Medical Nursing Flashcards

1
Q

Signalment
Physical identity of patient

A

Age
Gender (reproductive status)
Species
Breed (if known)

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2
Q

Physical Exam (in order)

A

-Far Exam
-General Close Exam
-Specific Close Exam related to presenting complaint
-Attitude
-Often assessed as “BAR” (Bright Alert Responsive), “QAR”
-Depressed
-Unresponsive vs Unconscious
-Comatose
-Awareness of surroundings

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3
Q

Awareness of Surroundings

A

-Curious and sniffing about?
-Looks at you, willing to greet you?
-Fearful?
-Wants to say hi, but not able to move?
-Not interested, dull, depressed?
-Limping, dragging one or more limbs, non-weight bearing on a limb, holding it up?
-Purring? Strolling about the room or on the exam table?
-Hissing, growling?

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4
Q

Vital Signs (TPR)

A

T = Temperature
P = Pulse
R = Respiration

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5
Q

Normal Rectal Temp for:
Dog
Cat

A

Dog: 99.5 to 102.5 F
Cat: 100.5 to 102.5 F

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6
Q

Normal Heart Rate:
Dog
Cat

A

Dog normal = 60 to 180 bpm
Cat normal = 140 to 220 bpm

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7
Q

How to take a pulse rate?
(without stethoscope)

A

-Feel for the femoral artery on the inside of the thigh with the pads of your fingers (gently)
-Count the # of pulses in 15 seconds and multiply by either 4 to get the number of beats per minute (bpm)

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8
Q

What you can hear with a stethoscope

A

Listening to the heart with your stethoscope, you can also take a heart rate, as well as listen for heart murmurs. In healthy animals, pulse rate and heart rate are the same. If pulse rate is lower than heart rate, pet should be evaluated for serious heart disease.

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9
Q

Respiratory Rate (# of breaths per min)
Dog
Cat

A

Dog: 10 to 30 per minute
Cat: 24 to 42 per minute

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10
Q

What to look for when counting a respiratory rate

A

-Watch the chest rise and fall
-Watch the abdomen for in and out movements
-Listen to the breaths with your stethoscope
-Gently feel the rise and fall of chest or abdomen
-Assess the character of the breaths, shallow, rapid, slow and deep, normal
-Is there noise associated with the breaths?
gurgling, inspiratory stridor*, wheezing?

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11
Q

Mucous Membranes (mm)

A

Tissue that secretes (produces) mucus

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12
Q

Where is the mm?

A

Lining or covering of nose, tongue, mouth, vagina, prepuce

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13
Q

Auscultation is listening to..?

A

-Lungs
-Heart
-Abdominal organs

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14
Q

Normal mucus membrane should be…

A

-Pinkish
-Moist

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15
Q

Capillary Refill Time (CRT)
How to access?

A
  1. Lift lips and press on gums above the teeth
    -This will push the blood out of the capillaries
  2. Lift finger
  3. Count the seconds it takes for the blood to come back
    -Refill time is the CRT
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16
Q

What is a normal CRT?

A

Normal time range is 1 to 2 seconds.

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17
Q

What does a prolonged CRT show us?

A

Animal could be in shock or dehydrated

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18
Q

Parts of a stethoscope

A

-Ear pieces
-Metal tubes
-Rubber tube
-Bell/diaphragm

19
Q

Lung Sounds
Normal

A

Quiet “sighing” indicating the passage of air

20
Q

Lung Sounds
Crackles

A

-Short popping noises
-Describe location and expiration and/or inspiration

21
Q

Lung Sounds
Wheezing

A

Describe location and expiration and/or inspiration

22
Q

Lung Sounds
Decreased and Absent sounds

A

Describe the area

23
Q

Auscult the heart

A

-Listen for and count the heart rate
-Listen for 15 seconds – multiply x 4

24
Q

Number 1 thing to remember for medications is…

A

STOP & READ THE LABEL!!

25
Q

Six patient rights

A
  1. Correct patient
  2. Correct medication
  3. Correct dose
  4. Correct route of administration
  5. Correct time
  6. Correctly documented
26
Q

BID

A

2x daily

27
Q

CC

A

1mL

28
Q

gm

A

Gram

29
Q

IM

A

Inter Muscular

30
Q

IV

A

Intravenous

31
Q

L

A

Liter

32
Q

mg

A

Milligram

33
Q

mL

A

Milliliter

34
Q

PO

A

Per os (by mouth)

35
Q

q

A

Per

36
Q

SQ

A

Sub Cuntaneous

37
Q

Tb

A

Tablespoon (15mL)

38
Q

tsp

A

Teaspoon (5mL)

39
Q

TID

A

3x daily

40
Q

gr

A

Grain

41
Q

EoD

A

Every other day

42
Q

2.2 lb = 1 kg

A

lb x 0.454 = kg
lb/2.2 = kg

43
Q

kg to g
l to ml

A

Move decimal three places to the right

44
Q

g to kg
ml to l

A

Move decimal three places to the left