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Overall Review > Fundamentals > Flashcards

Fundamentals Flashcards

1
Q

Orientation phase

A

get to know; trust; rapport

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2
Q

working phase

A

explore and develop solutions

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3
Q

termination phase

A

evaluate and discharge

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4
Q

TeamSTEPPS

A

evidence based framework to optimize team performance and communication
leadership, situation monitor, mutual support, communication

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5
Q

SBAR

A

team members communicate information

situation - what is happening
background - clinical
assessment - issue
recommendation

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6
Q

I PASS the BATON

A

introduction - self/job

Patient - name, sex etc.
Assessment - CC, VS, symptoms, Dx
Situation - status/circumstance (code status, changes, response to treat)
Safety Concerns - critical lab values, episodes, current meds

Background - comorbidities, previous episode 
Action - rationale
Timing - urgency and prioritize
Ownership - responsible
Next - anticipated
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7
Q

Nursing Process

A

tool to treat health issues and assess effectiveness

assessment –> diagnosis –> outcome –> planning –> implementation –> evaluation

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8
Q

aerobic

A

CV; ski; run

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9
Q

anaerobic

A

resistance; yoga

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10
Q

isotonic

A

constant tension with contraction

walk, run

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11
Q

isometric

A

constant tension and hold muscle

wall sit, plank

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12
Q

Ataxic gait

A

stagger and unsteady

Parkinson’s

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13
Q

Spastic gait

A

stiff and drag

stroke

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14
Q

flaccidity

A

decrease muscle tone

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15
Q

spasticity

A

increase muscle tone –> spasms

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16
Q

Temor

A

rhythmic and repetitive

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17
Q

contractures

A

shortening of muscle/joint b/c too tight

foot drop (plantar flexion > dorsiflexion)

flexion stronger than extension

18
Q

orthostatic hypotension

A

decrease effectiveness of neurovascular reflex

decrease BP when upright

SBP decrease by 20, DBP decrease by 10
HR increase by 10bpm

19
Q

DVT

A

deep vein thrombosis

immobility –> venous stasis (dehydrated + poor position) –> increase viscosity –> thrombus formation

heparin to prevent

20
Q

atelectasis

A

collapsed alveoli

21
Q

trochanter roll

A

prevent external rotation of hips

22
Q

First sign of deterioration

A

RR

23
Q

Radiation

A

heat transfer without contact

body heat to cold room

24
Q

Conduction

A

body to another surface

ice pack, cool cloth

25
Q

Convection

A

dispersion by air currents

fan, wind

26
Q

evaporation

A

water vapor

sweat, diaphoresis

27
Q

Oral temperature caution

A

no nebulized/O2 mask
no within 15-30 min drinking
no infant/toddler
no seizure disorders

28
Q

Rectal temperature cautions

A

trauma to rectal mucosa
no infant up to 3 months
no surgery on lower body

29
Q

Tympanic temperature cautions

A

straighten ear canal
child and adult - pull pinna up and back
3 month old - pull ear down and back

30
Q

Breathing patterns

A

women - chest
men - diaphragm
infant/children - irregular

31
Q

medications that decrease pulse

A

beta blockers, calcium channel blockers, digoxin

32
Q

Mastectomy

A

breast tissue removal

33
Q

AV Fistula

A

arteriovenous fistula

abnormal connect between artery and vein so blood from A –> V bypassing capillaries

34
Q

Nutrients for fuel/energy

A

carbs, fats, proteins

35
Q

Nutrients for regulation

A

minerals, vitamins, water

36
Q

Cholecystitis

A

gallbladder inflammation

37
Q

esophagitis

A

esophagus inflammation

38
Q

NPO

A

rest GI, clera for sx, test, treat N/V/D, let gastric motility return

39
Q

Clear Liquid

A

gelatin, clear juice and broth, popsicles

40
Q

Full Liquid

A

smooth, cream soup, custard, refined hot cereal, yogurt

41
Q

Dysphagia

A

difficulty swallow

Overall Review (2 decks)

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