Term
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Definition
| When you do or don't do something that causes harm |
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Term
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Definition
| Negligence as a professional |
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Term
| Informed consent is the patient given written permission to do a |
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Definition
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Term
| Who does the informing on an informed consent |
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Definition
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Term
| The nurse job when it comes to informed consent is to |
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Definition
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Term
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Definition
No one allowed to assess unless they are taking care of patient, or if pt. gives permission to share information
Don't leave MAR open computer open etc. |
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Term
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Definition
Assess first always assess pt. first
Diagnosis Nursing
Planning
Implementation
Evaluation |
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Term
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Definition
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Term
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Definition
Nausea
What subject (patient) tells you |
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Term
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Definition
90/60-140/90
97-99.6
60-100
12-20
96-100%
0-10 |
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Term
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Definition
Call bell
Clutter free
Fitted shoes
Assisted devices |
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Term
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Definition
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Term
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Definition
Partial thickness
Loss of dermis without slough |
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Term
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Definition
Full thickness skin loss
Subq may be visible but no bone |
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Term
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Definition
Full thickness tissue loss
Exposed bone. Slough or eschar may be present |
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Term
| Risk factors for pressure ulcers |
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Definition
Bed rest
Mobility problems
Poor nutrition
Diabetes
Confused |
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Term
| Entral feeding you do what to the bed and why |
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Definition
| Elevate HOB to prevent aspiration |
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Term
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Definition
Dry mucous membranes
Decreased urine output
Dark urine
Poor skin turgor |
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Term
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Definition
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Term
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Definition
Closed
Below level of bladder
Pulse Ox greater than 95% |
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Term
| If we say ABG's are normal then |
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Definition
| O2 sat will be greater than 95% |
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Term
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Definition
Not enough ANTI DIURETIC HORMONE
LOSE FLUID
POLY URIA DIPSIA |
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Term
| The outcome of diabetes insipidus |
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Definition
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Term
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Definition
We give medication
s/s slowed down, vitals low |
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Term
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Definition
Rapid vitals up
They can take out part of the thyroid (thyroidectomy) |
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Term
| Thyroidectomy post op make sure |
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Definition
Airway is okay. Can have edema or bleeding that affect breathing.
Continue getting hormones rest of life and put in semi fowlers |
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Term
| PTH could accidentally be |
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Definition
| Taken out look for signs of hypocalcemia |
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Term
| What are the s/s of hypocalcemia |
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Definition
Numbness + tingling, spasms called Tetany
around mouth |
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Term
| Thyroid storm can occur due to taking thyroid out |
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Definition
High BP, High pulse
ALL VITALS UP |
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Term
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Definition
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Term
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Definition
A chronic condition that affects the way the body processes blood sugar (glucose)
Older, gaining weight, obesity |
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Term
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Definition
3 polys uria, dipsia, phagia
Weight loss
Fatigue
Malaise |
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Term
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Definition
Need some candy
Hypoglycemia |
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Term
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Definition
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Term
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Definition
3 polys uria, dipsia, phagia
Dry skin
Blurred vision
Drowsiness
Decreased healing |
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Term
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Definition
Fast heartbeat
Impaired vision
Sweating
Dizziness
Anxious
Hunger
Shaking
Irritable
Fatigued |
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Term
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Definition
| Blood sugar gets high starts to burn fat. The early s/s match hyperglycemia s/s |
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Term
| Treatment for hyperglycemia and DKA |
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Definition
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Term
| Worried about infection in diabetics so you need to check |
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Definition
| Feet daily + report any signs of openings |
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Term
| Blood vessels in hyperglycemia can be |
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Definition
| Damaged due to blood sugar being so high |
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Term
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Definition
| Temporary lack of O2 to an area of the heart. No damage done |
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Term
| Angina is normally caused from atherosclerosis which is |
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Definition
| Plaque buildup on pulmonary arteries |
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Term
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Definition
| Permanent lack of O2 to an area. Cell necrosis occurs. Affect left ventricle mostly |
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Term
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Definition
| Chest pain radiate to jaw down arm to shoulders. Severe vice like pain and diapharesis |
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Term
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Definition
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Term
| Inflammatory heart disease is caused by |
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Definition
| Unresolved streptococcal infection that can lead to rheumatic heart disease |
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Term
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Definition
LUNG
SOB, pink frothy sputum |
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Term
| Heart failure right sided |
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Definition
REST of the body
Ascites, swollen ankles |
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Term
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Definition
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Term
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Definition
Deep vein thrombosis
Holmans sign
Dorsi flex foot
Looking for pain in calf
Circulatory changes |
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Term
| If you suspect thrombophlebitis or DVT you don't |
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Definition
| Rub calf could become and embolism could go to lungs - PE |
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Term
| Always compare affected side with |
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Definition
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Term
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Definition
| Lack of platelets under 100k |
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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
Chest x-ray and 3 AFB sputums
When dx you use multiple antitubulecular (antibiotics) |
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Term
| Key to treatment of TB is medical compliance you can check that by |
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Definition
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Term
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Definition
| Lungs stay inflated prevent atelectasis |
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Term
| Chest tubes is for someone who |
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Definition
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Term
| Chest tubes have 3 chambers |
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Definition
Suction to suction no bubbles
Water seal chamber no air/bubbles
Collection area (can measure) |
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Term
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Definition
Inflammatory bowel disease
15-20 stools a day w/ blood, pus, mucous |
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Term
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Definition
A chronic inflammatory bowel disease that affects the lining of the digestive tract
Need B12 |
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Term
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Definition
| In blood + body fluids. Protect using standard precautions |
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Term
| Hepatitis A is in stool and you need to use |
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Definition
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Term
| Obstruction when bile is blocking s/s |
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Definition
Jaundice
Sclera icterus (yellow sclera)
Dark tea urine
Clay colored stool
Pruritis |
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Term
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Definition
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Term
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Definition
Urinary frequency
Burning on urination
Hematuria
Nocturia
Dysuria
Cloudy urine
Fever |
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Term
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Definition
Kidney stones
Painful prevent/loosen them up by FORCE FLUIDS |
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Term
| BPH Prostate cancer you can operate by |
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Definition
| Going through the urethra |
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Term
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Definition
| Continuous bladder irrigation to prevent blood clots irrigation + urine come out in foley |
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Term
| With prostate cancer you want to monitor |
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Definition
| CBI and maintain good I+O, check for bleeding, force fluids, check vitals |
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Term
| The only way to definitively dx cancer is to do |
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Definition
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Term
| Treatment for cancer can include |
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Definition
| Surgery to cut out cancer and radiation external or internal |
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Term
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Definition
| Go everyday do not carry radioactivity with them |
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Term
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Definition
Carry radiation with them
TDS
Time
Distance
Shield
Spend as little time with patient as possible |
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Term
| Chemo affects bone marrow and cause |
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Definition
Anemia
Luekopenia
Thrombocytopenia
Affect hair
NVD |
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Term
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Definition
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Term
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Definition
Auto immune disease
Cells invade @ NMJ
Mainly affects upper body and causes upper body muscle weakness
Worried about aspiration + resp. |
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Term
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Definition
Auto immune and does affect multiple systems
Stay out of the sun |
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Term
| HIV/AIDS virus attacks T cells which are |
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Definition
| CD4 cells which is what turns on immune system |
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Term
| Look at the viral load to see if decreasing in |
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Definition
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Term
| Oppurtunistic diseases are all infections except |
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Definition
| Karposi sarcoma which is a caner |
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Term
| List of oppurtunistic infections |
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Definition
PCP (Fungus) most common
Herpes Simples (HSV) Vesicular eruptions in oral cavity + perineal area
Candida albicans white patches in mouth
Varicella zoster virus (Shingles)
TB Usually lungs can be bone marrow CNS kidneys |
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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
Inflammatory disorder overproduction of epidural cells severe scaly rashes
NOT CONTAGIOUS |
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Term
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Definition
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Term
| Scabies are highly pruritic which means |
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Definition
Under the skin pruritis
Skin folds
Alot of tunneling |
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Term
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Definition
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Term
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Definition
Superficial thickness
Involves epidermis, erythema, painful, dry surface, no blister, blanching on pressure, no scarring |
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Term
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Definition
Partial thickness
Involves epi+dermis: Blisters, very painful, blanches, can be cherry red, tan, white, pink |
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Term
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Definition
Full thickness
Involves epidermis, dermis, subcutaneous tissue, muscle + bone; little to no pain, no blanching, dry leathery eschar, black or red, skin looks charred |
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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
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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
Pain
Pallor
Paresthesia
Paralysis
Polar temp.
Puffiness
Pulselessness |
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Term
| Always compare affected side |
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Definition
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Term
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Definition
| Systemic, poly arthritis, multiple joints |
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Term
| Rheumatoid arthritis upon rising what can help loosen stiffness |
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Definition
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Term
| Osteoarthritis is only on specific joints and its what type of arthritis |
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Definition
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Term
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Definition
Can't metabolize purines and big toe gets big
Have to force fluids
It can cause an attack of sudden burning pain, stiffness, and swelling in a joint, usually a big toe. |
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Term
| Hip precautions is to prevent |
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Definition
| Adduction by putting a pillow to abduct |
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Term
| With hip precautions there can be no |
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Definition
Flex, bending
and have to use low chair and a raised toilet seat |
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Term
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Definition
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Term
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Definition
| Stabilize the fracture until hip surgery |
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Term
| Lumbar puncture is for CSF and the position is |
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Definition
| Side lying head and knee flex |
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Term
| After a lumbar puncture you |
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Definition
| Lay patient flat (supine) for 4-6 hours to avoid headache |
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Term
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Definition
Changes in LOC
Personality changes
Headache
Nausea
Diplopia |
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Term
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Definition
Pupil changes
Changes in BP
Changes in Resp.
High uncontrolled temp.
SEIZURES |
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Term
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Definition
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Term
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Definition
Increased ICP
Severe headache
NUCHAL RIGIDITY (STIFFNESS OF NECK) |
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Term
| Parkinson is a motor disorder and has nothing to do with |
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Definition
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Term
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Definition
Brady diskniesia
Tremors
Masklike face |
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Term
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Definition
Turn+position
ROM
Skin care
Communicate |
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Term
| Seizure precautions you need to |
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Definition
| Protect+Prevent aspirations |
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Term
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Definition
Traumatic brain injury (TBI)
Any head injury |
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Term
| Spinal cord injury can have urinary retention which will then make an abnormal response called |
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Definition
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Term
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Definition
Due to constipation/urinary retention
BP SKY HIGH PULSE LOW |
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Term
| With Autonomic dysflexia you can use |
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Definition
An indwelling foley or intermittent
Make sure draining is happening |
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Term
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Definition
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Term
| With sickle cell the clumping causes |
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Definition
Dehydration
You need to give fluid |
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Term
| Pregnant last menstrual April 15th. |
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Definition
Answer January 22nd.
3 months back + 7 DAYS |
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Term
| Pregnant woman with 4 children and history of 3 spontaneous abortion |
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Definition
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Term
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Definition
| # of pregnancies completed or not |
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Term
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Definition
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Term
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Definition
8-10 No action
4-7 Gentle stimulation
-3 Assess |
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Term
| Acute infectious diarrhea w/ siblings at home you don't want |
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Definition
| Them to share a shower together |
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Term
| Hallucination is a pt saying |
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Definition
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Term
| Ped unit prevent falls on child by |
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Definition
| Using seatbelts in high chair or stroller |
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Term
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Definition
30 min.-2hr.
7-10cm. dilate full effaced
Amniotic membrane rupture
Contraction q 2-3 min. |
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Term
| Iron deficiency is common in |
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Definition
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Term
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Definition
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Term
| Make sure pt. is taking meds or it can |
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Definition
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Term
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Definition
| Obstruction of lower end of stomach, Projectile vomiting |
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Term
| The vomitus in projectile is clear due to |
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Definition
No bile
Non billious vomitus |
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Term
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Definition
| Pregnant woman lies on her back weight of uterus+fetal contents presses on vena cava and the abdominal aorta |
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Term
| With supine hypotension you can help by |
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Definition
| Putting pillow under right hip to help relieve compression of vessels |
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Term
| Epidural block what to look for |
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Definition
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Term
| Bronchiolitis and feeding an infant vitals will be |
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Definition
Tachypnea
Increased Respirations |
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Term
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Definition
Include in plan of care
Will improve self esteem |
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Term
| Infant admitted with pneumonia enters mist tent to |
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Definition
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Term
| ADD dx and bouncing off walls what is the plan of action |
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Definition
Nice quiet environment
Individualized teaching
Repetitive (what you want) |
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Term
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Definition
Crossed
Move entire head instead of eyes |
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Term
| 2 year old potty training wait |
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Definition
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Term
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Definition
| Characteristic burrow under skin especially between fingers |
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Term
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Definition
| If low bleeding precautions |
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Term
| Cleft palate repair you need to do |
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Definition
Speech therapy
Position
Nutrition |
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Term
|
Definition
Blood pouring into joints
Cold compress |
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Term
| Sickle cell trait if you have |
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Definition
| It does not develop into a disease. Just a carrier no S/S |
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Term
|
Definition
| Never palpate abdominal area |
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Term
| Unconscious behavior that will decrease anxiety |
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Definition
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Term
| Epiglottis inflammation of vocal cords child insist and sits forward and |
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Definition
DROOLING + SALIVA
Due to difficulty in swallowing |
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Term
| Excema caused by allergen breakdown in skin Itchy child |
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Definition
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Term
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Definition
| Incision of eardrum no earplugs in shower or PE tubes are in place |
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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
| Suicidal pt. good chance to attempt is during |
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Definition
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Term
| GERD is given thickened feedings and you can tell success by |
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Definition
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Term
| Manic patient altered nutrition due to |
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Definition
|
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Term
| Lordosis is inward curvature of spine happens in |
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Definition
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Term
| Major s/s of reyes syndrome is |
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Definition
| Persistent vomiting+diarrhea |
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