IV - calculations pain ' • ad FACE ↳ AO scale scales , nonverbal ' Narcotics ↳ constipation, RD - ↳ • Dilaudid start smallest cardinal signs Delirium , for cancer Epinephrine • ↳ w/ ↳ • ↳ the time use Embolism Heparin INR ↳ • all Emergency PUIM • Pt warfarin DVT ↳ ↳ prophylaxis Ambulation Avoid sitting elderly warfarin • • ortho ↳ ↳ ↳ ↳ positions ( Delirim) Acute onset inattention ↳ Disorganized Pt ↳ slowly CVA ↳ ↳ Altered w/ ID thinking Loc Dementia bracelet ↳ safe • BP nystagmus CAM • ' w/ AM in systolic change Pt functions Heparin hypotension happens ↳ ↓ • 4 return Program osteomalacia ↳ lack OF Vitamin D 051-00 • • arthritis Rheumatoid pt ◦ → ' taking assess ibuprofen ↳ completely breath -7 • Post op Age ↳ ↓ ↓ - → exhale , bed related cilia cough pulmonary • inhale slowly rest changes ↳ • Diabetic GLAUCOMA ↳ ↑ IOP in reflex function test DM • arthritis spirometer exhale deep for bleeding for Incentive ↳ Arthritis retinopathy resp Basal • cell carcinoma ↳ translucent Papule border ( on nose ) skin • ↳ integrity position QZH Diminished • Sensation touch ↳↓ ↳ • blood flow to temp immune system ABD in • assessment appendicitis GERD in chest ↳ pain down skin attacks body • Pain & , immunity Auto ↳ w/ assessment after RLQ , , Pain burning eating worsens own when pt pain lying NG • ↳ AST • / stool Fetal to lab in Dlc urine • liver = occult blood ↳ ALT specimen sent • complication tube test → elimination collection right ( GUAIAC) away = tests ↳ ◦ collection time to collect in intervention private AM , ( contact ) room Enteric ↳ • for thinners ( counldtin ) midstream VRE → stool blood ↳ best • aspiration transmission contaminated articles MRSA ↳ transporting clean cover = site dressing ↳ cohort @g in same room w/ ◦ C. ' Diff w/ Pt Birth • Mutt • Female ABX ◦ childhood affect active ) Partners → control MUMPS can sexual . = disease ability (721 PAP Y to / Of conceive sexually smear teaching complete = course full ^ wound 1st • • rose Alcohol • to thrive CAGE = questions Ginseng Gingko first ABX Failure ↳ know • culture = risk Biloba Dementia = before Depression assessment for Used bleeding For • • HIV s / SX ↳ - Tube ↳ dysphagia Feeding tube older ↳ complications dislodgement overload w/ Pt ↑ ↳ dehydration SISX temp incontinence Fall ↳ UTI confusion ↳ ↳ = aspiration ↳ fluid • wort drooling , coughing , gurgling ↳ • John 's St. = risk ortho factors For hypotension ↳ meds ↳ vision to hearing older pt MORSE " ↳ Hx ↳ Fall assessment Falls Assistive ↳ ↳ ↳ device orientation secondary Mental DX status Restraint • disadvantages ↳ skin integrity, death agitation depression , • Pt • • • • side rail w/ Angioedema pulmonary A fib Physical = → TB use → diff urgency . , stridor wear N 95 coumatin Prostate cancer ↳ ↑ PSA ( know ↳ = restraint urinating , Val ) urinary hesitancy , dysuria , • Know Lab Values