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“SIR? SreanGULate Dz BLood SUPPLY 1S Cur off, EMERGENC! SURGERY SITUATION, Incarcea@ated.., HERNIA 1S TRAPPED OUTSIDE PERITONEAL, cavity, Reouciaie HERNIA Moves BACK INTO PERITONEAL cavity, Cpe ag Hypochromic Sickle Cell Erythroblastosio or Spheroidal Secondary aoe BLooD ADMINISTRATION. a CHECK CROSSMATCH DETERMINE CLIENTS: " eeu See aera “hao epee + ppewsria weasiarew Se peenane ar aeree ~SueuTs a SEXPIRATION DATE + Do NOT WARM UNLESS, RISK OF HYPOTHERMIC RESPONSE: THEN ONLY BY SPECIFIC gio WARMING EQUIPMENT, ANEVER ADD ANY p ans oeMiprers Gaetice HINPUSE EACH UNIT OVER * = Stee Se HECK THE DRS ORDER. “CHECK LABELS ON BLoob BAG $ CLIENT'S |.D. BASELINE YITALS— (THEN PER PoLicy), *#1g8 GAUGE NEEDLE. NORMAL SALINE, +BLOOD ADMINISTRATION SET WITH FILTER. SEVERE REACTIONS MosT LIKELY FiRST 15 MIN ¥FIRST SOcc. “CHANGE loo TUBING ¢ FILTER Z EACH UNIT. Biood TRANSFUSION REACTION FEORILE REACTION: TEs = FAVER = EAOASNE “Fuusnme. = wAuseA SNOwITING = PANXIETY HEMOLYTIC TRANSFUSION ReACTIo Low BACK PAIN + HYPOTENSION { BURRING SENSATION ALLERGIC_Rencrion: + FACIAL FLUSHING RING. SEN SEVERE SHonTwess ALONG VE + FEVER 10S" oR > ‘OF BREATH fs + BRoNcHO SPA: ocHes TLRBORED RESPS + HEADACHE + |MMEDIATE ONSET Sty NURSING IMPLICAT on5: +5TOP TRANSFUSION. +cHanée IV TUBING. STREAT SHOCK If PRESENT*O, ,FLUIDS, EPINEPHRINE AS ORDERED, “RECAECK CROSSMATCH RECORD WITH UNIT, fs oBraIN, 2 BLOOD SAMPLES DISTAL To INFUSION SITE. @ OBTAIN FIRST UA-TEST FOR HEMOGLOBINURIA. ‘MANM/TOL WITH, SUSPECTED RENAL INVOLVEMENT, * Moni TOR FLUID/ELECTROLYTE BALANCE, SEVALVATE SERV CALCIUM LEVELS, HEMOPHILIA (INHERITED Blood DiSoRDER) — NO cuRE — AVOID INJURY & MEDS THAT PROMOTE, BLEEDING GOOD NUTRITION ( — Good DENTAL HYGIENE =N_ADMINISTRATION| OF DEFICIENT CLOTTING FACTOR, SVAL DISTURBANCES PROLONGED NOSEBLEEDS, BRUISES EASILY WARM , PAINFUL, (SWOLLEN Jowns JN. WITH WY ovement SICKLE CELL ANEMIA CRISIS (wienie> Reo sto09 CELL DISORDER) - PAIN ABDOMINAL & LONG BONES HAND FOOT SYNDROME JoInT PAIN - COMPLICATIONS INFECTIONS, TREATMENT sisexe (wospitaL- HOP TO wl) LEG ULCERS HyDRATION ‘OXYGENATION 2 Si" RELIEF SYMPTOMS OF LEUKEMIA A ° ANEMIA RNfwererens OTHROMBOCYTOPENIA THIN LEUKEMIAS = NUMEROUS IMMATURE WHITE BLosD ce) Like ANTS IN AN agai Se ee CHOLECYSTITIS = NAUSEA Zz, NOWITING L < ABDOMINAL PAW 7 RIGHT. UPPER: Quap- = 2 ‘OR. EPIGASTRIC- FAT ~INGESTION =MAY-RADIATE TO BACK, > ANTOLERANCE. ~TRAIN- WITH. DEEP - BREATH, FEELING (OF FULLNESS, ABDOMINAL DISTENTION CIRRHOSIS: LATER CLINICAL MANIFESTATIONS CHANGES IN_MENTAL. RESPONSIVENESS ¢ MEMORY JAUNDICE——| }____ spipeR_ANGIOMAS FACE - NECK- SHOULDERS ESOPHAGEAL VARICE: ANEMIA _— THROMBOCYTOPENIA COAGULATION DISORDERS ASCITES COLLATERAL VEINS VISIBLE ‘ON ABDOMINAL WALL. HEPATOMEGALY. SPLENOMEGALY, PALMAR ERYTHEMA, Asnennares Serum, cuamaerenenes PERIPHERAL NEUROPATHY PORTAL SYSTEMIC ENCEPHALOPATHY (PSE) HEPATIC ENCEPHALOPATHY (HEPATIC Coma) MARKED CONFUSION + STUPOROUS @NEUROMUSCULAR, Di STURBANCES, +HYPERREFLEXIA O|MeALRED THINKING PRoBLEM T'D BY: -7 PROTEIN + INFECTION + HYPOVOLEMIA THYPOKALEMIA (VR) +G\ BLEEDING ACID BASE MNEMONIC (ROME) pHt PCO,1 Alkalosis pH + PCO, T Acidosis Metabolic pH? HCO,T Alkalosis H+ HCO,1 Acidosis INFLAMMATION METABOLIC ACIDOSIS ; é “CHANGES IN HEADACH Loc + DISORIENTATION ee “HYPERKALEMIA = = + MUSCLE TwitcHin ROSS ShieaTions mmersaros TSE ara) METABOLIC ALKALOSIS + RESTLESSNESS + CONFUSION FOLLOWED BY (Loc) LETHARGY * DYSRHYTHMIAS *NAUSEA AND. Vom ITING + COMPENSATORY, HYPOVENTILATION, )y RESPIRATIONS DIARRHEA i; +HYPOKALEMIA, RESPIRATORY ACIDOSIS “sHYPOVENTILATION = RAPID, SHALLOW + DISORIENTATION RESPIRATIONS ot BP = Pcpaviac ovrpur + DYSPNEA + MUSCLE WEAKNESS + HEADACHE + BYPOXEMIA, + HYPERKALEMIA RESPIRATORY ALKALOSIS + SEIZURES + CONFUSION = DEEP, RAPID 4 & IPO RALEMIA BREATHING er sLIGATHEADEDNESS, a | TINGLING OF EXTREMITIES AIDS: PREVENTION OF TRANSMISSION IN THE HEALTH CARE SETTING XEMAINTAIN STANDARD PRECAUTIONS: =HaND WASNING SPROTECTIVE BARRIERS ¥ CONSIDER ALL Bopy FLUIDS To BE CONTAMINATED. oGLoves oMaaR Avo CONTAMINATING SEYE SHIELD THE OUTSIDE OF oGOwN SPECIMEN CONTAINERS PURING COLLECTION. * Do NOT RECAP NEEDLES { SYRINGES| CLEAN UP SPILLS oF BLOOD # BODY FLUIDS IMMEDIATELY USING GERMICIDAL SOLUTION, * CLEANSE WORK SURFACE AREAS WITH APPROPRIATE GEAMICIDE joo re b'0 CONCENTRATION lor NoustrigeD BLEACH is cfrectve 7 CLINICAL MANIFESTATIONS OF AIDS snunoioeie OPPORTUNISTIC a om cece INFECTIONS: Ty cnowt Cefn? + Oppenroni sre ieecrions + LYMPHADENOPATHY a FATIGUE, [PRoTezomn rections} + PucumocysTIS CARINII fecumeaia sTexdoLasiosis (euckeuALind s CRYPToSPoRIDIOSiS (GI) INTEGUMEN TARY: (Foxgau rections] Peek WOUND HEALING *CANDIDIASIS- STOMATITH + Skin! Lesions S eehiagrris {NIGHT SWEATS Vaca BACTERIAL INFECTIONS SMYCOBACTERIUM COMPLEX RESPIRATORY. reaaei + Tw8eRcuLosis GasTaoINTesTINAL! [Mikal rections) a reed (Yann eections! “DIARRREA + HeRPES SimeLen VIR S WEIGHT Loss AVARICELLA ZOSTER Views SHAUsEA/omrTING MaLiewancies: CENTRAL NERVOUS “KAPOSIS SARCOMA SYSTEM: + Non HODGKIN'S LYMPHOMA = CONFUSION HODGKIN'S LYMPHOMA + DEMENTIA Tinvasive. CERVICAL : HEADACHE CARCINOMA, svisuay Guanes Ort pais DEMENTIA COMPLEX + PERSONALITY CHANGES COGNITIVE, MOTOR AND. Sean, BEHAVERAL IMPAIRMENTS I seizures. IN 70% ANS CLIENTS SYSTEMIC LUPUS ERYTHEMATOSUS (SLE) DYSPNEA @ Me PLEURAL _ INFLAMMATION ERYTHEMATOUS RASH To AREAS EXPOSED TO SUNLIGHT *WEIGHT Loss + FATIGUE | FEVER * ARTHRITIS EMOTIONAL LABILITY. HEMATOLOGIC DISORDERS | NEUROLOGIC DISORDERS TRE PROT EINURIA~| RAYNAUD'S HYPERTENSION- PHENOMENON PERICARDIAL EFFUSION = RENAL VASCULAR, FAILURE — INFLAMMATION ASSESSMENT TESTS FoR FETAL WELL-BEING x BIOPHYSICAL PROFILE x }cHoice FoR fFoLtow up FETAL EVALUATIONS, GO) ASSESSES FETAL VARIABLES, *MoveMENT + MUSCLE TONE: = AMNIOTIC FLUID VOLUME TY «BREATHING ane A -amniocentesis \ "% Sete=10 O Bee RATIO @4anncnare “OXYTOCIN TEST N -NON STRESS TEST E -Esreiot LeveL EVALUATION OF EPISIOTOMY HEALING R Redness E Edema E — Ecchymosis D Discharge, Drainage A Approximation epinted nth parson ry Oacdon, omer POSTPARTUM ASSESSMENT mt Oovcw © Breasts Uterus O Bowels Bladder S Lochia © Episiotomy/laceration/ C section incision

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