By Springhouse

Designed for speedy, effortless on-the-job reference, this spiralbound pocket advisor covers each element of medical-surgical nursing in a concise layout filled with bulleted evidence, tables, and illustrations. 5 certain sections conceal Disorders, Diagnostic checks, remedies, Procedures, and greater than eighty Clinical Tools from all medical-surgical specialties, together with soreness score instruments, dosage formulation, tracking directions, and extra. issues in each one part are prepared alphabetically and stick to a constant structure. habitual icons spotlight key issues comparable to life-threatening problems, interdisciplinary care, and illustrations of pathophysiology.

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Qxd:9781582558974_01 28 7/12/13 1:44 PM Page 28 DISORDERS ■ ■ Dark urine Low-grade fever In aplastic crisis ■ ■ ■ ■ ■ ■ ■ Pallor Lethargy Sleepiness Dyspnea Possible coma Markedly decreased bone marrow activity RBC hemolysis In acute sequestration crisis ■ ■ ■ Lethargy Pallor Progression to hypovolemic shock and death, if untreated In hemolytic crisis ■ ■ Liver congestion Hepatomegaly TEST RESULTS ■ ■ ■ ■ ■ Stained blood smear shows sickle cells, and hemoglobin electrophoresis shows HbS. ) RBC count and erythrocyte sedimentation rate decrease, white blood cell and platelet counts and serum iron level increase.

Ask the dietitian to give the patient nonirritating foods. Give prescribed analgesics for headache and other discomfort. Evaluate the patient’s drug history. Certain drugs, such as pancreatic enzymes and vitamin E, can interfere with iron metabolism and absorption; aspirin, steroids, and other drugs can cause GI bleeding. Provide frequent rest periods. , monitor the infusion rate carefully and observe for an allergic reaction. M. to prevent skin discoloration, scarring, and irritating iron deposits in the skin.

Observe respiratory status and arterial blood gas results. ■ Monitor blood chemistry and chest X-ray results. ■ Refer the patient to a weight-reduction program, if indicated. ■ Refer the patient to a smoking-cessation program, if indicated. PATIENT TEACHING Be sure to cover: ■ the disorder, diagnosis, and treatment ■ medications and potential adverse reactions ■ when to notify the physician ■ periodic rest in the patient’s daily routine ■ leg elevation whenever the patient sits ■ dietary and fluid restrictions ■ importance of consistent follow-up care ■ signs and symptoms of heart failure ■ infective endocarditis prophylaxis ■ pulse rate and rhythm ■ monitoring for atrial fibrillation and other arrhythmias.

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Lippincott Manual of Nursing Practice Pocket Guide : by Springhouse
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