAT diet.

Cholecystitis Nutrition

Cathy Parkes RN, BSN, PHN, CWCN

Patients with cholecystitis should consume a LOW FAT diet.

Valproic Acid

Valproic Acid

Cathy Parkes RN, BSN, PHN, CWCN

Valproic acid is an antiepileptic drug. Key side effect is hepatotoxicity! Carefully monitor liver lab values (ex: AST, ALT).

Valproic Acid

Cathy Parkes RN, BSN, PHN, CWCN

Valproic acid is an antiepileptic drug. Key side effect is hepatotoxicity! Carefully monitor liver lab values (ex: AST, ALT).

Interpreters

Interpreters

Cathy Parkes RN, BSN, PHN, CWCN

Interpreters: Using a family member is NOT recommended. Interpreters need to have knowledge of health terminology.

Interpreters

Cathy Parkes RN, BSN, PHN, CWCN

Interpreters: Using a family member is NOT recommended. Interpreters need to have knowledge of health terminology.

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.

Hypoglycemia

Hypoglycemia

Cathy Parkes RN, BSN, PHN, CWCN

If your patient has hypoglycemia (blood glucose level under 70 mg/dL), provide a 10-20g carbohydrate. This could be a 4 oz juice or regular soda.

Hypoglycemia

Cathy Parkes RN, BSN, PHN, CWCN

If your patient has hypoglycemia (blood glucose level under 70 mg/dL), provide a 10-20g carbohydrate. This could be a 4 oz juice or regular soda.

Family Transitions

Family Transitions

Cathy Parkes RN, BSN, PHN, CWCN

Examples of Transitions in families: birth of child, death in family, divorce, major illness, loss of income. Transitions = time of risk for family.

Family Transitions

Cathy Parkes RN, BSN, PHN, CWCN

Examples of Transitions in families: birth of child, death in family, divorce, major illness, loss of income. Transitions = time of risk for family.

Chloride Range

Chloride: Expected Range

Cathy Parkes RN, BSN, PHN, CWCN

Chloride (Cl) expected range: 98 - 106 mEq/L HINT: I like my hot tub chlorinated, with a temperature between 98-106 degrees.

Chloride: Expected Range

Cathy Parkes RN, BSN, PHN, CWCN

Chloride (Cl) expected range: 98 - 106 mEq/L HINT: I like my hot tub chlorinated, with a temperature between 98-106 degrees.

Sucralfate

Sucralfate

Cathy Parkes RN, BSN, PHN, CWCN

Sucralfate is a Mucosal Protectant used to treat duodenal ulcers. It reacts with stomach acid to form a thick paste that adheres to ulcers. HINT: Sucralfate gets sucked down into ulcers.

Sucralfate

Cathy Parkes RN, BSN, PHN, CWCN

Sucralfate is a Mucosal Protectant used to treat duodenal ulcers. It reacts with stomach acid to form a thick paste that adheres to ulcers. HINT: Sucralfate gets sucked down into ulcers.

Hospice Care

Hospice Care

Cathy Parkes RN, BSN, PHN, CWCN

Hospice care is focused on palliative care (i.e. symptom management), NOT on curing a disease.

Hospice Care

Cathy Parkes RN, BSN, PHN, CWCN

Hospice care is focused on palliative care (i.e. symptom management), NOT on curing a disease.

IBS Medications

IBS Medications

Cathy Parkes RN, BSN, PHN, CWCN

Irritable Bowel Syndrome (IBS) Medications: alosetron is used for IBS w/diarrhea.HINT: You might aloe on your backside from all that diarrhea.  Lubiprostone is used for IBS w/consipation. HINT: Use lubiprostone to "lube up...

IBS Medications

Cathy Parkes RN, BSN, PHN, CWCN

Irritable Bowel Syndrome (IBS) Medications: alosetron is used for IBS w/diarrhea.HINT: You might aloe on your backside from all that diarrhea.  Lubiprostone is used for IBS w/consipation. HINT: Use lubiprostone to "lube up...