January 17, 2017

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing 
Acute visceral artery insufficiency results from either embolic occlusion or primary thrombosis of at least one major mesenteric vessel. Ischemia can also result from nonocclusive mesenteric vascular insufficiency.

January 16, 2017

#NacoleMedMath | Nursing Math - Dosage Calculations

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing 
The most common complication from carotid intervention is cutaneous sensory or cranial nerve injury. However, the most dreaded complication is stroke due to embolization of plaque material during the procedure.

January 15, 2017

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing 
Generally, the symptoms of a transient ischemic attack last only a few seconds to minutes but may continue up to 24 hours. Emboli to the retinal artery cause unilateral blindness, which, when transient, is termed “amaurosis fugax.”

January 14, 2017

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing 
With popliteal occlusion, symptoms may only affect the foot. With proximal occlusions, the whole leg may be affected. Signs of severe arterial ischemia include pallor, coolness of the extremity and mottling. 

January 13, 2017

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing 
The sudden onset of extremity pain, with loss or reduction in pulses, is diagnostic of acute arterial occlusion. This often will be accompanied by neurologic dysfunction, such as numbness or paralysis in extreme cases.

January 12, 2017

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing 
Atrial fibrillation is the most common cause of cardiac thrombus formation. Other causes are valvular disease or thrombus formation on the ventricular surface of a large anterior myocardial infarct.

January 11, 2017

#NacoleMedMath | Nursing Math - Dosage Calculations

** ANSWER: 245.4 ML **
  2 x 61.36 = 122.72 MEQ/KG
1 MEQ = 1 ML (1:1)
122.72 x 2 DAYS = 245.4 ML

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing 
Acute arterial occlusion of a limb may be due to an embolus or to thrombosis of a diseased atherosclerotic segment. Emboli large enough to occlude proximal arteries in the lower extremities are almost always from the heart.

January 10, 2017

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing 
Good foot care may avoid ulceration and most diabetic patients will do well with a conservative regimen. However, if ulcerations have no significant healing within 2 to 3 weeks and studies indicate poor blood flow, revascularization may be required.

January 9, 2017

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing 
The presence of rest pain or ulcerations is termed critical limb ischemia and is associated with the highest rate of amputation. Classically, ischemic rest pain is confined to the dorsum of the foot and is relieved with dependency.

January 8, 2017

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing 
The most effective treatment for lesions of the superficial femoral artery is a femoral-popliteal bypass with autogenous saphenous vein. Synthetic material, usually PTFE, can be used, but these grafts lack the durability of vein bypass. 

January 7, 2017

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing 
The superficial femoral artery is the peripheral artery most commonly occluded by atherosclerosis. The disease frequently occurs where the superficial femoral artery passes through the abductor magnus tendon in the distal thigh (Hunter canal).

January 6, 2017

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing 
A strategy used to motivate individuals to quit smoking uses 5Rs: relevance of smoking cessation, discussing the risk of smoking, rewards of quitting, identification of roadblocks and importance of repetition of a motivational intervention.

January 5, 2017

#NacoleMedMath | Nursing Math - Dosage Calculations

** ANSWER: 5.5 ML **
  68.18 x 0.8 = 54.54 MG/KG
54.54 / 10 = 5.5 ML

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing 
The cornerstones of peripheral arterial disease (PAD) treatment are risk factor reduction, medical optimization and exercise promotion. A program that includes smoking cessation, lipid and BP management and weight loss is essential.

January 4, 2017

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing 
Captopril, 12.5 - 25 mg orally, will lower blood pressure in 15 - 30 minutes. The response is variable and may be excessive. Captopril is the drug of choice in the management of scleroderma hypertensive crisis. 

January 3, 2017

#NacoleMedMath | Nursing Math - Dosage Calculations

** ANSWER: 49 ML/HR **
  25000 / 250 = 100 UNITS/ML
0.80 x 102 = 81.6 UNITS/MIN
81.6 x 60 = 4896 UNITS/HR
4896 / 100 = 49 ML/HR

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing 
Clonidine, 0.2 mg orally initially, followed by 0.1 mg every hour to a total of 0.8 mg, will usually lower blood pressure over a period of several hours. Sedation is frequent and rebound hypertension may occur if the drug is stopped.