Nursing Tips (614)
Histamine 2 Receptor Antagonists and DINE-ing
Histamine 2 receptor antagonists (ex: ranitidine and famotidine) are used to treat ulcers and GERD. These meds will help you feel better when you "dine".
Histamine 2 Receptor Antagonists and DINE-ing
Histamine 2 receptor antagonists (ex: ranitidine and famotidine) are used to treat ulcers and GERD. These meds will help you feel better when you "dine".
Try less invasive interventions first
Always try LESS invasive interventions FIRST. Example: Move a patient at risk for falls to a room near the nursing station vs. placing restraints.
Try less invasive interventions first
Always try LESS invasive interventions FIRST. Example: Move a patient at risk for falls to a room near the nursing station vs. placing restraints.
Prioritizing Typical Diagnoses
Patients with EXPECTED findings for their diagnosis are typically NOT the priority. Examples: COPD patient with spO2 of 90% Stroke patient with facial drooping MS patient with ataxia
Prioritizing Typical Diagnoses
Patients with EXPECTED findings for their diagnosis are typically NOT the priority. Examples: COPD patient with spO2 of 90% Stroke patient with facial drooping MS patient with ataxia
Assess before action
Always ASSESS before taking ACTION. Ex: If a patient has dyspnea, check their O2 saturation and listen to breath sounds BEFORE notifying the provider.
Assess before action
Always ASSESS before taking ACTION. Ex: If a patient has dyspnea, check their O2 saturation and listen to breath sounds BEFORE notifying the provider.
Incident Reports
Incident reports should NOT be part of the patient's chart, and incident reports should NOT be referenced in the patient's chart.
Incident Reports
Incident reports should NOT be part of the patient's chart, and incident reports should NOT be referenced in the patient's chart.
Preventing falls
Preventing falls: Do not place all 4 bed rails UP for patient who try to get out of bed on their own.
Preventing falls
Preventing falls: Do not place all 4 bed rails UP for patient who try to get out of bed on their own.
Home safety interventions for Alzheimer's patients
KEY home safety interventions for Alzheimer's patients: NO scatter rugs, do have door locks, mark step edges with colored tape, place the mattress on the floor.
Home safety interventions for Alzheimer's patients
KEY home safety interventions for Alzheimer's patients: NO scatter rugs, do have door locks, mark step edges with colored tape, place the mattress on the floor.
Priority for Patients with Depression
If a patient has depression, your PRIORITY is to assess the patient's risk of suicide and implement 1:1 observation if indicated.
Priority for Patients with Depression
If a patient has depression, your PRIORITY is to assess the patient's risk of suicide and implement 1:1 observation if indicated.
Signs and Symptoms of PTSD
Signs/Symptoms of PTSD: flashbacks, distressing dreams, difficulty concentrating, insomnia, anxiety, irritability, detachment from others, hyper-vigilance, exaggerated startle response, feeling of guilt, and negative self-image.
Signs and Symptoms of PTSD
Signs/Symptoms of PTSD: flashbacks, distressing dreams, difficulty concentrating, insomnia, anxiety, irritability, detachment from others, hyper-vigilance, exaggerated startle response, feeling of guilt, and negative self-image.
Transference vs. Countertransference
Transference vs. Countertransference: Transference: Patient views nurse as being similar to an important person in his/her life. Countertransference: Patient reminds the nurse of someone in his/her life.
Transference vs. Countertransference
Transference vs. Countertransference: Transference: Patient views nurse as being similar to an important person in his/her life. Countertransference: Patient reminds the nurse of someone in his/her life.
Suspicion of Abuse
Nurses are required to report suspicion of abuse. You do not need to gather more information or provide proof.
Suspicion of Abuse
Nurses are required to report suspicion of abuse. You do not need to gather more information or provide proof.
Oral Iron Supplements
Oral iron supplements can cause teeth staining! Administer with a straw.
Oral Iron Supplements
Oral iron supplements can cause teeth staining! Administer with a straw.
Hemolysis
If an Rh-negative person receives Rh-positive blood, it will cause hemolysis—destruction of RBCs (red blood cells)!
Hemolysis
If an Rh-negative person receives Rh-positive blood, it will cause hemolysis—destruction of RBCs (red blood cells)!
What blood type can receive what blood type?
Know what types each blood type can receive: Type O: Can receive O Type A: Can receive A and O Type B: Can receive B and O Type AB: Can receive A, B,...
What blood type can receive what blood type?
Know what types each blood type can receive: Type O: Can receive O Type A: Can receive A and O Type B: Can receive B and O Type AB: Can receive A, B,...
Administering misoprostol
When administering a misoprostol (for prevention of gastric ulcers) to a person of child-bearing age, be sure to run a PREGNANCY test first as this medication can cause a miscarriage!
Administering misoprostol
When administering a misoprostol (for prevention of gastric ulcers) to a person of child-bearing age, be sure to run a PREGNANCY test first as this medication can cause a miscarriage!
Know your antidotes for anticoagulants
Know your antidotes for anticoagulants: Vitamin K for warfarin, Protamine for Heparin.
Know your antidotes for anticoagulants
Know your antidotes for anticoagulants: Vitamin K for warfarin, Protamine for Heparin.
Therapeutic INR for patients receiving warfarin
Therapeutic INR is 2-3 for patients receiving warfarin.
Therapeutic INR for patients receiving warfarin
Therapeutic INR is 2-3 for patients receiving warfarin.
Therapeutic aPTT for patients receiving Heparin
Therapeutic aPTT is 1.5-2 times baseline (baseline = 30-40 sec) for patients receiving Heparin.
Therapeutic aPTT for patients receiving Heparin
Therapeutic aPTT is 1.5-2 times baseline (baseline = 30-40 sec) for patients receiving Heparin.
Major Risk Factor for Rheumatic Fever
Major risk factor for rheumatic fever: untreated or partially treated upper respiratory infection with Group A beta-hemolytic streptococcus (GABHS).
Major Risk Factor for Rheumatic Fever
Major risk factor for rheumatic fever: untreated or partially treated upper respiratory infection with Group A beta-hemolytic streptococcus (GABHS).
What to Do if You Suspect Epiglottitis
If you suspect that a patient has epiglottitis, DO NOT take a throat culture or place a tongue blade in the patient's mouth!
What to Do if You Suspect Epiglottitis
If you suspect that a patient has epiglottitis, DO NOT take a throat culture or place a tongue blade in the patient's mouth!
Major Risk Factor for Reye's Syndrome
Major risk factor for Reye's syndrome: Use of aspirin to treat fever associated with a viral infection.
Major Risk Factor for Reye's Syndrome
Major risk factor for Reye's syndrome: Use of aspirin to treat fever associated with a viral infection.
Meds that Promote Alcohol Abstinence
Meds that promote alcohol abstinence: disulfiram, naltrexone, acamprosate. These meds are NOT used during alcohol withdrawal!
Meds that Promote Alcohol Abstinence
Meds that promote alcohol abstinence: disulfiram, naltrexone, acamprosate. These meds are NOT used during alcohol withdrawal!
Lithium Side Effects vs. Toxicity
Lithium: fine hand tremors are an EXPECTED side effect, coarse hand tremors indicate TOXICITY.
Lithium Side Effects vs. Toxicity
Lithium: fine hand tremors are an EXPECTED side effect, coarse hand tremors indicate TOXICITY.
SSRIs and Serotonin Syndrome
For patients taking SSRIs, watch for serotonin syndrome! Symptoms: agitation, hallucinations, fever, diaphoresis, tremors.
SSRIs and Serotonin Syndrome
For patients taking SSRIs, watch for serotonin syndrome! Symptoms: agitation, hallucinations, fever, diaphoresis, tremors.
Informed Consent
In order to give informed consent, a patient must be an unimpaired adult (ex: no drugs, alcohol, hallucinations) or an emancipated minor.
Informed Consent
In order to give informed consent, a patient must be an unimpaired adult (ex: no drugs, alcohol, hallucinations) or an emancipated minor.
Signs of abuse in children
Signs of abuse in children: bruising in unusual locations (bruising on arms/legs expected!), bruising in different stages of healing, forearm spiral fractures.
Signs of abuse in children
Signs of abuse in children: bruising in unusual locations (bruising on arms/legs expected!), bruising in different stages of healing, forearm spiral fractures.
Patients in a crisis
When assisting a patient with a crisis, be sure to ask him/her about past ways of coping.
Patients in a crisis
When assisting a patient with a crisis, be sure to ask him/her about past ways of coping.
Electro convulsive therapy
Short-term memory loss is EXPECTED after electroconvulsive therapy.
Electro convulsive therapy
Short-term memory loss is EXPECTED after electroconvulsive therapy.
Older adult home safety
When assessing HOME safety for older adults, it is important to remove scatter rugs!
Older adult home safety
When assessing HOME safety for older adults, it is important to remove scatter rugs!
How to treat a seizure
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
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 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
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.
Choking hazard foods
The following foods pose a choking hazard for small children: popcorn, raisins, peanuts, grapes, raw carrots, hotdogs, celery, peanut butter, candy, tough meat.
Choking hazard foods
The following foods pose a choking hazard for small children: popcorn, raisins, peanuts, grapes, raw carrots, hotdogs, celery, peanut butter, candy, tough meat.
BMI ranges to learn
Know your BMI ranges: <18.5 = underweight, 18.5-24.9 = healthy, 25-29.9 = overweight, 30 or more = obese.
BMI ranges to learn
Know your BMI ranges: <18.5 = underweight, 18.5-24.9 = healthy, 25-29.9 = overweight, 30 or more = obese.
Albumin and prealbumin
When evaluating a patient's nutritional status, be sure to check: albumin (normal range: 3.5-5) and prealbumin levels (normal range 15-36).
Albumin and prealbumin
When evaluating a patient's nutritional status, be sure to check: albumin (normal range: 3.5-5) and prealbumin levels (normal range 15-36).
Folic acid and pregnancy
Folic acid is SUPER important during pregnancy because it helps to prevent neural tube defects.
Folic acid and pregnancy
Folic acid is SUPER important during pregnancy because it helps to prevent neural tube defects.
Blood transfusion reaction
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
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....
Mucositis (related to chemotherapy)
For patients who suffer mucositis (related to chemotherapy): Avoid glycerin or alcohol containing mouthwashes!!
Mucositis (related to chemotherapy)
For patients who suffer mucositis (related to chemotherapy): Avoid glycerin or alcohol containing mouthwashes!!
Food interactions
When in doubt regarding a question or food interaction with a medication, grapefruit juice is usually a safe bet!
Food interactions
When in doubt regarding a question or food interaction with a medication, grapefruit juice is usually a safe bet!
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