June 22, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
During the triage process, individuals who most benefit from early transport should be marked as “first-out” in case an evacuation opportunity occurs. These would be victims with medical problems readily treatable, but untreatable and fatal in the field.

June 21, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Initially, all victims who are able to walk are asked to move away from the incident area. These patients are classified as green or “walking wounded,” and are reassessed after the more immediately critical patients are triaged.

June 20, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
To assist in the understanding of triage techniques, it is useful to consider multiple casualty events. In such situations, personnel use triage and rapid treatment techniques that depend on assessments of respiration, perfusion and mental status.

June 19, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
The goal of disaster triage is clearly different, that is, “to do the most good for the most people.” In other words, there is a shift from focus on individual patients to focus on the entire affected population.

June 18, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
The term triage derives from the French verb trier, meaning “to sort.” The concept of triage was used as far back as Napoleon’s time to assign priorities to treatment of the injured when resources were limited.

June 17, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Patients with liver transplants have a higher incidence of infection than those with kidney or heart transplants, with the most common source being abdominal and biliary tract infections. Bacterial infections and sepsis are common.

June 16, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
The most common electrocardiogram (ECG) abnormalities after heart transplant are incomplete right bundle branch block (RBBB) and repolarization abnormalities, although these changes are not felt to be of clinical significance.

June 15, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
The transplanted heart is denervated, which causes clinically important physiologic changes. Without parasympathetic tone, the resting heart rate in a transplant patient varies from 95 to 110 beats/minute.

June 14, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Anatomic complications of solid organ transplants can be categorized into three groups: vascular, nonvascular anastomosis and complications related to surgery. These are often manifested early in the post-transplantation course.

June 13, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Transplanted organs have surgical anastomoses to a variety of structures, including vessels, bronchi, ureters, intestines and even the bladder. They are devoid of their native innervations and thus pain is an unreliable sign of underlying disease.

June 12, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Although fever can be suppressed or lessened by immunosuppressive agents such as corticosteroids and nonsteroidal anti-inflammatory drugs, most cancer patients with infection manifest fever despite the use of these agents.

June 11, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Fever in the neutropenic patient is defined as a temperature of 38.3° C (101° F) or > or a temperature of 38.0° C (100.4° F) or > during 1-2 hours. In neutropenic patients, the temperature should be measured orally or tympanically, not rectally.

June 10, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Neutropenia is defined as a neutrophil count of less than 500 cells/mL (5 × 105 cells/L), including band forms, or less than 1000 cells/mL (1 × 106 cells/L) and expected to fall to less than 500 cells/mL.

June 9, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Patients with cancer frequently have multiple immune defects, such as neutropenia and impaired function of T and B cells, induced by cancer chemotherapy or by the disease process itself, which predisposes them to infection.

June 8, 2021

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals 
Antibodies are produced by B lymphocytes, and each B cell produces a microbe-specific antibody type. Stimulation by an antigen causes proliferation of this B cell so that large quantities of a specific circulating antibody can be produced.