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Details

Fundamentals Test one
vitals, pain, and I&O and medication administration
78
Nursing
Undergraduate 1
02/12/2012

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Cards

Term
Factors affecting body temp.
Definition
age
circadian rhythms
exercise
hormonal
stress
environmental
Term
oral temp
Definition
98.6F or 37C
Term
Older adults >70
Definition
slightly lower
Term
oral temps in <6yo
Definition
don't happen
Term
Rectal
Definition
most accurate, least favorite....
Adult 97-100F
Pediatric 99.8 or 37.7C
Term
axillary
Definition
safest, most noninvasive, least accurate
Term
Tympanic
Definition
readily accessible,
quick
not as accurate due to cerumen and/or technique
Term
oral
Definition
15-30 min after eating or drinking or smoking
glass 2-3 min
Term
rectal
Definition
lubricant
3-5 min
Term
Axillary
Definition
across chest,
adults 9 min
kids 5 min
Term
drugs which lower pulse rate
Definition
negative chronotrophic drugs,
beta-adreneric
Ca++ channel blockers
Term
Drugs which raise pulse
Definition
epinephrine and positive chondrotrophic drugs
Term
pulmonary changes which raise pulse
Definition
low o2 stats
things such as COPD and asthma
Term
pulse with regular rhythm
Definition
radial
Term
weak or absent pulse
Definition
carotid or apical
Term
auscultate irregular or unequal pulses
Definition
apical
Term
auscultate infants
Definition
apical
brachial in arrest
Term
Acceptable pulse ranges: Infant
Definition
120-160bpm
Term
Acceptable pulse ranges: Toddler
Definition
90-140bpm
Term
Acceptable pulse ranges: Preschooler
Definition
80-110bpm
Term
Acceptable pulse ranges: School aged
Definition
75-100
Term
Acceptable pulse ranges: Preschooler
Definition
80-110bpm
Term
Acceptable pulse ranges: Adolescent
Definition
60-90bpm
Term
Acceptable pulse ranges: Adult
Definition
60-100bpm
Term
Heart Rate strength
Definition
0-absent/not palpable
1+ diminished
2+ expected/normal
3+ full/increased
4+ bounding
Term
Normal respiratory ranges: newborn
Definition
30-60
Term
Normal respiratory ranges:infant
Definition
30-50
Term
Normal respiratory ranges: toddler
Definition
25-32
Term
Normal respiratory ranges: child
Definition
20-30
Term
Normal respiratory ranges: adolescent
Definition
16-19
Term
Normal respiratory ranges: adult
Definition
12-20
Term
medicine effecting respiration
Definition
down- broncho-dilators, opioid
up- amphetamines and cocaine
Term
Normal Blood pressure: newborn
Definition
40 mean
Term
Normal Blood pressure: 1month
Definition
85/54
Term
Normal Blood pressure: 1 year
Definition
95/65
Term
Normal Blood pressure: 6 years
Definition
105/65
Term
Normal Blood pressure: 10-13
Definition
110/65
Term
Normal Blood pressure: 14-17
Definition
120/75
Term
Normal Blood pressure: >18
Definition
120/80
Term
Normal pulse o2
Definition
95-100 (ideally above 98)
Term
Abnormal pulseo2
Definition
report under 90
Term
serotonin
Definition
stop pain
Term
bradykinin
Definition
increases pain
Term
neuromodulators
Definition
body's natural morphine
Term
gate theory
Definition
pain is emotional and cognitive
Term
things to look for with pain :
LOCSTAAM
Definition
L- location
O-onset
C- character
S- severity
T- timing
A- alleviating factors
A- aggravating factors
M- medication or other treatments tried
Term
pain
Definition
up to 6 months
Term
chronic pain
Definition
over 6 months
Term
altered comfort
Definition
uncomfortable due to noxious stimulous
Term
non-pharmacological interventions:
Definition
acupressure
distraction
music therapy
progressive muscle relaxation
simple relaxation therapy
simple massage
simple guided imagery
Term
renal diet
Definition
limit na k and protein
Term
fluid retention/hydration best measured by
Definition
weight
Term
record all intake as
Definition
cc/mL NOT oz
Term
intake consists of
Definition
anything liquid at room temp
Term
nociceptive pain
Definition
visceral (aching locally or cramping) or somatic pain (ache, throb) normal processing of stimuli
Term
Neuropathic pain
Definition
abnormal pain. treatment normally involves adjutant analgesics
Term
2009 dietary guidelines to remember
Definition
fat intake btw 20-35% calories mostly polyunsaturated or monounsaturated fatty acids

little salt lots of potassium
Term
religious restrictions: Islam
Definition
pork
alcohol
caffeine
Ramadan fasting
ritual animal slaughter required
Term
religious restrictions: Christianity
Definition
minimal alcohol
holy day observance (possibly no meat)
Term
religious restrictions: Hinduism
Definition
all meat
alcohol
Term
religious restrictions:Judaism
Definition
pork fowl shellfish rare meat
blood, mixing meat with milk, kosher
24hour fasting with Yom Kippur
no leavened bread during passover
no cooking on the Sabbath (sat)
Term
religious restrictions: Mormons (church of latter-day saints)
Definition
alcohol, tobacco, caffeine, limit meat
Term
religious restrictions:Seventh-day Adventist church
Definition
pork
shellfish
alcohol
coffee
tea
vegetarian
Term
med admin regulated by
Definition
Nurse practice act
Term
with heparin
Definition
double check dose with other nurse
Term
Insulin!
Definition
clear then cloudy!!
short then long acting!
Term
Heparin antidote
Definition
Protamine Sulfate
Term
Heparin route
Definition
IV or SQ
Term
Heparin IV will ALWAYS be
Definition
on a pump
Term
Use caution with heparin when
Definition
ASA NSAIDS Ulcers aneurysms bleeding precautions
Term
Prophylactic dose of heparin
Definition
5,000 units right before OR
Term
with ampules you must
Definition
use a filter device
Term
subcutaneous injections: heparin lovenox fragmin insulin
Definition
1cc syringe
1/2-5/8 inch needle
25-27 gauge
volume 45 or 90 degree angle
Term
intradermal
Definition
syringe- 1cc preferred can use 3
needle 3/8in
gauge 26-27
volume .001-1cc
5-15 degrees
bleb
Term
intramuscular
Definition
syringe 3cc
needle 1 1/2 in (adjust to person)
gauge 20-25
angle 90degree
aspirate
know sites
3cc max
Term
parenteral
Definition
outside of the gi tract
Term
screw top route
Definition
oral
Term
six rights of med admin
Definition
1.Right Client
2.Right Medication
3.Right Time
4.Right Route
5.Right Dosage
6.Right Documentation
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