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Med Surg Notes: Nurse's Clinical Pocket Guide
Babinski's (Plantar) Reflex
Table of Contents
Free Topics
About
Advance Directives and Consent
Advanced Cardiac Life Support (ACLS)
Anaphylaxis
Cardiovascular Problems and Disorders
Final Pre-op Preparations
Gastrointestinal Problems and Disorders
IV Solution Types: Crystalloids and Colloids
Medication Administration
Motor Function Assessment
Musculoskeletal Problems and Disorders
Pacemakers/Automatic Implantable Cardioverter Defibrillators (AICD)
Patient Teaching
Preoperative Management
Respiratory Assessment
Respiratory Problems and Disorders
Transfusion of Blood Products
Urinary system
Ventilators/Mechanical Ventilation
Reviewers
Reviewers
Cardio
12-Lead ECG
12-Lead ECG
12-Lead Placement: Chest and Limb Leads
Localizing Ischemia on 12-Lead
Sample ECG Rhythms
Age-Related Changes to the Cardiovascular System
Cardiac Rhythm Monitoring and Interpretation
Basic ECG Interpretation
Cardiac Rhythm Monitoring and Interpretation
Lead Placement: Standard Three- and Five-Wire
Cardiovascular (CV) Assessment
Cardiovascular Hemodynamics
Cardiovascular Problems and Disorders
Cardiovascular Problems and Disorders
Chest Pain
Dizziness/Syncope/Vasovagal Response
Heart Failure (HF)
Hypertensive Crisis
Hypotension
Pacemakers/Automatic Implantable Cardioverter Defibrillators (AICD)
IV Solution Types: Crystalloids and Colloids
Colloids
Crystalloids
IV Solution Types: Crystalloids and Colloids
Transfusion of Blood Products
Transfusion of Blood Products
Transfusion Reaction
Vascular Access Devices (Peripherally Inserted Central Catheters, Shunts, Implanted Ports)
Access: Inserting a Peripheral IV or Saline Lock
Infusion: Continuous
Infusion: Intermittent IV Piggyback (IVPB)
Infusion: IV Push Medications
Maintenance: Flushing Peripheral and Central Lines
Vascular Access Devices (Peripherally Inserted Central Catheters, Shunts, Implanted Ports)
Resp
Chest Tubes
Chest Tubes
Insertion
Removal
Setup of Closed Chest Drainage System
Troubleshooting
Respiratory Assessment
Age-Related Changes to the Respiratory System
Auscultation of Lung Sounds
Respiratory Assessment
Respiratory Patterns
Respiratory Problems and Disorders
Chest Tube Dislodgement
Pulmonary Embolism
Respiratory Distress/Failure/Dyspnea/Shortness of Breath
Respiratory Problems and Disorders
Tracheostomy Tube Dislodgement
Troubleshooting Ventilator Problems
Troubleshooting Ventilator Problems
Ventilated Patient in Respiratory Distress
Ventilators/Mechanical Ventilation
Common Settings
Indications
Ventilators/Mechanical Ventilation
Neuro
Age-Related Changes to the Neurological System
Cerebellar Function (Coordination) Assessment
Cerebellar Function (Coordination) Assessment
Gait and Balance
Point-to-Point Movements
Proprioception
Rapid Alternating Movements
Romberg's Test
Cognitive Assessment
Cognitive Assessment
Mental Status
Pupil Scale (mm)
Level of Consciousness (LOC)/Responsiveness (LOR)
Level of Orientation
Motor Function Assessment
Motor Function Assessment
Motor Strength
Muscle Tone
Neurological Assessment
Neurological Problems and Disorders
Altered Level of Consciousness (ALOC)/Responsiveness (LOR)
Altered Mental Status (AMS)/Delirium
Dizziness/Syncope/Vasovagal Response
Increasing Intracranial Pressure (ICP)
Neurological Problems and Disorders
Seizure
Sudden Neurological Deficit: Stroke/Transient Ischemic Attack (TIA)
Reflex Activity Assessment
Agitated Patient
Babinski's (Plantar) Reflex
Clonus Reflex
Reflex Activity Assessment
Renal/F&E
Age-Related Changes of the Renal and Urinary System
Dehydration and Hypovolemia
Electrolyte Imbalances
Hyperkalemia
Hypernatremia
Hypokalemia
Hyponatremia
Hypotonic Hyponatremia
Renal Problems and Disorders
Oliguria (Low Urine Output/Acute Renal Failure/Acute Kidney Injury)
Renal Problems and Disorders
Urinary Retention
Urinary Tract Infection (UTI)
Renal/Fluid/Electrolyte Assessment
GI
Age-Related Changes to the Gastrointestinal System
Gastrointestinal (GI) Assessment
Gastrointestinal Problems and Disorders
Abdominal Pain/Distention
Constipation
Diarrhea
Feeding Tubes (FT) Complications
Gastrointestinal Problems and Disorders
Hematemesis/Upper Gastrointestinal Bleed
Lower Gastrointestinal Bleed/Melena
Nausea/Vomiting
Endo
Age-Related Changes to the Endocrine System
Diabetic Emergencies
Diabetic Emergencies
Diabetic Ketoacidosis (DKA)
Hyperosmolar Hyperglycemic State (HHS)
Hypoglycemia
Myxedema Crisis/Coma
Thyroid Storm (Thyrotoxicosis)
Endocrine System Assessment
Msk Integ
Age-Related Changes to the Integumentary System
Age-Related Changes to the Integumentary System
Bandages, Casts, Wound Dressings, and Drainage Systems
Pressure Points/Ulcers
Skin Condition
Surgical or Traumatic Wounds
Age-Related Changes to the MS System
Age-Related Changes to the MS System
Ambulatory Status
Fall Risk Assessment
Integumentary Assessment
Motor Strength
Neurovascular/CMS (Circulation, Motion, Sensation)
Pain Assessment
Range of Motion (ROM)
Musculoskeletal (MS) Assessment
Musculoskeletal Problems and Disorders
Compartment Syndrome
Hip Fracture
Musculoskeletal Problems and Disorders
Pathological Fracture
Patient Fall
Pressure Ulcers
Surgical Site Infection (SSI)/Complication
Wound Vacuums
Infect
Infection Assessment
Infection Assessment
Nosocomial or Hospital-Acquired Infections (HAIs)
Infection Problems and Disorders
Clostridium Difficile-Associated Diarrhea (CDAD)
Fever of Unknown Origin (FUO)
Fever with Systemic Inflammatory Response Syndrome/Sepsis
Hepatitis
Infection Problems and Disorders
Meningitis
MRSA and Vancomycin-Resistant Staph Infection
Necrotizing Fasciitis (NF)
Pneumonia
Tuberculosis (TB)
Preventing the Spread of Infection
Preventing the Spread of Infection
Standard Precautions
Transmission-Based Precautions
ACLS Emerg
Advanced Cardiac Life Support (ACLS)
Advanced Cardiac Life Support (ACLS)
Anaphylaxis
Asystole/Pulseless Electrical Activity
Bradycardia: Stable Without Serious Signs or Symptoms
Bradycardia: Unstable (HR Typically <50 BPM)
Cardiac Arrest
Return of Spontaneous Circulation (ROSC)
Shock
Tachycardia: Stable Without Serious Signs or Symptoms
Tachycardia: Unstable All Types
Transcutaneous Pacing
Ventricular Fibrillation/Pulseless Ventricular Tachycardia
Initial Assessment and Management for All Patients
Assessment (as Applicable)
Automatic External Defibrillator
BLS Cardiac Arrest: 2015 Guidelines
BLS Choking: 2015 Guidelines
Code Responses and Responsibilities
Detecting Impending Emergency
Emergent/Urgent Situations
Initial Assessment and Management for All Patients
Management (as Applicable)
Modified Early Warning Score (MEWS) System
Meds
ACLS/Code Cart/Emergency Drugs
Medication
High-Alert Medication Classes
Medication
Specific High-Alert Medications
Medication Administration
Always Remember! Medication Right
Assessment and Documentation
Best Practice for Safe Medication Administration
Common Lab Tests
Drugs Compatible With IV Potassium Cl (KCl)
Drugs Incompatible With IV KCL
IV Rates and Compatibility
Medication Administration
Patient Education and Medication Use
Review Medications for Appropriateness
Surgical
Advance Directives and Consent
Advance Directive (AD)
Advance Directives and Consent
Informed Consent
Postoperative Management
After Immediate Postoperative Period
Assessment After Receiving Pt from PACU
Hand-Off of Care-PACU to Med-Surg Floor
Postoperative Management
Preoperative Management
Patient IdentificationâAdmissionâVerification
Preoperative Management
Preoperative Preparation
ECG and Radiological Imaging Assessment
Final Pre-op Preparations
Laboratory Assessment
Last Oral Intake (Fasting/NPO Status)
Patient Medications and Possible Implications
Patient Teaching
Physical Preparation for Surgery
Preoperative Checklist
Preoperative History and Physical (H&P) Exam
Preoperative Preparation
Transfer of Pt to Intraoperative Care Team
Time-Out/Pause for Cause
Transfer of Pt to Intraoperative Care Team
Tools
Pain Scales
Referred Pain
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