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SUBJECT EXAMINATIONS Content Outlines and Sample Items
5. A 45yearold man is admitted to the hospital because of chest pain for 1 hour. He has a sedentary lifestyle, and his diet is high in fat and sodium.
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crushing. Give immediately following preparation. A prolonged break in feeding is not required before/after administration. Monitor the patient closely for reemerging signs and symptoms or arrhythmias as enteral administration may reduce serum amiodarone levels. Note that reduced absorption may take many weeks to impact on response.
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· ** On The Joint Commission's "Do Not Use" list † Relevant mostly in handwritten mediion information. While the abbreviations, symbols, and dose designations in the Table should NEVER be used, not allowing the use of ANY abbreviations is exceedingly unlikely. Therefore, the person who uses an organizationapproved abbreviation must take responsibility for making sure that it is ...
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Assess organ function and if it impacts nutrient dosing. Resources: Improve Patient Outcomes: ASPEN's StepbyStep Guide to Addressing Malnutrition. 2015. ASPEN Adult Critical Care Clinical Guidelines Top. Assess and Place Enteral Feeding Access Device. Assess for current enteral access and its appropriateness for current clinical condition. Determine aspiration risk and need for small bowel ...
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Mediion Pearls 1. Prepare for diet initiation Step 1 is to get a complete and thorough mediion history for your patient Ask about current daily mediions AND mediions that are only used on an as needed basis FORMULATE A PLAN – Decide ahead of time how the mediion regimen needs to be adjusted to provide the least
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potential impact on fluid and electrolyte balance. FORMULA OSMOLALITY Osmolality is an important characteristic of an enteral formula; it is primarily a function of the number and size of molecular and ionic particles in a given volume. Table 121 shows the wide variance in osmolalities of some com mercially available tube feeding formulas. Whereas some formulas approximate the osmolality of
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· Anyone identified as being at high risk for aspiration should be kept NPO (nothing by mouth) until further evaluation is completed. Keep head of bed elevated when feeding and for at least a half hour afterward. Maintaining a sitting position after meals may help decrease aspiration pneumonia in the elderly. Position patients with a decreased level of consciousness on their side. This ...
Pain management in trauma: A review study
· Rectal route can be used for patient with unconscious, unable to swallow or NPO for any reason, or in cased of nausea or vomiting. Suppositories route in neutropenia may increase the risk of septicemia. 77 Fentanyl, buprenorphine and EMLA (Eutectic Mixture of Local Anesthetics Lidocaine/prilocaine) are pain drugs that can be delivered transdermally. However, the reservoir of .
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Administering Mediions by Mouth and Gastric Tube ...
Patients with a gastric tube (nasogastric, nasointestinal, percutaneous endoscopic gastrostomy [PEG], or jejenostomy [J] tube) will often receive mediion through this tube (Lynn, 2011). Liquid mediions should always be used when possible because absorption is better and less likely to cause blockage of the tube. Certain solid forms of mediion can be crushed and mixed with water prior ...
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Drugs before surgery
Drugs on the day of surgery to give or not to give? Many drugs should be given on the day of surgery even when the patient is nil by mouth. A few exceptions are listed below.
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· About 12 thousand shock waves are needed to crush the stones. The complete treatment takes about 45 to 60 minutes. Sometimes, doctors insert a tube via the bladder and thread it up to the kidney just prior to SWL. These tubes (called stents) are used when the ureter is blocked, when there is a risk of infection and in patients with intolerable pain or reduced kidney function. After the ...
