Term
| Enemas with tap water/hypotonic solution? |
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Definition
| NEVER repeated due to potential of water toxicity |
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Term
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Definition
| fainting - complication of constipation related to valsalva maneuver |
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Term
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Definition
| performed by moderately forceful attempted exhalation against a closed airway, usually done by closing one's mouth and pinching one's nose shut. Variations of the maneuver can be used either in medical examination as a test of cardiac function and autonomic nervous control of the heart, or to "clear" the ears and sinuses (that is, to equalize pressure between them) when ambient pressure changes, as in diving, hyperbaric oxygen therapy, or aviation. |
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Definition
Arises from damage to or inflammation of tissue other than that of the peripheral and CNS.(throbbing, aching, localized)
*RESPONDS to opiods and nonopiods |
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Definition
| bones, joints, muscles, skin, or CT |
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Definition
| internal organs, can cause referred pain |
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Definition
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Definition
arises from abnormal or damaged pain nerves
--> phantom limb pain, pain below level of spinal cord injury, diabetic neuropathy
- intense burning, shooting, "pins and needles"
Meds: antidepressants, antispasmodic, skeletal muscle relaxant |
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Definition
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Definition
| inflammation of a vein (usually lower extremity) resulting in clot formation |
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Term
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Definition
| pain, erythema, edema, swelling @ site |
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Term
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Definition
| notify provider, position client in bed with bed elevated, avoid ANY pressure at site of inflammation, anticipate giving anticoags |
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Term
| Symptoms of pulmonary embolism |
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Definition
| SOB, chest pain, coughing blood (heatemesis), low BP, rapid pulse, |
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Term
| weight shifts in wheel chair performed every.. |
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Definition
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Term
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Definition
Move cane forward 6 - 10 inches
Move bad leg
Move good leg
CBG***** |
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Term
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Definition
Fowler's or chair when eating
-support back, head, and neck
-Tuck chin when swallowing
-Observe for pocketing of food
-Maintain semi-fowler's AT LEAST an hour after eating
-Provide oral hygiene after meals + snacks |
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Term
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Definition
looks at eye, verbal, and motor response - assigns # based on response
15 = highest
3 = coma |
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Term
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Definition
| ask client to stand w/ft @ comfy distance apart, arms at sides, eyes closed. Expect: stand w/minimal swaying for at least 5 secs |
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Definition
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Term
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Definition
| Nuclear + grandparents, uncle/aunt, cousins |
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Term
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Definition
| nuclear + step child, family of divorce w/ remarriage, |
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Term
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Definition
| grandparents raising grandchild, single adult living alone, gay/lesb, cohab parners |
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Term
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Definition
| anteroposterior diameter should be 1/2 of transverse diameter |
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Term
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Definition
palpate chest wall using ulnar surface of both hands, comparing side to side top to bottome
-->ask to say 99 each time the hands are moved
-->expected: vibration symmetric and more pronounced at top |
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Term
| Thorax Inspection: Dullness |
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Definition
| caused by fluid or solid tissue, indicates pneumonia or tumor |
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Term
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Definition
| caused by presence of air, can indicate pneumothorax or emphysema |
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Term
| Stage of sleep where body acheives physical rest + resoration (repair + renewal of tissue)? |
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Definition
Stage 4 NonREM // DELTA sleep!
--talking+ walking also occurs
-15 - 30 mins long
-Deepest sleep |
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Term
| What stage do you dream in? |
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Definition
REM! Beings 90 minutes after sleep. Length increases w/ each cycle. Avg length = 20 mins
MENTAL TEST + RESTORATION! |
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Definition
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| 11 - 12 for younger, 9 - 10 for older |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| 6 - 8.5 w/naps accounting for some of the hours |
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Term
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Definition
| More than 5 occurrences lasting longer than 10 seconds during sleep |
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Term
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Definition
caused by:
CNS dysfunction
Obstructive - when upper airway becomes occluded by relaxed structures in mouth and throat |
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Term
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Definition
Slower metab requires fewer cals
BUT still need most of the vits + mins as everyone else |
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Term
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Definition
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Term
| What reverses opiod drug effects? |
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Definition
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Term
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Definition
enhance effects ofnonopiods, help alleviate other symptoms that aggravate pain (depression, seizures, inflammation) and useful for NEURO pain!
--> anticonvulsants, antianxiety, antidepressants, antihistamine, antiemetics |
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Term
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Definition
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Term
| Cause for concern: urination? |
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Definition
| Less than 30mL/hr for more than 2 hours |
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Term
| Specimen Collection - Urinalysis is? |
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Definition
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Term
| Specimen Collection: Clean - catch |
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Definition
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Term
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Definition
| sample "caught" midstream after throough cleansing of urethral meatus, voids some into toilet, stops, urinates in sterile cup (don't touch lid/put fingers in cup) |
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Term
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Definition
| STERILE specimen from straight or indwelling catheter using SURGICAL ASEPSIS |
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Term
| How to: Catheter Urine Specimen |
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Definition
- Drain cath's tubing of urine
- clamp cath's tubing below port for 20 min
-using SURG ASEPSIS while w/drawing required amt from port w/syringe
- unclamp catheter |
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Term
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Definition
usually collected for 24 hours but can be ordered for varying times.
DISCARD first void
Collect all others in container placed on ice, if urinates + discards timing MUST begin again after NEXT void |
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Term
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Definition
| transmission of meds from location of administration to bloodstream (IVs don't have this) |
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Term
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Definition
| transportation of medications to sites of action by bodily fluids |
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Term
| Medication Metabolism: Age |
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Definition
| infants have limited med-metabing capactiy. The aging process can also influence metab ...hepatic levels tend to decrease w/age |
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Term
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Definition
| Trough Level is the amount of a DRUG in the BLOOD circulation at the drug’s lowest therapeutic concentration. Generally the trough level occurs immediately before the person is due to take the next DOSE of the drug. The trough level helps the doctor determine if the dosage is appropriate to achieve the desired therapeutic effect and is useful information primarily at the onset of treatment. The goal of most medication therapy is a steady state of the drug’s concentration in the body, at which there is little difference between the drug’s PEAK LEVEL (highest concentration in the blood circulation) and trough level. |
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Term
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Definition
| meds leave body btw 4 - 8 hours |
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Term
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Definition
| Meds stay in body for 24+ hours |
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Term
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Definition
| vastus lateralis site for infants + children 2 and under |
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Term
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Definition
Ventral gluteal can be used - up to 2 mL
-deltoid up to 1 mL |
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Term
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Definition
.01 - .1 mL
tuberculin syringe
Fine gauge needle 26 - 27
10 - 15 angle |
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Term
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Definition
approp for small doss of non-irritant, water-soluble meds
3/8 - 5/8 in needle, 25 - 27 gauge needle
NO MORE than 1/5 mL, 45 - 90 into FAT!! |
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Term
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Definition
Approp for irritating meds (z-trac), solutions in oils, and aqueous suspensions
18 - 27 size, 22 - 25 gauge
-->ventrogluteal, dorsogluteal, deltoid, vastus lateralis (peds) |
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Term
| Parenetera: use tuberculin syringe when... |
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Definition
| fluid volume is less than .5 mL |
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Term
Intravenous Gauge:
16
18
22-24 |
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Definition
16 = trauma
18 = surgical pts
22-24= children, older adults, med pts, and stable post op pts |
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Term
| Epidural: needle inserted where? |
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Definition
| 4th or 5th vertebrae - cath advanced through the needle |
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Term
| Epidurals - what is necessary? |
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Definition
| infusion pumps necessary to administer meds |
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Term
| Suppositories - what position? |
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Definition
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Term
| Suppository: how long should meds be left in for stim of defecation? |
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Definition
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Term
| Suppository: how ling should pt retain meds for systemic absorption? |
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Definition
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Term
| You should omit/delay dose if.. |
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Definition
PT questions size of dose or appearance
*TAKE MEDICATION ADMIN RECORD TO BEDSIDE!! |
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Term
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Definition
| peripheral or central vein ( central venous access device) |
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Term
| Central vein - what are the 2 insertions spots? |
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Definition
| jugular or subclavian vein |
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