有冇人收到2018 HA fg rn interview呀?

1001 回覆
15 Like 9 Dislike
2018-04-18 19:06:47
blood transfusion be ching.
12 lead ecg
2018-04-18 19:07:29
bed rest
2018-04-18 19:30:01
有人問過pressure sore stage 定義/ pressure sore score 點計
2018-04-18 20:06:44
如果bp drop 到90/50, increase HR, SaO2 90會點算理?

immediate 除左比O2, 訓低個人、仲有咩

睇下駛唔駛withhold bp drug,教佢抖氣?
2018-04-18 20:22:59
Inform ho
俾快水
Withhold bp drug
再睇下ho開咩藥
俾o2
Purse lip breathing
2018-04-18 20:23:35
Cardiac and sao2 monitoring
2018-04-18 20:25:33
如果依個情況係出現係post op之後都應該係咁上少intervention?
2018-04-18 20:30:18
要睇下點解bp低
2018-04-18 20:32:07
唔一定沖水
chf, fluid overload,或者renal 炒到pk都未必會沖水。
2018-04-18 20:33:14
Post op 咁有機會係excessive bleeding啦
要check返ot record blood loss幾多
Drain出左幾多 係咪patent
有機會塞左出唔到啲血出黎
傷口有冇oozing 紅同腫呢啲要assess埋
另外要睇佢本身有冇食開咩antiplatelet e.g aspirin/ warfarin 要withhold
同埋要inform surgeon??
2018-04-18 20:33:45
係啦 睇下ho開咩啦
2018-04-18 20:34:07
spo2 90 都唔洗好驚既 可能copd底呢
2018-04-18 20:34:13
BP drop heart rate 快 如果post op 要睇下有冇wound oozing 可能hypovolemic shock
2018-04-18 20:49:03
BP drop heart rate 快 如果post op 要睇下有冇wound oozing 可能hypovolemic shock


thanks all, 咁如果轉藥後BP drop呢

除左withhold隻藥inform doctor,continuous monitoring vital sign, 以上相應措施仲有咩
2018-04-18 20:59:52
q1 bp x4 if stable then q4
fluid resuscitation if too low
review drug dosage by mo
bed rest 平瞓
fall precautions !! postural hypo may occur
2018-04-18 21:10:10
未來護理界靠你地了
2018-04-18 21:32:48
唔該曬你答咗咁多 ,想問輸血前有咩準備同包血check咩(我答應該唔完整)

輸血前: baseline vital sign, consent, type and screen剩係得ABO group同rh? crossmatch donor同recipient 血型岩唔岩?

包血要2個護士對(用包血同咩form對?),check 係咩類型(全血/rbc/FFP果d),volume, serial no.(係咪姐係一個code)

仲有對identity?
2018-04-18 22:00:56
睇下patient有冇drip,準備定blood giving set,準備定HCA去拎血,睇下洗唔洗lasix cover

血form係blood bank拎血果時會俾你
check都係血vs form vs patient,用個barcode scanner嘟嘟嘟
同埋睇下包血正唔正常
2018-04-18 22:28:09
preparation:
醫生會開左type and screen
叫HO 抽完
等Lab 出result
出完就可印張type and screen 出黎攞血
packed cell 每次只可攞一包
事前準備:
baseline obs, iv access, blood given set
consent form(可病人本人或2MO consent),
prescription in progress sheet。如有發燒或ivf in progress, 要問左mo係咪繼續落血,是咪要w/h ivf (否則會fluid overload). 萬事齊先真係好搵人攞血。
包血上來要放15分鐘因為仲係凍的,睇清楚有無piriton or lasix. cover . piriton通常係pre 打。lasix有可能係pre 或post打

對血
2d bar code 機嘟嘟嘟。兩個nurse一個要係Rn. identification. blood product code. blood product component. blood group. patient identity. consent. prescription. indication hb level. blood product integrity. any abnormal ppt. exp. date etc... volume...

上左要同patient講common allergic signs
有唔舒服要禁鐘。15 mins recheck obs. post transfusion obs。

上完血收血要點處理。。。。
2018-04-18 22:29:48
好詳細呀
2018-04-18 22:30:08
allergic reaction take place 要點mx
有咩common signs and symptoms 你懂的
答得咁詳細都肥無野講
2018-04-18 22:32:45
有問dda用剩應該點處理 (injection )
2018-04-18 22:34:39
兩條粉腸望住discard.
寫返discard 幾多係dd簿
btw 唔識
2018-04-18 22:37:11
巴打
可唔可以問下stroke patient round片有咩野要注意
係咪都係assess skin有無pressure sore, 墊枕頭之類
2018-04-18 22:43:36
掉黑膠袋定sink盤?無知一問
好彩冇問,完全冇接觸過
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