Clinical Flashcards

1
Q

Before a pt goes to surgery, what should their blood glucose be kept above?

A

150

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2
Q

What is the purpose of BIS (bispectral index) monitoring during anesthesia?

A

To assess pt’s depth of consciousness

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3
Q

Red-tinged drainage

A

Sanguineous

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4
Q

Clear or yellowish drainage

A

Serous

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5
Q

Where is the tip of a central line located?

A

Superior vena cava

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6
Q

What is a hub used for?

A

For flushing IV or admin of IV push meds

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7
Q

What is vented tubing used for?

A

Meds in glass containers

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8
Q

How often should a saline lock be flushed?

A

Every 12 hours

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9
Q

How often should IV sites be examined?

A

Every 4 hours and as needed if pt has discomfort or complications

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10
Q

Irritating fluids in tissue area around IV

A

Extravasation

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11
Q

Non vesicant fluids leaking around IV site

A

Infiltration

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12
Q

How to avoid nerve damage to the median nerve

A

Do not start an IV within 4 inches of the wrist

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13
Q

When do 10 mL syringes NEED to be used

A

When doing anything with a midline or PICC line

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14
Q

Common syringe size for Intradermal injections

A

1 mL

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15
Q

Common needle gauge and length for Intradermal injections

A

26-29 gauge
0.5 inch

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16
Q

Max volume for Intradermal injection site

A

0.1 mL

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17
Q

Common syringe size for subcutaneous injections

A

1-3 mL

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18
Q

Needle gauge and length for subcutaneous injections

A

25-31 gauge
0.5 - 1 inch (only 1 if the person is very obese)

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19
Q

Max volume for a subcutaneous injection

A

1 mL

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20
Q

Common syringe size for intramuscular injections

A

3 mL

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21
Q

Needle gauge and length for intramuscular injections

A

21-23 gauge
1-2 inch (2 inch is rare)

22
Q

Max volume for intramuscular injections

A

3 mL for Ventrogluteal and Vastus lateralis
1 mL for deltoid

23
Q

What type of insulin as Aspart?

24
Q

Onset of action for Aspart

A

10-20 mins

25
Peak for aspart
1-3 hours
26
Duration of action for Aspart
3-5 hours
27
What type of insulin is Regular?
Short acting
28
Onset of Regular insulin?
30-60 minutes
29
Peak of Regular insulin
1-5 hours
30
Duration of Regular insulin
6-10 hours
31
What type of insulin is Detemir?
Long acting
32
Onset of Detemir
60-120 minutes
33
Peak of Detemir
None
34
Duration of Detemir
12-24 hours
35
What should you do if you pt’s accu check is <70 and they can swallow?
Admin 15 g carbohydrate every 15 mins until glucose level is >70 (3 glucose tabs or 4 oz soda)
36
What should you do if pt’s accu check is <70 and they cannot swallow?
Administer 25 mL (1/2 amp) of D50W (50% dextrose)
37
What should you do if your pt’s accu check is <70 and they cannot swallow and do not have an IV?
Administer 1 mg glucagon IM and turn pt onto left side
38
What should you do after you’ve administered/fed glucose to pt?
Recheck glucose after 15 mins. If it is not >70 after 30 min of tx if still not >70 When it is >70, provide protein/carb snack like 2 tbsp PB & 3 saltine crackers or 8oz milk
39
CN 1
Olfactory Use alcohol pad to assess
40
CN II
Optic PERRLA
41
CN III
Oculomotor Follow finger or penlight with eyes only
42
CN IV
Trochlear Follow finger or penlight with eyes only
43
CN V
Trigeminal Clench jaws, use light touch test
44
CN VI
Abducens Follow finger or penlight with eyes only
45
CN VII
Facial Smile, frown, make funny faces, taste sugar or salt?
46
CN VIII
Vestibulocochlear Determine distance or loudness of sounds
47
CN IX
Glossopharyngeal Gag reflex or swallowing (can assess when giving meds or a drink of water)
48
CN X
Vagus Pt says “ahh”, watch for uvula movement
49
CN XI
Accessory Pt shrugs shoulders and turns head against force
50
CN XII
Hypoglossal Pt sticks tongue out