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10 Cards in this Set
- Front
- Back
Skin / mucous membranes interventions
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Protect area with emollient lotions
Support joints when elevating extremities Pad areas at risk from weeping tissue |
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Neurologic status interventions
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Neuro assessment
Dark environment |
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VS interventions
|
Vs q1h
Pulse Ox ECG monitor Elevate HOB CXR |
|
interventions:
Renal system |
Strict I & O
Foley |
|
Weight changes interventions
|
Daily weight (very important)
Measure legs |
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Lab values interventions
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LYTES
CBC Serum/urine osmolality SP. GR. |
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Hypervolemia - IV diuretics
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Lasix (furosemide)
Osmotic – Mannitol |
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Hypervolemia - dietary restriction
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Low sodium
|
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Hypervolemia - renal failure
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dialysis
|
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Hypervolemia – Fluid restrictions
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Remove water pitcher –health teach pt & family
Post signs to alert all with food tray Calculate dietary fluid allowance Strict I & 0 |