Nurse’s 5-Minute Clinical Consult: Procedures by Springhouse

By Springhouse

Nurse's 5-Minute scientific seek advice: Procedures covers over three hundred easy and complicated nursing procedures—from arterial strain tracking to wound irrigation—with apparatus lists, crucial steps, certain issues, sufferer educating issues, and documentation instructions in a quick-scanning structure. methods are equipped alphabetically, and every is gifted on a two-page unfold with constant headings, together with description, contraindications, gear checklist, education, key steps, exact concerns, problems, sufferer educating, and documentation.

Recurring icons spotlight guidance for troubleshooting gear difficulties, info that's serious for sufferer safeguard, and age-related matters alongside the lifespan continuum. various quick-glance tables, charts, and illustrations supplement the text.

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For patients with critical stenoses, balloon valvuloplasty is an alternative to valve replacement. ◆ It enlarges the orifice of a heart valve that has been narrowed by a congenital defect, calcification, rheumatic fever, or aging. ◆ It’s indicated for patients who face a high risk from surgery and for those who refuse surgery. AGE FACTOR Balloon valvuloplasty is more tolerable than surgery for elderly patients, especially those older than age 80. ◆ The procedure is done in the cardiac catheterization laboratory under local anesthesia and moderate sedation.

Turn on the monitor and watch it for information related to impedance (electrical resistance) testing. WARNING For the monitor to display a reading, impedance values must be below a specified threshold. If they aren’t, be prepared to troubleshoot sensor problems. ) ◆ Select a smoothing rate (the time it takes to analyze data for calculation of the bispectral index; usually 15 to 30 seconds) using the ADVANCE SETUP button, based on facility policy. ◆ Read and record the bispectral index value.

Keep in mind that movement may occur with low bispectral index values. ◆ Stay alert for artifacts that could falsely elevate bispectral index values. WARNING Bispectral index values may be elevated because of muscle shivering, tightening, or twitching or with the use of mechanical devices either with the patient or close to the patient, the bispectral index monitor, or the sensor. Interpret the bispectral index value cautiously in these situations. ◆ Anticipate the need to adjust the dosage of sedation based on the patient’s bispectral index value.

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