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Download PDF by Springhouse: Ask a Colleague: Expert Nurses Answer More Than 1,000

By Springhouse

Masking quite a lot of topics—from basics to review, tracking, diagnostic exams, approaches, issues and coverings linked to varied physique structures, psychiatric stipulations, criminal concerns, and discomfort management—Ask a Colleague supplies the proper resolution quick, offering ordinary scientific assistance on greater than 1,000 tricky nursing questions. those will not be easily wisdom questions yet questions that require serious considering; questions that nurses frequently fight to reply to safely; questions nurses wish to seek advice from their friends to figure out the proper resolution yet in modern international locate this hard. Now a nurse can simply Ask a Colleague for the solutions on the place of work or at domestic.

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V. fluids? Hyperkalemia can be treated with sodium polystyrene sulfonate (Kayexalate) administered orally or as a retention enema. It's usually given in a sorbitol-based solution that causes diarrhea and rids the body of excessive potassium. V. dextrose 50%. The insulin causes the potassium to shift into the cells, decreasing serum potassium levels. The dextrose prevents hypoglycemia. Finally, if the hyperkalemia is related to renal failure, dialysis should be considered. 5 mEq/L. What's the usual treatment for hyperkalemia?

Usually, a snap is widely separated from S2. If you find it moving closer to S2, your patient's mitral stenosis is probably worsening. They certainly are. Sharp, high-pitched, scratchy clicks are characteristic of mitral valve prolapse, a condition that's more common among women than men and in those with Marfan syndrome. In addition to clicks, mitral valve prolapse may produce a murmur in mid- to late systole. When I auscultate my asymptomatic female patient's heart, I can hear clicking from mid- to late systole.

Pulsus alternans Pulsus alternans has a regular, alternating pattern of a weak and strong pulse. This pulse is associated with left-sided heart failure. Pulsus bigeminus Pulsus bigeminus is similar to pulsus alternans but occurs at irregular intervals. This pulse is caused by premature atrial or ventricular beats. Pulsus paradoxus Pulsus paradoxus has increases and decreases in amplitude associated with inhalation. Marked decreases occur when the patient inhales. This pulse is associated with pericardial tamponade, advanced heart failure, and constrictive pericarditis.

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