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ST > LP 9-12 > Flashcards

LP 9-12 Flashcards

1
Q

prehypertension adult

A

120/80-139/89

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2
Q

children over 7 pulse

A

80-90

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3
Q

causes of decrease in body temperature

A

depressed state, exposed to cold

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4
Q

when is PACU start?

A

1940’s

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5
Q

why must pain be controlled post op?

A

increase in HR and BP, stroke, hard to manage

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6
Q

homans sign

A

clot in deep veins of legs, DVT

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7
Q

4 routine studies in pre op prep

A

history and physical-interview and exam
blood counts-may reveal conditions that contraindicate surgery
operative permit-signed and witnessed
surgeons order-for hair removal

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8
Q

chemical skin prep

A

antiseptic solution used for disinfection of the skin

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9
Q

most serious cardiac dysrhythmia

A

V fib

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10
Q

decrease in body temp

A

warming reactions

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11
Q

goals of PACU

A

return pt back to a safe physiological level

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12
Q

orthopnea

A

breathing possible when sitting or standing

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13
Q

anatomy

A

normal anatomy

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14
Q

hypertension adult

A

140/90-159/99

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15
Q

active drain

A

suction

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16
Q

what is assessed when taking respirations?

A

rhythm, depth

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17
Q

bradycardia

A

below 60 beats, caused by meds, heart disease

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18
Q

mechanical

A

wounds prepped after the surrounding unbroken skin is cleansed and with a different sponge

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19
Q

cardiac arrest

A

heart stops beating

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20
Q

is catheterization sterile?

A

yes

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21
Q

post op observation of the patient

A

airway, BP, temp, HR, skin

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22
Q

passive drain

A

gravity

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23
Q

application

A

application of the principles of aseptic technique

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24
Q

what is the most common method of draining bladder?

A

urethral catheterization

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25
Q

blood vessels contract

A

decrease in vessel size, heat loss

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26
Q

rectal

A

99.6

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27
Q

decrease in BP

A

bleeding, vascular collaps

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28
Q

purpose of drains

A

oozing of blood, fluid, air

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29
Q

birth pulse

A

130-160

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30
Q

who first described postop care unit?

A

florence nightingale

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31
Q

adult respiration

A

12-20

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32
Q

operative procedure

A

the planned operative procedure

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33
Q

3 locations for temperature

A

oral, rectal, axillary

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34
Q

first line of defense

A

skin

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35
Q

duties performed by the ST before first incision

A

gown and glove

drape mayo

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36
Q

shaving

A

removal of hair

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37
Q

why is catheter inserted after induction?

A

prevent pain

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38
Q

what is a positive care approach designed for?

A

serve as memory tools for surgical problem solving

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39
Q

pneumothorax

A

accumulation of air or gas in the pleural cavity

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40
Q

CARE

A

reminder that all activities affect the care given to the patient

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41
Q

thrombus

A

stationary clot attached to wall of vessel

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42
Q

what is critical thinking?

A

method of organizing your thoughts that allows you to make appropriate decisions

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43
Q

adolescent BP

A

118-75

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44
Q

space below crease of elbow

A

brachial

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45
Q

apical assessment

A

greater accuracy, measured for 1 minute

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46
Q

embolus

A

travelling clot

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47
Q

environmental concern

A

general awareness and concern for patient care environment

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48
Q

increase in body temp

A

cooling reactions

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49
Q

pathology

A

related pathological condition

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50
Q

types of drains

A

rubber, plastic, nylon

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51
Q

a doctors order isn’t required to insert a foley catheter

A

false

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52
Q

top of foot

A

dorsalsis

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53
Q

hypothermia

A

below 97 degrees

54
Q

critically ill patients may go directly to the ICU post op

A

true, they need one on one care

55
Q

6 procedures that may be ordered by doctor done prior to surgery

A

ECG, blood chemistry, electroencephalogram, special xray, IV fluids, catheter insertion

56
Q

adult pulse

A

60-80

57
Q

duties performed by the ST from incision to end of surgery

A

pass instruments
maintain sterile field
count is correct

58
Q

equipment in PACU

A

crash cart, defibrillator, meds, glucometer

59
Q

role

A

individual role

60
Q

what is the primary determinant of the procedure?

A

anatomy and pathology

61
Q

what is urethral catheterization

A

flexible tube via urethra into bladder

62
Q

arterial line

A

measures BP, used for critically ill patients, anesthesia gives to patient when they are asleep

63
Q

malignant hyperthermia

A

increases 1-2 every 5 minutes

64
Q

increase in BP

A

hypertensive crisis, stroke

65
Q

complications of urinary catheterization

A

pain or death

66
Q

post op complication

A

hemorrhage, respiratory issues, thrombus

67
Q

what are vital signs?

A

measurements of the body’s most basic functions

68
Q

5 steps for critical thinking

A 
identify goal
gather information
generate response
implement
assess results
69
Q

heart

A

apnex

70
Q

what affects BP?

A

pain, bleeding, age, gender

71
Q

systolic

A

pressure exerted against arterial walls when ventricles contract

72
Q

increase in HR post op

A

pain, hemorrhage

73
Q

a positive

A

conduct a review before each surgical procedure

74
Q

pulse

A

left ventricle of the heart contracts

75
Q

infant respiration

A

30-60

76
Q

kussmauls

A

fast deep gasping in diabetic respiration

77
Q

what might a rash indicate?

A

reaction to meds/anesthetic given

78
Q

factors when taking pulse

A

rate, quality, rhythm

79
Q

exhalation

A

force air from lungs back into environment

80
Q

tips for catheterization

A

be aware of allergies
inflate 10cc for 5cc
secure tubing
gravity drainage

81
Q

oral temp

A

98.6

82
Q

pulmonary embolism

A

obstruction of a pulmonary artery, blood clot

83
Q

convert F to C

A

subtract 32 from number, then multiple by 5/9

84
Q

what does A POSitive stand for?

A

anatomy
pathology
operative procedure
specific variation

85
Q

normal adult BP

A

less than 120/80

86
Q

causes for increase in body temperature

A

infection, physical activity, stress

87
Q

pulse behind knee

A

popliteal

88
Q

hyperthermia

A

above 99 degrees

89
Q

newborn BP

A

50/25-52/30

90
Q

respiration

A

exchange of oxygen and carbon dioxide between atmosphere and cells

91
Q

a positive care approach definition

A

developed to stimulate critical thinking abilities

92
Q

what regulates temperature?

A

hypothalamus

93
Q

local cases vital signs

A

2 nurses, one doing vitals and other circulator

94
Q

inhalation

A

inhale fresh air into lungs

95
Q

tympanic

A

usually same as oral

96
Q

arteries under greatest pressure

A

systolic

97
Q

thumb side of wrist

A

radial

98
Q

indwelling catheter

A

foely

99
Q

what causes breathing?

A

diaphragm and intercostal muscles

100
Q

what is BP?

A

amount of pressure exerted against arterial walls when the heart contracts and relaxes

101
Q

pre op prep for the patient on the day of surgery

A

NPO, dentures and jewelry removed, bladder emptied

102
Q

children under 7 pulse

A

80-120

103
Q

why do we monitor IV flow rates?

A

adjust with the increase or decrease of BP

104
Q

advantage of shave

A

closer to the time of surgery

105
Q

eupnea

A

normal respiratory rate

106
Q

duties performed by ST before surgery

A

receive case cart
assemble items
orient furniture
open supplies

107
Q

children respiration

A

18-30

108
Q

caring attitude

A

care directed to patient and surgical team

109
Q

two items ST shouldn’t doubt

A

instrumentation

normal operative steps of a procedure

110
Q

straight catheter

A

Robinson red rubber catheter, coude tip

111
Q

what does CARE stand for?

A

caring attitude
application
role
environmental concern

112
Q

rales

A

rattling respiration

113
Q

thrombophlebitis usually occurs in

A

superficial and deep veins

114
Q

thrombophlebitis

A

inflammation of a vein

115
Q

tachycardia

A

over 100 beats, caused by anemia, obesity

116
Q

rhonchi

A

wheezing

117
Q

what is a urethral cath. used for?

A

decompression of bladder, drainage of urine

118
Q

critical thinking involves the application of knowledge and experience gained in the past to solve a current problem

A

true

119
Q

what controls respiration?

A

medulla oblongata

120
Q

ureteral catheter

A

cystoscope

121
Q

diastolic

A

pressure exerted against the walls of arteries when heart is filling

122
Q

what contributes to the development of an embolism?

A

stasis of blood

123
Q

cheyne stokes

A

fast even breaths followed by periods of apnea

124
Q

axillary

A

97.6

125
Q

pyrexia

A

fever

126
Q

when does post op care begin?

A

when the surgical procedure is concluded

127
Q

advantage of electric thermometer

A

rechargable, no mercury

128
Q

specific variation

A

any variation that may be necessary to accommodate this specific surgeon or patient

129
Q

apnea

A

no breathing

130
Q

dyspnea

A

shortness of breath

ST (35 decks)

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