lOMoARcPSD|62239921
1 CMS Review Topics o
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Monitoring for postoperative complications o Monitor for signs of infection o encourage mobilization as soon as possible o medicate for pain as needed o watch for compartment syndrome o compartment syndrome has increased pain, paresthesia (pins and needles), or numbness, pulselessness distal to fracture, inability to move digits, warm digits with skin taut and tight, shiny, pallor Identifying priority child to assess o Prioritize systemic before local (life before Limb) o prioritize acute before chronic o prioritize actual problems before potential future problems o listen carefully to clients and own assume o recognize and respond to trends versus transient findings o recognize indications of medical emergencies and complications versus expected findings o Consider Maslow’s hierarchy of human needs o ABCDE- airway, breathing, circulation, disability, exposure o look for safety risk o least restrictive and least invasive interventions should be utilized as much as possible Manifestations of nephrotic syndrome and lab findings o Hypoalbuminemia reduced serum protein and albumin o Hyperlipidemia elevated serum lipids o Hemoconcentration elevated hemoglobin, hematocrit, and platelets o Possible hyponatremia reduced sodium level o Glomerular filtration rate is normal or high Tonic clonic seizures o Onset is without warning o Three parts: Tonic, clonic, and postictal o Hold head in lap if the client is on the floor o Turn the client to the side to decrease the risk of aspiration. o Loosen restrictive clothing o Document onset and duration of seizure and client findings/observations prior to during and following the seizure Seizures – postictal period o Following a seizure, maintain the child in a side-lying position to prevent aspiration and to facilitate drainage of oral secretions o Check position of tongue o Perform neurologic checks o Maintain seizure precautions o Try to determine the possible trigger, such as fatigue or stress