Funds Test 2 Flashcards
Pruritis
Itchy
Maceration
skin being soft after being in moisture
Which way should we wipe eyes?
Inside to outside
Water Temp
105-115
What to do if pt is getting an autopsy
leave everything as it is
OSHA
occupational, safety and health administration, government agency that says an employee has a right to a safe work place
CMS
medicare/Medicaid, patient safety, will not pay for never events
Joint Commission
accredits hospitals and creates a national patient safety goals- use 2 patient identifiers and encourages patient to speak up
Institute of medicine
publication that led to culture of safety
QUSEN
quality and safety education for nurses- competencies for nursing students/ new nurses
Foreign, Air Embolism, Wrong Blood, Pressure Ulcer, Falls, Catheter Infections, Poorly controlled BG, Surgical Infections, DVT/PE
Never events
Universal Sign of Choking
hands around neck
Get up and go test
patient can stand up out of chair steadily
How often do we have to release restraints?
2 hours
R.A.C.E
Rescue
Alarm
Confine
Extinguish
Alveoli Sacks
site of gas exchange, O2 and CO2 are exchanged MOST IMPORTANT PART OF RESPIRATORY SYSTEM
Diffusion
allows CO2 and O2 to exchange places
Respiratory Center
Located in medulla and pons
Passive Phase of Ventilation
exhaling
Active Phase of ventialtion
inhaling
A:P Diameter
front to back should be shorter than transverse diameter
Cheyenne- Stokes
varying periods of increasing depth interspersed with apnea
Kussmaul
rapid, deep labored breathing; sign of diabetic ketoacidosis
Biot
irregular, interspaced periods of apnea in a disorganized sequence of breaths, from neuro injury
Ataxic
significant disorganization with irregular and varying depths of respirations from neuro injury
Hypoxia
low oxygen in tissues
Hypoxemia
low oxygen in blood
Hypercapnia
high CO2 levels in blood
Bronchial
hear over trachea
Bronchovesicular
hear in bronchial tubes
Vesicular
hear in lungs
Crackles
fluid in lungs
Ronchi
harsh sounds, results from congestion
Atelectasis
collapse of alveoli sacks
What should you be cautious about with COPD
oxygen
Late signs of hypoxia
clubbing of fingers
Chest Physiotherapy
beating on chest to clear mucus
How many liters of oxygen can you put on a patient?
2 Liters
6 L
highest amount on nasal cannula
What percent oxygen is room air
21%