Random Fact Sheets1 :)

Front 1

addisons= down, down down UP down

Back 1

addisons=

hyponatremia,
hypotension,
decreased blood vol,
HYPERKALEMIA
hypoglycemia

Front 2

cushings= up up up DOWN up

Back 2

cushings=

hypernatremia,
hypertension,
increased blood vol,
HYPOKALEMIA,
hyperglycemia

Front 3

No Pee, no K

Back 3

(do not give potassium without adequate urine output)

Front 4

EleVate Veins; dAngle Arteries

Back 4

for better perfusion

Front 5

APGAR Scoring

Back 5

A= appearance (color all pink, pink and blue, blue [pale])
P= pulse (>100, < 100, absent)
G= grimace (cough, grimace, no response)
A= activity (flexed, flaccid, limp)
R= respirations (strong cry, weak cry, absent)

Front 6

Air/Pulmonary Embolism

Back 6

(S&S: chest pain, difficulty breathing, tachycardia, pale/cyanotic, sense of impending doom)

--> turn pt to left side and lower the head of the bed.

Front 7

Woman in Labor w/ Un-reassuring FHR

Back 7

(late decels, decreased variability, fetal bradycardia, etc)

--> turn on left side (and give O2, stop Pitocin, increase IV fluids) STOP

Front 8

Tube Feeding w/ Decreased LOC

Back 8

--> position pt on right side

(promotes emptying of the stomach) with the HOB elevated (to prevent aspiration)

Front 9

During Epidural Puncture

Back 9

--> side-lying

Front 10

After Lumbar Puncture (Spinal Tap)

(and also oil-based Myelogram)

Back 10

--> pt lies in flat supine

(to prevent headache and leaking of CSF)

Front 11

Pt w/ Heat Stroke

Back 11

--> lie flat w/ legs elevated

Front 12

During Continuous Bladder Irrigation (CBI)

Back 12

--> catheter is taped to thigh so leg should be kept straight. No other positioning restrictions

Front 13

After Myringotomy

Back 13

--> position on side of AFFECTED ear after surgery (allows drainage of secretions)

Front 14

After Cataract Surgery

Back 14

--> pt will sleep on UNaffected side with a night shield for 1-4 weeks.

Front 15

After Thyroidectomy

Back 15

--> low or semi-Fowler's, support head, neck and shoulders.

Front 16

Infant w/ Spina Bifida

Back 16

--> position prone (on abdomen) so that sac does not rupture

Front 17

Buck's Traction (skin traction)

Back 17

--> elevate foot of bed for counter-traction

Front 18

After Total Hip Replacement

Back 18

--> don't sleep on operated side, don't flex hip more than 45-60 degrees, don't elevate HOB more than 45 degrees. Maintain hip abduction by separating thighs with pillows.

Front 19

Prolapsed Cord

Back 19

--> knee-chest position or Trendelenburg

Front 20

Infant w/ Cleft Lip

Back 20

--> position on back or in infant seat to prevent trauma to suture line. While feeding, hold in upright position.

Front 21

To Prevent Dumping Syndrome
(after Gastric Bypass Surgery)

Back 21

--> eat in reclining position, lie down after meals for 20-30 minutes (also restrict fluids during meals, low CHO and fiber diet, small frequent meals)

Front 22

Above Knee Amputation

Back 22

--> elevate for first 24 hours on pillow, position prone daily to provide for hip extension.

Front 23

Below Knee Amputation

Back 23

--> foot of bed elevated for first 24 hours, position prone daily to provide for hip extension.

Front 24

Detached Retina

Back 24

--> area of detachment should be in the dependent position

Front 25

Administration of Enema

Back 25

--> position pt in left side-lying (Sim's) with knee flexed

Front 26

After Supratentorial Surgery (incision behind hairline)

*brain herniation

Back 26

--> elevate HOB 30-45 degrees

Front 27

After Infratentorial Surgery (incision at nape of neck)

Back 27

--> position pt flat and lateral on either side

Front 28

During Internal Radiation

Back 28

--> on bedrest while implant in place

Front 29

Autonomic Dysreflexia/Hyperreflexia

(S&S: pounding headache, profuse sweating, nasal
congestion, goose flesh, bradycardia, hypertension)

Back 29

--> place client in sitting position (elevate HOB) first before any other implementation.

*life-threatening

Front 30

Shock

Back 30

--> bedrest with extremities elevated 20 degrees, knees straight, head slightly elevated (modified Trendelenburg)