Med Surg II Final Review PDF

Med Surg II Final Review Wed, 12/11 16:07PM · 92mins Transcript So one calls you and said okay, here's your report. We've got it. This is easier. What are you going to do? Have a side there What else are you going to have some suction nearby good All right, make sure you got some So you guys we...

Med Surg II Final Review Wed, 12/11 16:07PM · 92mins Transcript So one calls you and said okay, here's your report. We've got it. This is easier. What are you going to do? Have a side there What else are you going to have some suction nearby good All right, make sure you got some So you guys we talked about fall precautions, what do we say we could do for a patient who? Getting out of bed all the time Put their belongings where they can reach them. Yeah, that's one reason they might be getting out of bed. All right, what else? Yeah, they may need to go to the rest and that's why they're getting out of bed. So take them according to a bathroom schedule Notice they need to go reality Just get them off to the restroom. All right, so those two are good what else? Yeah If they're home get rid of That you're in the hospital push extension cords against the wall So they don't trip over All right, what else? I don't want that. Yeah, put your bed alarm They get out of bed. At least we'll know if you can run in there All right, so you guys all of those things You guys if we're giving someone more friend, why are we giving to Not to break it just anymore, don't you prevent it? Thank you. All right, guys, what are the signs and symptoms of stuff? What's the cause? What's the signs and symptoms? Yeah, anything that's the synthetic nervous system. The signs and symptoms of the system. All right, you guys, what is a synapse? Yeah, it's what the neurotransmitters cross. So where is it? Yeah. Yeah. So between two nerve cells, so between that axon and the thing. The axon and the nerve. The two ends of the nerve cell. For the nerve cell. Top and the bottom. One cell meets another cell. Okay. You guys know the normal age-related changes for the older adults. Thank you. So you got these common to be busy, but it's not normal, although it's common, it's not normal. Same thing for dementia, right? So people have dementia, but it's not, it's not going to be there for everything, so it's not a normal age. All right, you guys, what terms can you not take with the finding? Findment. What verbal remedies? Oh, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, erp, Oh, oh, oh, yes. Thank you. Alright, so you guys, when we were talking about the neuromuscular condition that said a lot of them, eventually you can have respiratory issues and that may even kill you, that's one of those was beyond the ray. Okay, so you guys, what vital signs would you expect from somebody with late-stage neon growth? Well, it's, uh, we just have, uh, muscle atrophy. killing barter, say killing barter. Actually, a friend showed me on her leg, you know, that little model. Yeah, so most of these conditions, you get lots and lots of control from. When it reaches the diaphragm, then you have red blood. So you guys, what sort of vital signs would you like, what kind of lung sounds would you like? You guys, if someone can't read well, are they going to be hypoxic? Yeah, so how would your vital signs change if you were hypoxic? You know, you would have lung cells. And you get a blood graft, you have lung. Yeah, you're not happy. Did you guys, the heart's going to try and help you out and move that blood around quicker. Okay, so you're going to expect tachycardia. What do you, what breast sound are they going to say? You could. Could you write it? Could you be me? Like, add the precious stuff. Yeah, any breast sound that's not normal, you call it avid. So yeah, you expect tachycardia and avid. Okay, why did we say we give steroids to a spinal cord injury? Produce the inflammation, right? And that's going to reduce the damage. Okay, so we said if you give it within eight hours, it reduces a lot of damage. Let's start. favorite steer life that's mentioned in your book by name for the wild board entry? Is it pregnant though? Or is it another group? All right. What was that in response to the question? All right, guys that was my hospital's favorite. All right, you guys, what's causing autonomic disreplay? Yes, could be pain or anything that makes the patient uncomfortable. So, it might not have pain with the people in it, but it would still be uncomfortable. So, it might trigger the autonomic disreplay. All right, so what would be signs and symptoms that would make you look for things like fatigue? Yeah, so, say they're laying on the cold tube, you don't know it, the patient doesn't know it. What would make you think, hey, my patient is pregnant, I don't know if they prefer to. But yeah, it's not cardio. What else? Uh-oh, not any of the patients. Your stomach will be... Well, if it's not flowing, it's just pain in the neck. I think it's all right. I think it's all right. Yeah, it's not the biggest worry. They already have a half a party, but our biggest worry is the hypotension. No, in vital signs, then. In vital signs. Okay. So, signs and symptoms. So you guys, what autonomic system is being triggered when you have autonomic reflux? It's sympathetic. It's sympathetic. And you guys, it's a reflex. It's run by the spine. People don't have to go to the brain and come back. All right. So if you're in pain, and you can't feel the pain because the signals aren't going up to the brain, but you'll still have the reflex. You'll have the sympathetic response to the pain. So you don't know you're in pain, but your body is reacting to it. And then the blood pressure goes up. And we're worried about the blood pressure because it Powered by Notta.ai could cause heart failure if you had pain care of. It could also cause a heart attack or brain stroke. Different things. We're worried about the hyper. All right. So you see the blood pressure going up. Look for something you're thinking, look over, look for a wrinkled sheen, look for a pink dew, look for the cognizant, alright and make sure nothing's blocking the bullet, my cane is not, there's no pockets in here, okay the yarn is rolling, all right guys, what is the prognosis for a patient with ovary cancer, yeah because by the time they have said you don't know it's already red, is that four, is that nothing, the four prognosis for a patient with ovary cancer, yeah so it's not good, it's probably going to kill them so it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, it's not going to kill them, All right, so you got a client, a person patient, and they have 100 questions for you and you say, Hey, I can't answer any of them. The doctor needs to be there. And he'll be here for them. And family's there and they're saying, well, what kind of morning? And you're like, I don't know. They don't tell me. But your family member can ask the question. Right? All right, but what are you going to advise the patient and family to do about all their social work? You can write them down right at hand, because whoever's here can grab the list and put all the things in the place. Any ideas of it? thing doctors don't tell you what time they're going to show up because the doctor's going to work standing out he's looking at these there five minutes right singing their list of questions ready okay what's the biggest problem with the nine months but is the biggest problem patients have with the nine frosting yes Okay. you guys with what is the preferred diagnostic first half for simple yeah uh the VDRL the first first step all right uh that one goes along the VDRL the same as what scenario we see is research on that yeah yeah that's what it's down for the scenario we all right uh you guys uh your patient falls to the ground and start seeing me uh which is off my arm Amen. Thank you. Um, do you know if we're drawn to that question, we need to confirm the site, even if I'm on the other side, uh, create it from the AKA group or... You could put them on the side. Um, you guys won't, it won't have a choice of side and head. So, if head's the only choice, pick your head. Alright, okay. Uh, yeah, the picture I think, uh, ain't there, but let's say you put them on the side. Yeah, sometimes it's not always possible to put them on the side. Okay, um, but we can definitely protect the head. All right, guys, what is the cause of the diabetes? It's a game of producing too much. You've seen too much of something, or too little of something. Too little of something. Oh, too little of something. Yeah, too little of something. Either that, or the shifters for the ex-diarrheic hormone arc are working well. It's either too little, ex-diarrheic, ex- diarrheic, or the structures that are reacting. Too little of something. Too little of something. Anything you want. There you go, let's see. Does any diarrheic hormone make you not heat, or make you pain? It stops you from peeling. What do you want? It stops you from peeling. You guys, if you don't have enough of the thing that stops you from peeling, then you can keep up. You guys, besides pain too much, what would be the signs and symptoms of diabetes? What's that? Dehydration. Did you heat? Yeah. You're good. Yeah, you can have a high blood pressure. It is a pain in the ear. Right? Some of you got a lot of pain. High blood pressure. High blood pressure from the dehydration. You guys, what's the year in the middle of life? Are you not answering? Are you really worried? Oh, why? Yeah. So, the year is going to be a lose. And you guys, what would the labs look like for somebody with, um, that I need to visit? It's going to be low. Yeah, some things will be low, uh, left and right. So you guys would have electrolytes, uh, but you shouldn't see because they're peaking out all their left and right. All of the, you know, left and right. Uh, V-1? Um... Double work would work all the way. So there's been a lot of co-ceasing, uh, constantly re-ending. Really pretty. Yeah, I don't think the V-1 would... Move it. Move some work and get you in. The, like, you think you're still working, um, getting rid of the V-1, so... Thank you. All right, but you guys say you'll probably expect electrolyte balance All right, so you're being too much it's going to We're worried about We're worried about electronic that electron All right guys in previous reviews, I've said you should know what plan what The quarter can't be serene with costuming with like yeah, what the quarter kit was going on Yeah, they look like you're playing in a quarter And then what did it be with like? We've been plans or or doors of All right, and is that a breathing response for you For The rebirth For You guys in French D means The thing in the quarter kit of the poor with the rebirth of the dream Thank you. All right, guys, no signs and symbols with an increase in cranial tension. Yeah, so you guys said, yeah, so are you going to be hyper or people changes are you going to be in your dialing. Are you. Okay, we're going to have. So. Okay, you guys. Your patient, um, yeah, I just want to know if we're leaving earlier. The answer is yes. I think the best decision for all of us. They are finally. They don't care. Oh, they want to. She'll talk enough. Yeah, she'll talk with you. It's midnight, yeah? This is like another something. Normally, no. What? No, only a criminal. Do you want to come to your family? I don't know. I don't know. They'll take like a band of people. They'll take like a keyboard. Okay. Good question. They're not pretty much. Yeah, they'll get over it. I don't know. Wonderful. You know, I got people. I don't know. I think they're good. Yeah, they're good. Right. Yeah. All right. So, you guys, you have somebody with the spade. Also known as a space guy. All right. You guys, what orders were you expecting? And you're going to get an order for a speech therapist to be read about. You guys, what kind of a vowel is Powered by Notta.ai that? All of them. It's going to be as long. And you guys what what diet do you think the therapist will recommend? Maybe they can't handle here. I mean it's too thin So you guys if they can't handle swallowing water what what I And yes, some people begin appearing or other you know, or it's all Camps off with chalk What appearance All right depends on what kind of texture Alright, you guys, what is the proper term for somebody that is partially blind? We don't call them blind, we don't call them heads, we call them parking. Thank you. Alright, so you guys, you got someone that's visually impaired. But the first thing you do before you walk in, they're literally... I'm not going to do anything. Yeah. You don't startle them. You don't startle them. You don't startle them. You don't startle them. You don't startle them. You don't startle them. Alright, you guys, what is Pimolol? It's a Bay of Locker. It is a Bay of Locker because it enters long. Alright, so you guys, if we're giving a Pimolol for somebody with glaucoma, what side effects do we want to accept for? Which one would be most important? Spreading? What do you guys ask? The Bay of Locker would actually be lower blood pressure. What are you going to ask? The round part? I don't know. And they can't react to it. You guys, it does lower blood pressure, but it's weak as a blood pressure. So now it's usually given for heart failure. It will lower the blood pressure, but not as strong as a real drug. Yeah, we would. We would worry about the heart rate. So what's the respiratory, all right you guys what will a beta blocker be for the respiratory? We won't slow it down like morphine, but what will it do? So you guys, what type of, okay it's a beta blocker. What type of receptor is the beta? It's an adenometric. It's an adenometric. So it's a sympathetic or bromosome. Can I ask you? So you guys, what are the signs and symptoms of triggering the sympathetic? We got one of them. Oh, wrong transcription. Yes, we're worried about wrong. because it's sympathetic or the end of the system, it opens your wrong shield airway. If we have a blocker or something that blocks the gap, we have to worry about blocking the system. Okay, so we're worried about that with any data blocker that so we don't usually give the same blockers to us, or COPD, or SAMHSA, if we do it with great caution. Okay, so we're worried about causing a meeting. All right, that's not an old person. A collated far side. You guys can have those two preppy ones, right? It doesn't go in it, it's the eye one. You'll have to see in it, it's the ear. Thank you. All right, you guys, where's wish glaucoma is an emergency. Yes, the code. Guys, which glaucoma has a Q on them? Close angle. That's why it's in. Okay, so they will remember that.. What is the common cause of conductive training? Hearing less. Yes, and you guys. What is the common cause of conductive training? You guys, what do they call that little cup of air that you give the eyes on? We're going to call it a little putman here and he gave me a book. I know. It's a passport. Yeah, so it's good. Yeah, so he measures the pressure in your heart. All right, and you guys, why are we less men in here? Okay, what is the number, I said my vision was one week and three weeks. What would that mean? You can see it. Yeah. The higher that second number, the fresher. Bye. Is that a normal angle? And extra hair and hair and hair and hair. Right? To give all these oracles. Yeah. Um, I think that's it. I can be heavy. Okay. Go ahead. Alright guys, what's our medical word for deer? Yeah, oats. Oats? Oats? Oats? Oats? Oats? Oats? Alright. How do we give ear drops? All right, how does vision loss progress in matching with each other? The opposite is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth is reduced depth Thank you. Does your life is bigger or should it be in some of the ones that you're talking about? What was it? Can you repeat the previous question, please? Oh. How does vision walk through the rest of the class? No. Can you repeat the previous question, please? Is the perception of normal pain in some of the patients reducing the depth of the class? Thank you. All right, guys, how are we going to teach somebody that can see. Yeah, that. All right, what's our medical term for an opioid limb? We're putting it right here. Okay. I know. What's the medical term for an opioid limb? Yeah. That's okay. It means a melty look. A look, no. I was wondering when you used to get it. How's that feeling? Do you ever remember that there's a logo of melty? Yeah. Okay. Okay. How do we give someone? All right, we've got a patient with breastfeed features and they're in a crowded radio movement and we have to go tell them something. What are we going to do? That is one of them. Not that severe. So you got you got light sensitivity. You got sensitivity to sound. We've got not a lot of them. And yet what's the baby. What's what's really messy with a patient who has. They have severe vertigo, they can't stand like, they just want to lay down in the dark room. They watch the evening. You guys, if someone's having an attack those vertigo or veneers he needs, you guys, we'll Powered by Notta.ai probably stop getting the final sign up because any little movement at all can make them vomit significantly. So we will. Some sit in a dark room until the end of the day. What happens to the appearance of rain in the air when it does see the loss? It gets better in the meantime, so then it goes on. Yeah, so you guys, they will have synapses, which is raining in the air, but they will have a gradual loss of food. Then we have kind of running on you. All right, so it's usually gradual, hearing loss in one feeling. All right, what's wrong with your child or me? Pull on your ear. I think that's the bad news. We'll talk in a second. We'll try to get you to... Try to get you very much. What kind of bacteria will be in the infection? Otitis external. It's not otitis external. That's not common with adults. What's your toddler kind of telling you? Earrings. It's irritating their ears because they have one. One? Earrings. Earrings. Earrings. Earrings. Earrings. Earrings. All right, so we have some sort of ear infection. What kind of ear infection? Otitis media. Yeah. All right, so you guys, toddlers, they're more likely to get on middle ear. All right, and they're going to tell you it hurts if they can't talk by going on their ear. All right, you guys, why do toddlers more likely have middle ears? Well, how does the locum drug get in the air when they're laying on a firehouse or anything? All of that. Okay. Okay. Okay. No. I thought you were writing it down. But, back here from the milk, you get to put the milk here. So, it's the new station? The what? It'll be out of the sugar and it should be in the milk. Yeah. Therefore, they're more likely to get milk. Those are more likely to get excited. Thank you. Yes, you like to stay in a good position. Please, come. I would think so. Are the ears a little too close? Yeah, it's a little tube that connects the inner part of your ear to your throat. And it's there to release the pressure that goes in your throat. Yeah, you drive through the mountains, and your ears want to pop. That's what you're patient to, getting a lot of pressure in it. And when you swallow, you kind of jiggle that sensation, too, or you're chewing gum, and you jiggle it, and it lets the air pop, and then your ears pop. So what is it supposed to do? Do you know what the doctors will tell you to not let your child lay down with the acidic, because when they go into the mouth, and your child gets to learn? You're not, like, you're alpano, but from the inside. From the inside, too. Yeah, from the inside. You guys that dribble to the back, where you're stationed to this, and it's back through, and it starts to grow there. Well, it's got a doorway to the middle. All right. Yeah, so your kid, most likely, will have to be able to feel. What's our number one usually priority when somebody comes back from a cardiac catheter increase? Oh, I checked for meeting while ordering it. Yeah, checked for meeting in the femoral, because that's what a catheter increase is. I want to check this out. That, too. All right, that was our number one priority when our vision is going down. Yeah. That because that could kill him. All right. Okay, I think I. Thank you. Thank you. All right, um, are both gonna see a Would we have both take a stress Oh Now we the trick is does it work Are you giving it for another reason So you guys you're giving the night you're closer into Is that alone Will Persist Yeah, you guys because Nitro below That's why you know it's a heart attack. It's in China and you give a knife your cow and you both made it somewhere. You give it, but it's not effective for all just the chicken. This is my next idea. But, knife it will help it repel from the heart. What we'll give it is a chip. So, that's great. They asked me to say that it would. It would have just been a lot of things for them. It's all like a lot for a show. Yeah, so you guys, we're going to do a moment for... That's what I was going with that. Oh, it stands for... That's great. We're giving... the afterness of blood thinner to stop more clotting we can't give it a cup all right so you give the oxygen we're going to give the nitro to open up the coronary artery okay it's not going to take very long we're going to give the oxygen because the heart doesn't have the oxygen so we'll get as much oxygen to the heart we're going to give up the oxygen none of that's gonna get rid of the chest pain at the end for morphine it's the only thing that will get rid of those checks if it's a real thing all right so you guys know those differences motor is a good thing for them that's all it's got to do with the tumor for the heart all right nitro will not get rid of pain but morphine would at all but we'll still give it a 40 for the coronary artery Thank you. Alright, so you guys should give your patient, um, a 10-gun, some 9-2-1-1-1-1. Uh, and he asked you, why are they taking this 9-2-1? And what are you going to say? That would explore measurements. Yeah, that, uh, it would explore very hard. Can you help your heart get long? Um, and, uh, we'll call those leading patients. Thank you. Alright, so you guys, there's probably going to be a renovation. Alright, so you guys, when we did the heart chapter, I told you to know what the key meant, what the QRS meant, what the tuning meant, okay? Okay, so the key is the overall resolution of it. Okay, so the QRS before the authorization of the ventricles. Yeah, from the form of the ventricles, right? And you guys, I said no to standing. What's standing? Thank you. What's standing? A standing. A standing. Oh, standing. Something to do with the heart. Is it an erotic? It was an erotic? Kind of? Yes. Is it like leading to? No, it's one type of them only. Oh, sorry. I think a lot. I'm bad. You are very kind. We'll make sure the parts started. I'm recording. You guys, with some headaches, with some hearts, um, part blockages, you don't get SP elevation. And then with some you do. And so you guys, with STEMI, it's just a hard attack when you're having SP elevation. Wait, uh... We're going to be hearing you. Well, we'll talk. Yeah, did I draw that on the board for you last night? Alright, so, guys, am I going to strip on the task? Because I noticed there was a little line on your API task. Um, so you guys, you have a rhythm strip, and a normal one, you kind of look like this. Um, you have a P-way. Okay, and then you have a Q-R-S. Okay, you have a P-second. Alright, you guys look a little um, P-way, right? Um, and you guys, that's what a normal heartbeat looks like. With some with some heart attack, alright, um, it will affect me too. because it is affecting the heart during recolorization. So you might get something like this. Okay, where the T is elegant, right? This would be your baseline. Right, Powered by Notta.ai and the T is way above the middle baseline. Okay, so that would be a seven. You guys, in your eight-time book, out of your Lincoln book, it explains some of the, the rhythm. You guys, anybody know what a fib would look like on a strip? You won't have a piece of it. Well, you guys will have more P-waves than S-waves. than QRS's. And that's because the atria, the P part, is beating faster than the ventricle, which is the QRS. So you guys, you might see C, E, oh, C, R, F, C-wing, P, Q, R, F. All right. Something like that, right? So you'll see many more P waves than QRS's. And that's how you know it's a QRS part, right? Because the more P's being the atria are beating faster than the ventricle. I have a question. Yeah. So if you have your P, then you have your QRS, and then it should go P. How do you know it's going from P to T, or P or T? Because that looks almost as thinking after QRS. Is it not? It might be good. No, it's not. I'm like, just letting it be. Yeah, you guys, the P's, I mean, the P's and the T's can look similar. Yeah. It's hard to tell at first going up. Okay. But if you have a strap in, it looks like a, well, you know, there's only going to be one T for every QRS. Right. So if there's a button. So if you double up or more, then it's probably obviously that pattern is P. And you know the T's always going to follow the QRS. So if you have T and then two P's, even if you thought they were all P's, that would be three. Yeah. So there's much more P's than there are QRS. All right. You would know that. I just didn't know things like this. Yes, that's all though. I'm not cut it. Yeah, okay I Don't know you. I don't want to move. Can you push up me? Oh Had time for you polarize And so before it's fully recharged is being asked to contract again. And so it's a very odd-looking Way all right because it's an abnormal way all right so what that looks like is you guys you got a little key you got a skinny QRS okay that should be another thing there's not a few things you look like in a word either Thank you. Alright guys, how can you tell if the brain is feeling much better? Thank you. Okay, so you guys know what the P-weight means if you are asking me. You know that a STEMI is a type of heart attack. And if you're having a STEMI, the S-A-B weight is going to be out of hand. You guys, that's what STEMI is going for. ST myocardial infarction. ST for ST. Right? And we'll get M-I, myocardial infarction. ST M-I. Alright, no for a heart attack. I hope that you know them. Okay, you guys know the risk factors for a carpenter. Same risk factors that are for a carpenter. For smoking, obesity, alkaline, all of it. Guys, what's causing the noise of a melon? Well, there's a name for it. I forgot what it is. The turbulence is causing the noise of a melon. Thank you. The turbulence is also the reason you have to get it worked on if you have a emergency. Okay, no signs and symptoms of both left-sided heart failure and right-sided heart failure. So if a gross substance will allow it to, you can say, well, it's a chemical asylum, and that's why it's always a crime. Thank you. Alright, when you come back after a skin event, are you able to tell me how to tell you who? Yeah. Do you know what reverse transformation is in here? Thank you. But now we are different stages of HIV. Thank you. Alright, so you guys, the initial stage of HIV infection, what sentence did you have? What is it? What is it? And then, how about the latency? The latency is simple. And then, you guys, how would we diagnose you from going from just HIV to do you have AIDS form? There's a couple of different ways. Yeah, so you guys, the CD4 count, how many CD4s do you have? All right, now another way that I know you is that you have certain opportunities to affect them. Like, um, the poses of coma. Yeah, certain kind of ones. You're getting too many opportunities to affect them. We'll be coming on the other side. Okay, you guys, when we send our AIDS patient home with a medication, what's our most important teaching? If you can't take it for life, don't start, okay, because you'll create a mutation within yourself and then the drugs are in your way. I know our precautions. for a patient with huge pain. What about that? What are our precautions for a patient with huge pain? A cold touch. Do you want me to call your name? You guys, no food. They haven't been cooked. No fresh flour. Maybe that kind of thing. No signs and symptoms of trauma site pain. You guys, put in a little micronet that haven't been called. The patients get a trauma site. I would sort of person is going to get a polyunsychitis. They're being in there. What is it? Factory workers. We'll bring in a lot of chemicals. Farm workers, factory workers. All right. What is the lab going to show with someone with polyunsychitis? What's the hemoglobin that we're showing? Very high. Very high. Okay. It's sickle cell, domineal recessive. What is that? What does that mean? Yeah, you've got to get a gene for each one. All right, what will hydroxyurea do how its tickled cell will do? It will eliminate the general creation of the third cell. So, what will it do? It will activate the second cell. What will happen? It will not happen again. Okay, do you like writing? Yes, I do. It does help cause pain in the brain. What do you think it will do? Don't say that. It doesn't help at all. It just stops it from going down. Shaking on the simple social. So you guys see the game that is now called hemoglobin. They actually call it S, hemoglobin. But it stops that hemoglobin from causing the sickle shape. So you guys, people with sickle cells, they don't, they don't go around all the time with sickle, sickle cell. Most of the time they go around, but something triggers the hemoglobin into the shape of the cell, like stress or shock or cold temperatures. So they're, they're fine most of the time and then something makes them have a crisis. And then the hemoglobin is triggered to make the sickle cell. So with the hydroxyurea that makes the hemoglobin the sickle shape. And the cells get to stay in the abdomen. So you don't have a sickle cell. Where's this from what? It makes the abdomen with hemoglobin resist sickling. So they won't take on that sickle cell shape. Hey guys, that's preventative. It won't help with guarding, the guarding crisis. All right, but they'll send them, hold on that as a main report. All right, what do we want to do for somebody that is having a sickle cell? Yeah, you got to probably give them some energy. We just want to spread out Powered by Notta.ai those C-shaped cells that are thoughtful so they don't latch on to each other and cause a blood problem. You guys need pain from movement, it's coming from all the blood problems, cutting off arteries. They're causing hypoxic areas of the body. Alright, so we want to stop that so we can give them lots of fluids. You guys, someone in sickle cell crisis, what are we going to get for the pain? It's more pain. The pain is going to be rolling down. The fluids are going to be on. And the centipol is the first type of centipol or hydroxy ring. Alright, what's our... Nursing is medicine for anybody with any type of an immune condition. I'm pushing to save you. Right. Yeah. Because when you're in need, if you're alone, you probably know. I should get up and start walking your part. You still have that one in the park. All right, so this is my pre-planets recipe. Hey, guys, what's our memory tool? Remember the ratios of hemoglobin versus coming out. This is 1.1 over 3, 1 over 3. Thank you. Hey guys, what do your phagocytes take care of? Yeah, so what sort of infections can it? Well, you guys, they can eat up bacteria. So if you don't have enough phagocytes, you're not very good at finding out bacteria. Well, what's our memory tool for the nightmare? Hemoglobin and hematocrit versus venogrels. This is a one-third fraction. And we always, when we say hemoglobin and hematocrit, we always say hematocrit. So put the hemoglobin next to the one and the hematocrit next to the baby. And then you have your baby. We know how HIV is spread. We know what to do if you have to be with fun foods. If you have to deal with body fluids, if you have an HIV patient, if I'm down enough, if you have to deal with it, if you have to deal with it, if you have to deal with it, all right, what are we going to teach our patient with HIV about? Noticing infection on women. Every day. Every day. How often? Every day. Every day. Okay, if you have a little white cell count called under 2000, what are we calling it? I'm going to try to keep it. And then what's our teaching teaching for you if you're going to go home? They would be. They went from seven feet tall, that's why. Don't change the key in the little box or whatever. Yes, don't change. That's what you do. Good job. Don't change the paper. Don't change the paper. Get one else. Okay, just get someone else to do a little bit of rock, I hope that it is fine. Alright, guys what kind of meals are they getting for? What's our first intervention for hypertension before we fill out the meds? Yeah, change the modify of the hips. So exercise. It doesn't work after a while. We do the least invasive for Pittsburgh. So lifestyle changes. Modifying. Okay, what meds do we give for sufficient? What meds do we give for a family? What is the F-E-4? Which one wants to know what their laughing is about? F- E-4. So we need to accept the family name? F-1-C? F-1-C? F-1-C? What is F-1-C? F-1-C? What is F-1-C? What is F-1-C? F-1-C? F-1-C? F-1-C? Thank you. What kind of shock would a cervical spine injury take from home? I never thought it would. It's irrelevant.. So guys, whatever socket is neurogenic, that's a gynecologic. Guys, what's the ultimate thing going wrong in shock? No matter what size. Yeah. My question. It's all of them, the top of each one. It's a really cold, a good body. You guys, with all of them in, it's the... They can be circular tones. Alright, so it's ultimately blood pressure and circulation. That's what's going wrong in you. Alright, guys, know the four types of shock and the number of sub-categories. What's a sub- category of these organic shocks? This one's open. It's not open, right? It's more like a septic and everything. Anything that makes the blood that holds the gynecology. Right? So that's the problem in sub-categories. It's behind my finger. Nice thing, you know. Alright, so you guys, you should know about these organic shocks and commences. Yeah, I would. All right, obstructive shock is a blood clot. And you guys hypo believing shock. It's a blood clot. Hey guys, what's a sub yet sub category of hypo believing. I'm going to be him around. I will believe that chapter somewhere. If we guys if you lost a lot of blood, we can be hypo. Yes. Well, that could be a little option. What's the most common cause. All right, you guys, why are we worried about hypodermic surprises? What can happen? Go ahead, Mike. You're just stroking them on. All of these. All right, what are you going to do for your hypodermic surprises? What are you going to do for your hypodermic surprises? What are you going to do for your hypodermic surprises? Thank you. What if the hypogelenia is not caused by them? The IV fluids? Yeah, you got it in the belly. You're going to have to replace the lost fluid. You know, if the fluid is blood, it's not like they'll say anything. Maybe they'll be hypogelenia. All right. Who is the greatest risk for hyperking? Who is the greatest risk for hyperking? Which group is the greatest risk for hyperking? Thank you. All right, you guys. The person that grained is Red School. You guys, that sheet I gave you out of your API books for blood pressure, are you going to have another one for two pages? Yeah, I know what stage you were in. They give you a number and it looks good. According to, I do the bottom number or the top. You guys, what do you do if the bottom number says stage two and the top number says stage one? Stage two, stage two, stage two, stage two, stage two, stage two, stage two, stage two, stage All right, guys, no blood pressure for pre-meds. Thank you. So you guys, now we consider normal as under 120 over A. You used to be in the definition of now as normal as under 120 over A. So now 120 over A is pre, so start of pre. Anything under that is normal. Alright, you guys, what do we have to give our patient that is taking a new diagnosis? Yeah, it's a little positive. Yeah? Yeah. What's your favorite loop that I read? Guys, that's most likely to pass me. What do you think about it? What is all that from? The viral map. Thank you. All right, no sinus symptoms, a patient wouldn't have if they were in any form.. All right, you guys know how to get this. So you guys, you're going to use a special blood tubing. Oh, do you guys want to use blood from first? You're going to use, if you say what kind of tubing you use to use blood, it's blood tubing. You guys, the blood tubing has got sort of a wide face to it. One end goes into a bag of normal, same as the other end goes into the bag of blood. You guys, what should you do before you give blood? before you hit go on the top yeah get a witness have a nurse witness that you Powered by Notta.ai check the ID number on the patient's wristband because you guys when they do the typing cross for the blood they'll they'll have a page of stickers when they get their vial of blood they'll take one sticker off the page put it on the vial of blood they'll take another sticker off the page and we'll put it on the wristband and they'll stay hold of the breath putting the stickers to the patient's wristband all right and then everything that concerns that blood should have one of those things with the same vest on. So then when when they make the bag when they've done testing the bag of blood they'll put them on the bag of blood now and so when it gets to the patient make sure that the numbers that's the bag and the icing cross against the patient's arm. All right to get a witness, a witness. Guys, what and how often do you live with this? Every 10 minutes and you can see everything that you have to do. Depending on your hospital's control. We do one right before you start the blood we get a phase one and then you do one 50 minutes after you start the blood. And you guys with my hospital, we didn't want to react. We went super vigilant and checking for it. We used to be, you guys could say if they're going to have a reaction. It's going to happen within the first 15 minutes. So we didn't have to do tons and tons of wild signs. We didn't need to do whatever we wanted. But you guys, we had to stay in the room for the first 15 minutes. Because if it was going to happen, it would happen in the first 15 minutes. And we want to be there, so you can stop for a while. All right. You guys, if you get a one percent habiture pain, when you do your vitals, and they're getting blood, what do you feel? One percent? Have you changed? Yeah, one degree Fahrenheit. Is that a degree? No, it's a degree. You stop it. Because you guys, if they are having a reaction to the blood, their body faces a foreign invader. So what do you get with infection? We get a fever. So the temperature goes up even one degree, very high. You have a softer blood and you follow doctor. What if there's a significant change in the blood pressure? Not a bit. What if there's changes in heart rate? What if the patient gets a bad shake? Somethings. Somethings and that can be hidden. What if the patient gets a rash? What if the patient is itching? Yeah, you get itching. You can have it with your own family. Right, I think the next question. Basically, you should all get a new doctor's card. You should talk about the blood. So like all day now, I mean... I'm scared, it's a scary job. The patient can super slowly be in there, obviously. It's a reason to be. Oh, you're right. I was trying to see if you would say something. Alright, this doesn't matter. I mean, I think I made a lot of mistakes then. I don't think we need to have this on my own. We need to have a stranger blood. But you guys, if you're giving blood at one in the morning, the patient's going to get a blood. But no, any body sign changed off of blood, a rash or backache. Backache, you got a sign of lysis or blood cells. And you guys, all the globulin, and the family, and the virus. Go to your kidney, and your kidney's going to work over time to get rid of all that stuff. And that's why your kidney's going to get infected. So you go to that thing. Alright, that's my spiel. I love it. Yeah. We'll see if she can relax. Alright. Thank you. You're welcome. Powered by Notta.ai