Download Ask a Colleague: Expert Nurses Answer More Than 1,000 by Springhouse PDF

By Springhouse

Masking a variety of topics—from basics to review, tracking, diagnostic assessments, systems, problems and coverings linked to assorted physique platforms, psychiatric stipulations, criminal matters, and soreness management—Ask a Colleague provides the best solution quick, delivering elementary medical information on greater than 1,000 tricky nursing questions. those usually are not easily wisdom questions yet questions that require serious considering; questions that nurses usually fight to respond to competently; questions nurses want to seek advice from their friends to figure out the right kind solution yet in cutting-edge international locate this hard. Now a nurse can simply Ask a Colleague for the solutions on the place of work or at domestic.

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Extra resources for Ask a Colleague: Expert Nurses Answer More Than 1,000 Complex Clinical Questions

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Check for cool and clammy extremities, a peripheral capillary refill time longer than 2 seconds, a rapid respiratory rate, decreased urine output, mottled skin, weak or absent peripheral pulses, decreased level of consciousness, and, in infants, sunken fontanels. Age Alert My colleague believes that blood pressure provides an adequate clinical indicator of perfusion in children. I disagree. Which one of us is correct? Perhaps. According to new classifications, this patient's blood pressure is classified as prehypertension.

The illustration at right shows where to position your fingers when palpating this pulse. Lightly place your fingers just medial to the trachea and below the jaw angle. Never palpate both carotid arteries at the same time. You may not be able to palpate radial, dorsalis pedis, or posterior tibialis pulses. If you can't, try palpating the more proximal pulses: brachial, popliteal, or femoral. And if you can't palpate these, try using a handheld Doppler device to detect pulses audibly. If you're concerned about reduced arterial circulation, be sure to assess color, warmth, and sensation in the extremities.

45% sodium chloride (half-normal saline solution) Hypertonic Dextrose 5% in half-normal saline solution Dextrose 5% in normal saline solution • Lower GI tract fluid loss • Acute blood loss • Hypovolemia due to third-space shifting doesn't contain magnesium. • Contains potassium; don't use with renal failure; can cause hyperkalemia. 5. • Water replacement • DKA after initial normal saline solution and before dextrose infusion • Hypertonic dehydration • Sodium and chloride depletion • Gastric fluid loss from nasogastric suctioning or vomiting • Use cautiously; may cause cardiovascular collapse or increased intracranial pressure.

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