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Order of Auscultating Lung Sounds

Auscultating Lung Sounds and Respiratory Patterns

Electrolyte balance is important for maintenance of proper cardiac function. The nurse should be alert to changes in the electrocardiogram (ECG or EKG) which can indicate electrolyte imbalance; OR if an imbalance is present already, the nurse should investigate the possible ramifications to the ECG.
If you are a nurse in a critical care area, you already know the rapidity with which these changes can occur. If you are a med/surg nurse, or other specialty nurse, be aware of imbalance which can happen slowly. Due to the insidious nature of most electrolyte problems, you must prevent it from becoming severe.

Electrolyte balance is important for maintenance of proper cardiac function. The nurse should be alert to changes in the electrocardiogram (ECG or EKG) which can indicate electrolyte imbalance; OR if an imbalance is present already, the nurse should investigate the possible ramifications to the ECG.

If you are a nurse in a critical care area, you already know the rapidity with which these changes can occur. If you are a med/surg nurse, or other specialty nurse, be aware of imbalance which can happen slowly. Due to the insidious nature of most electrolyte problems, you must prevent it from becoming severe.

Aminoglycosides
Aminoglycosides are contraindicated in clients with hypersensitivity to amino glycosides. It is essential to use amino glycosides cautiously in clients with neuromuscular disorders and pregnant women.

Aspirin
Aspirins are contraindicated in clients with bleeding conditions and children with viral illnesses. It is essential to KNOW that giving aspirin to a child with viral illnesses can cause Reye’s syndrome.

Digoxin
Do not give digoxin to a patient with ventricular fibrillation. Ventricular fibrillation is the cause of cardiac arrest.

Dobutamine
Dobutamine’s contraindicated in clients with idiopathic hypertrophic subaortic stenosis.

Inamrinone
Do not give inamrinone to a client with sulfite allergy.

Iodine-containing Drugs
If a client has allergies to shellfish, then the client may be allergic to drugs that contain iodine.

Magnesium Sulfate
Do not administer magnesium sulfate in normal saline solution.

Metformin
Do not give metformin to someone who is going to undergo procedures with contrast dye, because it can cause acute renal failure.

Opioids
Opioids are contraindicated with clients with increased intracranial pressure because it can hide changes in level of consciousness. Change in level of consciousness is a huge sign to watch for clients with increased intracranial pressure.

Propranolol
Propranolol is contraindicated in clients with bronchial asthma.

Aminoglycosides
Aminoglycosides are contraindicated in clients with hypersensitivity to amino glycosides. It is essential to use amino glycosides cautiously in clients with neuromuscular disorders and pregnant women.

Aspirin
Aspirins are contraindicated in clients with bleeding conditions and children with viral illnesses. It is essential to KNOW that giving aspirin to a child with viral illnesses can cause Reye’s syndrome.

Digoxin
Do not give digoxin to a patient with ventricular fibrillation. Ventricular fibrillation is the cause of cardiac arrest.

Dobutamine
Dobutamine’s contraindicated in clients with idiopathic hypertrophic subaortic stenosis.

Inamrinone
Do not give inamrinone to a client with sulfite allergy.

Iodine-containing Drugs
If a client has allergies to shellfish, then the client may be allergic to drugs that contain iodine.

Magnesium Sulfate
Do not administer magnesium sulfate in normal saline solution.

Metformin
Do not give metformin to someone who is going to undergo procedures with contrast dye, because it can cause acute renal failure.

Opioids
Opioids are contraindicated with clients with increased intracranial pressure because it can hide changes in level of consciousness. Change in level of consciousness is a huge sign to watch for clients with increased intracranial pressure.

Propranolol
Propranolol is contraindicated in clients with bronchial asthma.

It is so important to ask the patient where the stomach pain is located. Do not assume when the patient says that he/she has stomach pain that it is generalized pain in the stomach. The location of the stomach can provide an answer. Do not forget that it is the nurse’s job to assess the patient!

It is so important to ask the patient where the stomach pain is located. Do not assume when the patient says that he/she has stomach pain that it is generalized pain in the stomach. The location of the stomach can provide an answer. Do not forget that it is the nurse’s job to assess the patient!

Decisions, decisions… You’ve spent the majority of your life in school working hard for the big prize. But, now that your real life dream is creeping closer, you have to make that difficult decision, what kind of nursing profession you have to chose This highly accurate algorithm is for thoes who are still clueless and could use some help.

Decisions, decisions… You’ve spent the majority of your life in school working hard for the big prize. But, now that your real life dream is creeping closer, you have to make that difficult decision, what kind of Nursing profession you have to chose This highly accurate algorithm is for thoes who are still clueless and could use some help.