Comp Predictor Flashcards by Ashley Shores

Assault

Making someone fearful

Threatening

Ex. Threatening to place NG tube if patient doesn’t eat

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Battery

Intentional and wrongful physical contact

Ex. Restraining someone to administer an injection

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False imprisonment

Person is confined or restrained against their own will

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Albumin

3.4-5

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Respite care

Allows for relief of caregivers

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Risk for latex allergy

Bananas

Kiwi

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Propofol allergy

Eggs

Soybean oil

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Vesicant medications

Use for chemo

“Mycin” “rubicin”

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Lyme disease

Nationally notifiable disease

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Plagiocephaly

Cranial molding is asymmetric

Preventing by placing infant prone for 30-60 min day

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Plagiocephaly treatment

Helmet worn 23 hrs day

3 months

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Phenytoin SE

Nystagmus
Sedation
Ataxia
Double vision
Cognitive impairment 
Gingival hyperplasia
Skin rash
Dysrythmia
Hypotension

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Antieleptics teaching

Control seizures

Do not cure

Lifelong

Dose per patient (may start with 2 per day then 1 per day)

No driving

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Circumcision care

Change diaper every 4 hours

Clean penis with warm water

Clamp procedure- petroleum jelly

Don’t wrap in tight gauze

No tub bath until healed

Don’t wash yellow exudate

Heals completely within couple of weeks

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Inadequate nutrition labs

Albumin 2.4-2.9

Prealbumin less that 10.7

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Prealbumin

15-36

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Group session

Problem solving for behavior changes

Power and control issues dominated in this phase

Therapeutic communication

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Adaption to body changes

Coping describes how individual handles demand imposed by the environment

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General adaption syndrome

Stress syndrome

Alarm reaction (body function response to stress)
Resistance stage (body copes with stressor)
Exhaustion stage (body function can’t maintain response to stressor, recovery or death occurs)

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Coping

Empathetic
Identify strengths and abilities
Encourage autonomy
Describe coping skills useful in the past

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Mania

Labile with euphoria
Agitation and irritability
Restlessness 
Increased activity 
Flight of ideas
Grandiosity 
Impulsivity 
Demanding and manipulative behavior 
Decreased attention spans
Poor judgment 
Attention seeking
Decreased sleep
Neglect of ADLs
Delusions and hallucinations
Denial of illness

Communication with patient hallucinating

Don’t agree or disagree with hallucinations

“I don’t see this, but you seem frightened”

Increase safety

Identify triggers

Biofeedback

Technology to increase awareness of various neurological body response to minimize extremes

Therapeutic touch

Use of hands to bring energy to fields of balance

COPD diet

High calorie foods

Thrombocytic therapy contraindications

``` Hemorrhagic stroke Arteriovenous formation Internal bleeding Head or spine trauma Pericarditis or endocarditis Brain tumor Hepatic or kidney disorder HTN ```

Blood admin preprocedure

``` Review order Obtain consent Obtain blood samples Assess for previous reactions Initiate large bore access 18-20 gauge Obtain blood from blood bank Identify 2 RNs ```

PICC Interventions

Flush .9% sodium chloride Flush 5ml heparin when not in active use m Dressing change every 7 days

Implanted port

Common use: chemo Noncoring HUBER needle Check for blood return prior to med admin Flush 5 ml heparin after each Use and once per month

Gastrectomy medications teaching

Take on empty stomach

Labs for anemia

``` CBC RBC MCV MCH MCHC Iron study (TIBC) Hgb Sickle cell schilling ```

Diagnostics for anemia

Bone marrow aspiration

Electroencephalogram (EEG) education

Abstain from caffeine for servers hours prior Wash hair before and after procedure Take deep breath Exposed to high flashes of light With hold sleep prior to test Can sleep during test Painless diagnostic

Invasive cardiovascular procedure: preventing complications

Anticoagulants Supine and bed rest Vitals every 15 Vitals every 30 Every hour Every 4 hours

Positioning patient for no stress test

Semi Fowler’s Left lateral

Cardiac catheterization preprocedure

``` Purge air Supine or trendelenburg Sedation and pain meds Level transducer with phlebostatic axis (4th intercostal space) Zero system Compare arterial BP with noninvasive BP ```

Tension pneumothorax

``` Tracheal deviation Absent breath sounds one side Distended neck veins Resp distress Asymmetry is Chest Cyanosis ```

Cystic fibrosis home teaching

Proper use of MDI, PEP, Neb Rinse mouth after fluticasone, propionate/salmeterol Use 1-2x daily

Retinoblastoma

Pupil white with light shined in eye

Primary intention wound healing

Little or no tissue lost Edges approximated Heals rapidly Minimal or no scarring Ex. Closed surgical incision

Secondary intention healing

Loss of tissue Wound edges separated Scarring Heals by granulation Ex. Pressure ulcer

Tertiary healing

``` Widely separated Deep Closure occurs when free of infection Extensive drainage and tissue debris Long healing time ```

Afib complications

``` Hypotension Tachycardia Cyanosis JVD syncope ```

Syncopal episode

Sudden drop in HR and BP Leads to fainting Often from stress

Presbyopia

Age related farsightedness | Can’t see close

Myopia

Nearsighted | Can’t see far

D-dimer test

Rules out clots Used to test for DVT, pulmonary embolism

Schilling test

Tests B12 deficiency or anemia

Impetigo

Rash in children contagious Red sores in face, hands, feet

Pyloric stenosis

Gastric outlet obstruction Opening between stomach and small intestine thickens

Laissez-faire

Low relationship Low task