July 31, 2014

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing 
The typical pain of acute pericarditis starts abruptly, is sharp and varies with position. It can radiate to the trapezius ridge. Associated fever or history of a recent viral illness may provide additional clues.

July 30, 2014

#AskNacole | Nurse Practitioner Track Decision

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing 
Patients with severe aortic regurgitation present with pulmonary edema and symptoms and signs of low forward cardiac output. Tachycardia is present, systolic blood pressure is not elevated and the pulse pressure is not widened.

July 29, 2014

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
A continuous murmur implies a pressure gradient between two chambers or vessels during both systole and diastole. These murmurs begin in systole, peak near S2 and then continue into diastole.

July 28, 2014

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Heart murmurs result from audible vibrations caused by increased turbulence and are defined by their timing within the cardiac cycle. Not all murmurs indicate valvular or structural heart disease.

July 27, 2014

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
An ejection sound is a high-pitched, early systolic sound that coincides in timing to the upstroke of the carotid pulse and is usually associated with bicuspid aortic or pulmonic valve disease, or in some patients with aortic or pulmonic root dilation.

July 26, 2014

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
The normal first heart sound (S1) comprises of mitral and tricuspid valve closures. The two components are best heard at the lower left sternal border in younger subjects. Normal splitting of S1 is seen with complete right bundle branch block.

July 25, 2014

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
The point of maximal impulse is normally over the left ventricular apex in the midclavicular line at the fifth intercostal space. It is smaller than 2 cm in diameter, and moves quickly away from the fingers. It is best felt at end-expiration.

July 24, 2014

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Some drugs undergo such extensive presystemic metabolism that the amount of drug required to achieve a therapeutic effect is much greater than that required for the same drug administered intravenously.

July 23, 2014

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
The term clearance is the most useful way of quantifying drug elimination. Clearance can be viewed as a volume that is cleared of drug in any given period. Clearance may be organ specific (renal or hepatic) or whole-body clearance.

July 22, 2014

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
If the patient's injury could be associated with violence or sexual assault, health care providers must preserve evidence. All items, such as bullets and clothing, must be saved for law enforcement personnel, with a documented chain of possession.

July 21, 2014

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
In life-threatening emergencies, when the patient is unconscious or incapacitated, emergency treatment is provided. Implied consent is based on the principle that a reasonably competent person would have consented for treatment.

July 20, 2014

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
To assess circulation, note level of responsiveness, the skin color, and the presence, quality and rate of the carotid or femoral pulses. Use the capillary refill time to assess the adequacy of tissue perfusion. 

July 19, 2014

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
If the airway is obstructed and the patient is supine, use a chin lift or jaw thrust (if any potential injury to the cervical spine has occurred) to raise the tongue (the most common cause of airway obstruction) out of the oropharynx.

July 18, 2014

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
The patency of the upper airway is assessed at the start by asking the patient a question. If the patient answers, the patient is responsive and the airway is open at this time. Keep the patient talking so that you know the airway is maintained.

July 17, 2014

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
The primary survey or initial assessment is completed very rapidly. With a stable patient it may take only 30 seconds. However, it may take several minutes when a mechanism of injury makes you suspect a potential critical condition.

July 16, 2014

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
The knee consists of the articulation of the femur, tibia, and patella. Fibrocartilaginous disks (medial and lateral menisci), which cushion the tibia and femur, are attached to the tibia and the joint capsule.

July 15, 2014

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
The hip joint consists of the articulation between the acetabulum and the femur. The depth of the acetabulum in the pelvic bone helps stabilize and protect the head of the femur in the joint capsule.

July 14, 2014

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
The temporomandibular joint consists of the articulation between the mandible and the temporal bone in the cranium. Each is located in the depression just anterior to the tragus of the ear. The hinge action opens and closes the mouth.