258 revision 3 Flashcards
BP for a 3-5 yo child
BP 89-112/ 46-72
HR for a 3-5 yo child
80-120 (awake)
65-100 (sleeping)
RR for a 3-5 yo child
20-28
temp for a 3-5 yo child
35.8 - 38 (tympanic)
oxygen sats for 3-5 yo child
95
what are the stages of wound healing?
inflammation
organisation/proliferation
regeneragtion and fibrosis
what is a tertiary intention?
a delayed primary closure (the wound is left open and surgical closure is done later when wound is clean)
what kind of wounds are healed by secondary intention?
infected/contaminated wounds
dehisced surgical wounds
about how long till wound has healed enough to remove staples?
1 week
how long til primary intention wound achieves 90% strength?
about 3 weeks
describe the organisation/proliferation stage of wound healing
granulation tissue blood supply restored collagen from fibroblasts fills the gap macrophages epithelial cells divide to start closing the gap
describe the regeneration/fibrosis stage of wound healing
epithelium covers wound
scar tissue is formed
action of cephazolin
interferes with cell wall synthesis
bactericidal
broad spectrum
often 2nd line
administration of cephazolin
IV
indications for cephazolin
surgical prophylaxis skin bone and joint UTIs (also intra-abdo and gyna.) respiratory meningitis
cephazolin SEs
N+V, abdo pain fever skin: rash, itching dizziness, headache, insomnia, malaise superinfection anaphylaxis
what bacteria is resistant to cephalosporins?
MRSA
four aspects of a valid consent
informed,
specific,
voluntary
with capacity
elements of the GCS
eyes open verbal response motor response also note limb movement pupil size
what GCS score is associated with a need for airway management?
under 8
goal of wound cleansing?
remove debris and devitalised tissue
remove dressing residue
remove excessive/ dry crusting exudates
IDEAL discharge
Include – patient and family (with consent)
Discuss–home, medications, problems, warning signs, follow-up appointments
Educate – patient’s condition in plain language
Assess – how well education from doctors and nurses has been received
Listen – and respect patient’s goals, preferences, concerns
