Comp Predictor Flashcards
Assault
Making someone fearful
Threatening
Ex. Threatening to place NG tube if patient doesn’t eat
Battery
Intentional and wrongful physical contact
Ex. Restraining someone to administer an injection
False imprisonment
Person is confined or restrained against their own will
Albumin
3.4-5
Respite care
Allows for relief of caregivers
Risk for latex allergy
Bananas
Kiwi
Propofol allergy
Eggs
Soybean oil
Vesicant medications
Use for chemo
“Mycin” “rubicin”
Lyme disease
Nationally notifiable disease
Plagiocephaly
Cranial molding is asymmetric
Preventing by placing infant prone for 30-60 min day
Plagiocephaly treatment
Helmet worn 23 hrs day
3 months
Phenytoin SE
Nystagmus Sedation Ataxia Double vision Cognitive impairment Gingival hyperplasia Skin rash Dysrythmia Hypotension
Antieleptics teaching
Control seizures
Do not cure
Lifelong
Dose per patient (may start with 2 per day then 1 per day)
No driving
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
Inadequate nutrition labs
Albumin 2.4-2.9
Prealbumin less that 10.7
Prealbumin
15-36
Group session
Problem solving for behavior changes
Power and control issues dominated in this phase
Therapeutic communication
Adaption to body changes
Coping describes how individual handles demand imposed by the environment
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)
Coping
Empathetic
Identify strengths and abilities
Encourage autonomy
Describe coping skills useful in the past
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
