Ati Med Surg Chapter 1 to 20 Review

1

ATI Med Surg

Ch ane Health, Wellness, Illness

modifiable variables: smoking, nutrition, exercise, wellness didactics and awareness, sexual practices

nonmodifiable variables: cant change = historic period, gender, developmental level, genetics

Ch 2: Emergency nursing principles and management

emergency nursing – triage: based on acuity

emergent: life threatening

urgent: not life threatening

not urgent: tin wait for extended time due west/o issues

In mass casualty event, tag diff patients – course 1 red tag, form 2 yellow tag, course 3 green tag, class four blackness tag

class 1: red tag immediate threat to life ex. respiratory issues, cardiovascular issues likdue east chest hurting like a heart attack coming on

class 2: xanthous tag are major injuries that requireastward firsthand treatment but maybe aren't life-threatening eastward10. major fracturdue east

course iii: green tag is indicates a minor injury that does not require firsthand attention ex. abrasion, small-scale laceration then they need to be seen they're taken

care of at some point only information technology'southward definitely not a priority in a mass casualty event

class 4: black tag when theyre expected to dice eastx. penetrating caput wound - you know you're you're allowing them to die because then unfortunately if

you provide your attention to them they are still likely to die so you're one thousandoing to divert your attention to those red tag and then to the yellow tag pts patient

is not really going to come back

PRIORITIES aka ABCDE:

Airway: secure airway! head-tilt chin-lift maneuver unless fracturdue east in cervical spine

Breathing

Circulation

Disability: level of consciousness ex. using Glascow Coma Scale

Exposure: ex. hypothermia then removes wet vesture, give blanket, increase room temp, westarm the IV fluids

Poisoning: if accidental or purposeful poisoning, so

i. activated charcoal

ii. gastric lavageastward

three. whole bowel irrigation

- Practise Not induce vomiting

- Do Non give syrup of ipecac which produces vomiting

Telephone call rapid response team when patient is rapidly declining

Cardiac emergencies: 5-fib or V-tach then initiate BLS or CPR and establish IV access. epinephrine to tx. other meds given p15 (Amiodarone, Lidocaine, Magnesium,

Procainamide, Vasopressin – near are antiarrhythmics) p 16 other meds (alpha ane receptors, beta 1, beta 2, dopamine receptors)

alpha i: pare, mucous membranes, veins vasoconstrict

omeds help congestion, superficial bleeding, raise bp

beta 1: due southtimulate middle – activation causes increase HR to treat AV block and cardiac arrest

beta ii: middle and lungs – activation causes bronchodilation (utilise for asthma) and relaxation of uterine shine muscle

Dopamine: activation causes renal blood vessels to dilate – utilize for stupor and HF

if given more triggers beta 1

if given more triggers beta 1 and alpha 1

South/Eastward: dysrhythmias, angina

Epinephrine: triggers alpha ane, beta 1, beta 2; vasoconstriction so increases bp, HR, bronchodilation

S/E: hypertensive crisis, dysrhythmias, angina

Dobutamine: triggers beta ane so inc HR – apply for HF

Ch 3 Neurologic Diagnostic Procedures

Cerebra50 angiogram: allows the doctor to visualize the blood vessels upward in the brain commonly insert the catheter either inorthward the groin or the cervix so thread your way up

there

use contrast dye (with contrast dyeastward, always check if pt is pregnant bc toxic; allergies to iodine or shellfish; renal function, BUN, creatinine to see if elevated

bc if elevated and renal fxn compromised and then dye wont be excreted well and tin build to toxic levels; pt on anticoagulant bc bleeding risk can increase then

refrown from eating or drinking 4-6hrs prior to procedure and afterward procedure monitor for bleeding; check insertion site frequently; check pulses distally

from insertion site and make sure circulation is good)

CT scan: contrast dye

EEG: detect seizures or test for sleep disorderdue south and behavioral changes –

exercise not take to fast prior

tell pts to westash hair prior

be sleep deprived bc the stress tin actually trigger seizures or other abnormal brain activity.

might likewise expose pts to bright flashing lights or ask them to hyperventilate in society to create activity in brain

1 hour

Glascow Coma Scale: determine LOC

highest score 15

anything less than 8 is associated with severe head injury and blackout

middle opening (ane-4), verbal response, motor response

4 is your best score eyes open spontaneously; three if your eyes open to voice commands and y'all get a ii if it opens to pain and you get a 1 if you don't open

your eyes at all

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Source: https://www.studocu.com/en-us/document/holy-family-university/intro-to-professional-nursing/ati-med-surg-ati-notes/9370009

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