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Respiratory
Since We Draw ABG’s From an
Artery…
We Must Hold the Site for Five
Full Minutes
If the Patient is on Blood Thinners,
Add 15 minutes
Hold for 20
minutes!
Since Heparin Works the Fastest,
it is Often Ordered First
However, it is Common to Start
the Patient on Coumadin
(warfarin) at the Same Time.
This is Done Because
Warfarin takes three to four days to
achieve therapeutic anticoagulant
effect. Therefore, heparin is
continued until the Warfarin can
take over.
Your Patient Asks, “Why Are You
Giving Me Rat Poison?”
You Could Respond With…
A better question, is why are we giving
perfectly good human medication to
lowly little rats?
Rodents are difficult to kill with poisons
because they will eat a small bit of
something and wait, and if they don't get
sick, they continue. An effective
rodenticide must be tasteless and odorless
in lethal concentrations, and have a delayed
effect.
The main benefit of
anticoagulants over
other poisons is that
the time taken for
the poison to induce
death means that the
rats do not associate
the damage with
their feeding habits.
Back to Patients….
If a Cannula Comes Out of a NEW
Trach (72 hours or less)
•
•
•
•
The site has not matured yet
This is a medical emergency
Call for help
Replacement may be difficult
The First Medication Often Given in
an Asthma Attack is
Albuterol (Proventil) via inhaler or nebulizer
treatment. These are in the drug class called
Beta Agonists.
Beta Agonists
Beta-agonists are medications that mainly affect
the muscles around the airways (bronchi and
bronchioles). Such as:
Proventil
Ventolin
Isuprel
Alupent
Xopenex
Brethine
In Respiratory Difficulty, Many Feel
That Morphine is a Good
Medication Because:
Morphine dilates veins and
decreases blood returning to the
heart and lungs.
With Good Hydration…Children
With Sickle Cell Anemia are
Often Healthy Much of the
Time.
When a Patient is Recovering From a
Thrombophlebitis in the Calf of
Their Leg, it is Not Unusual to
Measure the Diameter of Their
Calves Every Day.
Although A Venous Doppler May
be Used Instead.
Comparisons Are Made Between
Their Right and Left Calf
Tonsils
The Primary Function of the
Tonsils is to Filter and Protect
Against Invading Pathogens.
In the Post Tonsilectomy Diet,
Red Liquid and Milk are Initially
Avoided.
Things to Remember About
Children With Cystic Fibrosis
* Clubbing of fingers but not barrel-chested
* Congested but not generally wheezing
* Thick sticky mucous that blocks pancreatic
enzyme
* Immune compromised child… should
receive all vacines.
* Benefit from postural drainage
The Faces of Cystic Fibrosis
Drug of Choice for Bee Sting
Allergic Reaction:
Epinephrine which helps with swelling AND
dilates the bronchial tubes. Two actions in one
medication.
Common Tuberculosis Meds
* Ethambutol
* INH
* Rifampin
When TB Patients Do Not
Respond to Meds in Six Weeks…
They can expect to stay on meds for
six months to one year.
When Do We Check PPD
Intradermal Skin Test?
In 48 to 72 hours
Positive Ppd
Negative Ppd