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Clinical Post Nov 20-26

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1Clinical Post Nov 20-26 Empty Clinical Post Nov 20-26 on Sun Nov 27, 2011 2:54 pm


I definitely agree with Marcus when getting difficult news to be blunt and focused. I also think it is important to be honest and to look at each client as an individual. What would be expectable to one client might not be for another. I think it never helps the client to sugar coat or side step a conversation especially when the client asks you a direct question about their health. With nick names I can see why Marcus liked it, but then again you need to look at each client some may prefer their first name, and others may want to be Mr. or Mrs., and others may like to joke around with their names. You can never go wrong if you respect your patient, be honest, and provide emotional support.

7 Nursing Interventions related to perfusion, infection, and immunity.

I: Monitor peripheral pulses. If there is new onset of loss of pulses with bluish, purple, or black areas and extreme pain, notify a physician immediately.
R: These are symptoms of arterial obstruction that can result in loss of a limb if not immediately reversed.

I: Pay meticulous attention to foot care.
R: Ischemic feet are very vulnerable to injury: meticulous foot care can prevent further injury.

I: Keep the client warm and have the client wear socks and shoes when mobile.
R: To maintain vasodilatation and blood supply

I: Teach skin and wound assessment and ways to monitor for signs and symptoms of infection, complications, and healing.
R: Early assessment and intervention help prevent serious problems from developing.

I: Instruct the client and family about the need for good nutrition and proper rest to prevent infection.
R: Optimal nutritional status contributes to health maintenance and the prevention of infection.

I: Use appropriate “hand hygiene”
R: To prevent cross contamination and the spread of diseases

I: Educate the client on vaccinations and yearly flu vaccine
R: To promote a healthy immunity and prevent illnesses

3 medication classifications that cause hyperglycemia
Corticosteroid Methylprednisolone (Depo-Medrol)
Loop Diuretic Furosemide (Lasix)
Vasopressor, Bronchodilator, Antiasthmatic Epinephrine (EpiPen)

2Clinical Post Nov 20-26 Empty Re: Clinical Post Nov 20-26 on Tue Nov 29, 2011 8:59 pm


Thanks Emily.


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