Exam 2 Study Guide Flashcards
Atelectasis
Collapsed lung/does not expand
Venustasis
Restricted blood flow
Peristalsis
Movement of intestines (bowels)
R
I
C
E
Rest
Ice (usually first 48 hours)
Compression
Elevate (above heart)
Care for patients with plaster casts
Pampers lift to not indent while setting
Set arm upward to allow airflow
What is a spica cast used for?
Hip displasgia
What regulates body temperature
Hypothalamus
Normal range for respiration
12-20
Dyspnea
Shortness of breath
Exertional Dyspnea
Shortness of breath with exertion
Hypoxia
Not enough oxygen for muscles
Orthopnea
Cannot breath unless in upright position
Normal pulse range
60-100 bpm
Normal blood pressure range
100/60-120/80
The nursing process
A-assess
D-diagnosis
P-planning
I-implementation
E-evaluation
Direct intervention
What you do with the patient
Indirect intervention
What you do with other Heath care team members for the patient (care conference)
Collaborative interventions
Working with other professionals
Independent interventions
What we naturally do (observe urine, energy levels)
Dependent interventions
Issues which require intervention, requires dr order, or medication
Individualized intervention
Patient specific, realistic for patient (goals)
S
O
A
P
Subjective data
Objective data
Assessment data
Planning
S
O
A
P
I
E
R
Subjective data
Objective data
Assessment data
Planning data
Intervention
Evaluation
Reassess