STUDENT NAME
DISORDER/DISEASE PROCESS
Deep
(DVT)
Vein Thrombosis
Alterations in Health
(Diagnosis)
REVIEW MODULE
CHAPTER
Pathophysiology Related
to Client Problem
alteration in the
Deep Vein thrombosis
Health Promotion and
Disease Prevention ⑤
epithecal lining causing
Blood
·
platelet aggregation
thinners/anticoagulants
Weight
·
loss (d cholesterol avoid
buildup)
Exercise and
wear pressure
5
Risk Factors O
Assoc
WI Virchow's triad
.
blood flow
, damage to
Hip
, impaired
hypercoagulability
:
·
Client can be
blood vessels
of
,
Active
tenderness ,
,
who can't exercise
stockings
extremity
dialysis
access
catheters
Limb
·
in
+
thigh
Immobility
·
Allow
-> blood stasis
legs to dry before putting
stockings
over time;
If
pain
cancers
·
affected blood
over
circumference of right + left calf
localized edema over affected area
change
contraceptives
Age
taking
③
Laboratory Tests
·
measures
-
Otest=
in
fibrin
blood
products
degradation
formation
has
Venous duplex
poss.
Impedance
# If above test
occurred
·
drug
-
normal ;
little to none
-
negative
=
venogram
->
or
therapy
-
-
5 Medications
O
anticoagulant
intermittent/ continuous
prevent formation
of other clots +
enlargement of exist.
ulcer
·
-
switch
thigh high
compression/stockings
info vena
·
cava
Prep for
interruption
hep
O Therapeutic Procedures
to medical
therapy
contraindicated
-
anticoag
.
Food
-
anticong=
avoid fluctuations of consumption
antidote -> Wartarin
low-molecular
.
heparin
~
-
·
·
Pulmonary
->
Emborism
blood
obstruction of pulm
,
oxygenation
↓
flow ,
systemic
.
death
,
sudden onset dysprea ,
pleuritic
,
pain , restlessness
,
feeling of doom , conge
hemoptysis
chest
tachyprea , tachycardia ,
diaphoresis crackles plural
heart sounds
friction, Sz or sy
,
specialist
hydrocolloid
days
dressings 3-7
nnpoxia
-
-
Dietitian
care
deeper : occlusive
dressings
-leave
·
Provider
Nurse
amputation/death
superficial : oxygen-permeable
polyethylene films
,
weight
subcut ; based
Enoxaparin
,
Interprofessional Care③
platelet
wound
inserted via femoral vein -> inf UC
+
traps emboli before -> lungs
:
,
·
-
(green lauy veggies)
,
supplements may & bleeding ginko
ginseng garric feverfew
Diet high in zinc, protein , iron , VitArc
Dosage
protamine sulfate
=antidote
sources
of Vitamin K
otc
abit for
cutopenia
=
or
PO
-
,
,
formation
Venous statis ulcers :
chronic , hard to heal , recur
->
while
.
-
,
⑤
bleeding
Bleeding precautions : electric razor soft
toothbrush avoid contact sports
counts for thrombo-
Inferior
filter
inserted when pt
unresponsive
.
.
* monitor
card
-
->
* monitor
3
vena
discharge
therapy wi warfarin
surgery
·
prior to
for evidence of
doing anticong therapy
·
Clots
warm moist
compress
DO NOT MASSAGE AFFECTED LIMB
·
observe
NV
-
.
·
Client Education
unfractionated heparin
-
of heart
feverfew
Complications ⑤
dorsiflexion/plantar flexion
occasionally elev legs above
level
,
garlic
contrast
-
AFTER
,
MRI
·
ambulation
like
supplements
abn)
PATIENT-CENTERED CARE
Nursing Care ⑤
;
plethysmography
uses
·
4
containing
affects efficacy
ginseng , gingro
ultrasonography
Doppler flow study (audible
·
·
thrombus
③
Diagnostic Procedures
D-dimer
present
avoid
intake of food
of
-
on
wartain ,
Vitamin K
·
by
weight
and sudden onset of edema
vessel
Oral
central venous +
·
,
Warmth, edema , induration + hardness
·
-
asymptomatic
calf) groin pain
·
surgen total-knee replacement, open prostate surgery
,
⑤
Expected Findings
(Immobility
HF
Pregnancy
active
SAFETY
⑤
CONSIDERATIONS
ASSESSMENT
·
star
Ambulation for pts
themselves
·
plaque
on
weight
Warfarin
·
·
·
Factor Xa inhibitors
inhibitor
Direct thrombin
ACTIVE LEARNING TEMPLATES
THERAPEUTIC PROCEDURE A11
STUDENT NAME
MEDICATION
CATEGORY CLASS
Folic
and (vitamin
19)
REVIEW MODULE CHAPTER
Vitamins
PURPOSE OF MEDICATION
Expected Pharmacological Action
stimulates
RBCs
,
normal
WBCs,
Therapeutic Use
erythropoiesis and nucleoprotein synthesis (prod. of
·
platelets)
a
·
megaloblastic (macrocytic) anemia
Folate deficiency (alcoholism)
Prevent neural tube
·
·
·
↑
I risk of
Fatal
·
gasping
dev
SE
confusion ,
:
·
high
po(preferable)
Check Vit
doses
·
prostate cancer /long-term use)
neonates off benzyl alcohol in injectable
colorectal
syndrome in
dosage forms
·
.
in developing fetus
hematopoiesis
defects
normal
Medication Administration
yellowing of urine
Masks Biz deficiency in
·
of
⑤
Complications
·
maintenance
or
of folic acid
nausea anorexia , abd distention , flatulence
,
,
,
and
·
.
,
subcut ,
IV
IM ,
B12 levels to confirm absence
of B12 deficiency
obtain baseline semm forate
Hgb,
reticulocyte count
monitor
periodically after
,
RBC , and
allergicxn
3
⑧
-
Hat,
Het should
↑ Will I weeks
PO(w/food) ; Im < # mix wh other drugs)
Protect from light + heat store & room temp
-
Contraindications/Precautions
Contra
-
-
-
:
Vit
Neonates
-
It benzyl alcohol in inject
dosage forms -> fatal
gasping syndrome
Interactions
deficiency must
·
Oral contraceptives
corticosteroids
Methotrexate
·
↳
·
.
I
Vit
-
-
-
⑤
·
,
:
B12 deficiency (after
stabilize)
Neonates
·
·
·
J
antag. foric
adea
# may
*
doses
,
cause
of
deficiency ;
cyanocobalamin
clients
manif
,
of
unaffected by admin
,
acid
·
Phenytoin ↓ anticonvulsant level
foric
acid
wl
B12
Retimlocytosis
highin
signs of megaloblastic anemia
plasma folic acid levels
Admin
parenterally in pts WI small bowel resection
+ intestinal
malabsorption
as
->
neonates
monitor CBC
deficiency
Green/black fea may ↓ cone Of
Folic acid
5
G
Client Education
·
Report rash
Encourage
as
it
may
indic
clients to eat
folic acid
Prevention of NTD
2-5
well
acid
tolic
Evaluation of Medication Effectiveness
·
monitor for
+ parenteral
Biz
·
·
diet
clients to eat
.
mask sx of
take
Encourage
foric acid
3
can
3
Nursing Interventions O
other types of anemia
as
O
* Foris acid therapy
·
stabilize)
Biz deficiency catter
other types of anemia
Precaution
·
-
,
diet
sensitivity
high in
Ex : dried beaus lentils ,
,
oranges , liver
whole wheat , asparagus , broccoli spinach
,
days
after
beg of therapy
,
·
·
ACTIVE LEARNING TEMPLATES
Teach
large
importance of folic
doses
acid
during pregnancy
of folic acid will turn urive dark yellow
THERAPEUTIC PROCEDURE A7
STUDENT NAME
PROCEDURE NAME
Esophago gastro duodenoscopy (EGD)
REVIEW MODULE CHAPTER
Description of Procedure
Allow for direct visualization of body cavities th
esophagus
and
->
Stomach
or celiac
Clinical
malignant
,
to
disease
identify
Presentation :
,
CONSIDERATIONS
GI bleeding
,
⑤
ulcerations, inflamm ,
Nursing Interventions (pre, intra, post)
tumors
anemia
-
~
Insert endoscope thr month ->
bleeding dilate strictures (esophageal)
,
endoscope
.
/ treat areas of
③
diagnoses :
potential
polyps
·
duodenum
diagnose gastric lesions
Indications
·
-
Me
(secondary -> bleeding)
·
abdominal discomfort
·
:
#st
I
Informed consent obtained
Assess US + allergiest baseline labs
Eval medical nx
I risk of
for
,
-
abd
complications
distention/mass
,
NPO 6-s hours
start IV
for
·
·
·
·
Results
can indicate
surgical
removal
·
·
place
signs
side-lying w/ Hobelev
pt
Assess for complications
.
·
Do not drive
·
,
,
·
Hemorrhage
-
bleeding
cool
,
tachypnea
·
+
poor respiratory effort , evidence of hypoxemia,
BP
clammy
skin
,
·
Instruct client
-
drive or use
equipment for
·
12-18 his
postop
Teach client use throat lozenges
for sore throat/ hoarse voice
can
help wh dry
mouth , sore throat, hoarse voice
12-hour after
need
procedure
procedure and take home
family/friend to
-
.
to
Nursing Interventions ⑤
Oversedation
.
⑪
gag reflex
.
,
throat lozenges
Potential Complications ⑤
diff
until
Discont IV fluid therapy when client
tolerates PO fluids who u/v
=
take pt
tachycardia &Id
,
fluid
Driving t major decision-making restricted until sedation wears off
Report fever pain and bleeding -> provider
Report any respiratory congestion or compromise - provider
·
to arouse
.
,
and/chest pain infection
withholds
·
·
Monitor Vital
,
·
-
dentures
US +resp status
Client Education ⑤
need for medications or
of a lesion
a
·
·
; remove
mod-sedation
#tentra
Outcomes/Evaluation
prior
Monitor
Notify provider of bleeding ,
·
·
maintain an open airway until pt= awake
Be prepared to admin antidotes for sedatives
Notify provider quickly
hypotension , tachycardia dizziness ,
Assess for
,
hemonhage
-
+
call
for
monitor
assistance
US
+
diagnostic test results (HH)
Aspiration
-
dyspned
,
tarhyped ,
adventitions breath sounds tachycardia , fever
,
Perforation of GI tract
chest) and pain , fever n/v ,
-
,
·
Keep
dient NPO until
Encourage deep
·
and
,
distention
·
monitor
diagnostic tests
provider of
ACTIVE LEARNING TEMPLATES
gag reflex returns
breathe +
abn ,
for
Findings
+
pt
awake
+
alert prior to feeding
cough
evidence
of infection
(*WBL) + notify
THERAPEUTIC PROCEDURE A13