CP: POD #1 Flashcards
Blood Pressure
The force exerted on the walls of the arteries by the pulsing blood under pressure from the heart
factors that can affect temperature
-age
-environment
-exercise
-stress
-circadian rhythm
factors that can affect heart rate
-exercise
-temperature
-meds
-pain
-hemorrhage
-postural changes
quality/strength (pulse)
volume of blood ejected against the arterial wall with each heart contraction
depth (respiratory)
amount of movement in the chest wall during breathing
-deep, normal, shallow
factors that affect respiratory rate
-smoking
-exercise
-anxiety
-acute pain
-meds
-body position
-neurological injury
-hemoglobin
rhythm (respiratory)
-regular or irregular breathing problems
-observe the chest or abdomen (contraction and relaxation of the diaphragm)
systolic BP
-peak of max pressure when ejection occurs
-100-139 mmHG
pulse oximetry (oxygen saturation)
detects amount of hemoglobin in arterial blood that is saturated with O2
what are the sites you can measure termperature
-oral (mouth-under tongue)
-tympanic (ear)
-rectal (anus)
-axillary (armpit)
what are the 5 principles of body mechanics?
-use of correct muscles to complete
-prevents unnecessary strain on muscle and joints
-to maintain body alignment, balance, posture assessment?
-reduce risk of injury to nurse and client during assessment
-reduce muscle fatgue
hypotension
-low blood pressure
-less than SBP100/DBP60
pulse pressure
-difference between systolic and diastolic pressure
what are the benefits of oral care?
-maintains healthy stage of mouth
-decrease gum inflammation
-decrease risk of aspiration pneumonia
-removes food, plaque, and bacteria
what are some factors that affect oxygen saturation readings?
-black nail polish/fake nails
-poor/impaired blood circulation
-juandice
-dark pigmentation
-carbon monoxide poisoning
-anemia
-activity
-moisture
-light transmission interference
what is the hospital standard for SpO2 (oxygen saturation) reading?
-adult with co-morbidities/acute health challenge > 92%
-healthy adults 95-100%
-COPD: 88-92%
-life threatening: < 70%
Hypertension
-high blood pressure
-higher than SBP139/DBP90
what safety check need to be done for patients and their environment?
-check pts ABCCs
-look for cognitive risk factors (behaviours)
-environmental risk factors (clutter,sharps)
-patient position bed
-bed rails (min 1,max 3)
-bed brakes on
-bed in lowest position
-bed/chair alarm on
-safety belt on in chair
what are gloves used for?
-contact with mucous membrane
-blood/bodily fluids
-environmental surfaces that may be contaminated with blood or body fluids
when should hand hygiene be performed (5 cases)
-after body fluid exposure risk
-before touching patient
-after touching patient
-after touching patient surroundings
-before clean/aseptic procedure
what are the benefits to hand sanitizers/alcohol-based antiseptics?
- improves hand hygiene practices
- protects health care workers hands
- reduces transmission of pathogens to patients and personnel
- quicker than hand washing with soap and water
how long should you wash with soap and water?
- minimum 15 s
- total 40-60 s
- more if hands visibility soiled