Nursing > HESI MED SURG > HESI Med Surg Study Guide - Hematemesis Information Nursing Processes Advanced Medical-Surgical Nurs (All)

HESI Med Surg Study Guide - Hematemesis Information Nursing Processes Advanced Medical-Surgical Nursing (University of Rhode Island). Last minute information for the exam revision.

. HESI Med Surg Study Guide - Hematemesis Information Nursing Processes Advanced Medical-Surgical Nursing (University of Rhode Island) HESI I MEDSURG STUDY GUIDE Please use this guide as such, a gu... ide however remember to utilize the basics, the nursing process, ABC’s and prioritize accordingly. • Hematemesis (vomiting blood) – typically upper GI bleed a. What to assess? i. Remember ABC’s (pt having diff breathing?), check vital signs first* ii. Assess stool (blood present? – if so, what color. Dark red = upper GI bleed, usually more serious) iii. Check if they are on iron supplements iv. Worried about hypovolemic shock 1. S/S: restlessness, agitation, inc HR and RR, cool, pale, sweaty • Open vs Close angle glaucoma b. Def: condition characterized by inc intraocular pressure (IOP > 22 mmHg) r/t aqueous fluid being inadequately drained from eye  gradual painless vision loss. Generally asymptomatic in early stages (seen in reg eye exam) i. No cure, can be treated pharmacologically and surgically c. Patient teaching i. Develop a teaching plan that includes the following: (p. 131) 1. Careful adherence to eye-drop regimen can prevent blindness 2. Vision already lost cannot be restored 3. Eyes drops are needed for rest of life a. Eye drops used to cause pupillary constriction – mvmt 4. ***Proper eye-drop instillation technique. Obtain a return demonstration. a. Wash hands and external eye b. Tilt head back slightly c. Instill drop into lower lid, s touching the lid c the tip of the dropper d. Release lid, and sponge excess fluid from lid and cheek e. Close eye gentle, and leave closed for 3-5 min f. Apply gentle pressure on inner canthus to decrease systemic absorption g. (Caution: Vision may be blurred for 1-2 hrs post admin and adaption to dark environments difficult r/t pupillary constriction (FALL RISK)) i. Blurring tends to dec c inc use of meds 5. Safety measures to prevent injuries a. Remove throw rugs b. Adjust lighting to meet needs 6. Avoid activities that main inc IOP a. Emotional upset b. Exertion: pushing, heavy lifting, shoveling c. Coughing severely or excessive sneezing (Get medical attn before URI worsens) d. Wearing constrictive clothing (tight color or tie, tight belt, or girdle) e. Straining at stool and constipation i. Increased pressure, asymptomatic, seen at eye exam ii. Can lead to blindness if untreated iii. Eye drops needed for rest of their life iv. Pt teaching – safety measures to prevent injury (remove throw rugs, adequate lighting) • Syndrome of inappropriate anti-diuretic hormone: SIADH o Def: excessive production/release of vasopressin (ADH). Char by dec u/o, inc specific gravity, dec sodium  Other manifestation (r/t hyponatremia) • Anorexia, N, wt gain, weakness, confusion, irritability, sz/coma  Etiology (usually result of underlying condition, aka treat cause) • Excess (synthetic vasopressin) DDAVP (Desmopressin) to treat DI, CNS infections, generalized sz’s, surgery to hypothalamus/pituitary o Pt is retaining fluid but so thirsty  What else to give them? Hard piece of candy* (want them to salivate) • Hyperthyroidism/hypothyroidism o Signs/symptoms  Hyperthyroidism: (p pg. 96, 111) • Exophthalmos (bulging eyes) • Enlarger thyroid gland • Weight loss • T3 elevated • T4 elevated (>12 mcg/dL) • Diarrhea • Tachycardia, palpitations, inc BP • Bruit over thyroid • Increased appetite • Heat intolerance • Diaphoresis, wet or moist skin • Nervous, insomnia  Hypothyroidism: (p pg. 97, 113) • Fatigue • Bradycardia • Wt gain • Constipation • Periorbital edema, facial puffiness • Cold intolerance • Low T3 (<70 ng/dL) • Low T4 (<5 ng/dL) • Thin, dry hair; dry skin • Thick, brittle nails • Hypotension • Goiter • Dull emotions and mental process • Meningitis o Def: inflammation and infection of the meninges that cover brain and spine o Gather VS and neuro status, THEN contact HCP o Symptoms  Stiff neck  3 classic symp: • Fever (>100.4F) + chills • H/a • Nuchal rigidity (pain c flexion of the neck)  Inc ICP  Change in LOC; irritability  Photophobia (extreme sensitivity to light); blurry vision  Rash (*IF bacterial in origin – contact HCP ASAP)  Vomiting (esp in morn)  Opisthotonos (spasming of muscles causing backward arching of head, neck, spine) [Show More]

Last document update: 2 months ago

Preview 1 out of 13 pages

Reviews( 0 )




Document information

Connected school, study & course

About the document


2 months ago

Number of pages


Written in






Member since 1 year ago

219 Documents Sold

Additional information

This document has been written for:



Paper Category



2 months ago






Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 Questions? Leave a message!

Follow us on

Copyright © Browsegrades · High quality services·