Midterm Flashcards
What are the ways that oxygen may be delivered to a patient
wall mounted oxygen hook up
nasal canula
oxygen cylinders
Describe wall-mounted oxygen hookups
regulated in liters
high-flow oxygen delivery
requires nasal canula or mask for delivery
What is the humidifier used for in O2 delivery
moistens the oxygen to prevent nose bleeds
What are important considerations for oxygen cylinders
check how full it is
consider how long patient will be on tank for
highly combustible
What is an Incentive Spirometer used for
expel anesthesia from lungs
pulmonary hygiene
improve lung function in pts with rib injuries
pneumonia or other respiratory conditions
How is the Incentive Spirometer used
Patients inhale slowly while watching piston inside move up and down
Explain sequential compression devices
used to prevent blood clots in pts who are immobile or have limited activty
promotes circulation and return venous blood flow
what is another name for sequential compression device
foot pumps
What is found on Portable monitoring equipment stand
blood pressure
heart rate and rythm
pulse oximetry
when would you use a Portable monitoring equipment stand
for someone whose vitals are all over the place
Describe rectal tubes
used to collect excess feces
inserted through anus and held in place by a water ring in the rectum
keeps skin intact
reduce need for nurses to keep changing bed linen
What is a consideration for rectal tubes
sitting is very uncomfortable
When is a rectal tube used typically
C.diff
What are urinary catheters used for
alleviating urinary retention
rebuilding bladder muscle tone
collect urine cultures
track urine output
manage underlying bladder conditions
types of catheters
foley- collection bag or leg bag
condom catheter for males
suprapubic- inserted through a hole in the abdomen directly into the bladder
What are soft foot splints used for
pressure relief
pressure sore prevention
prevent foot drop
Standard precuations
applies to all patients
handwashing
proper handling of equipment, linens, sharps
Examples of when to use conatct transmission
MRSA, C-diff
What to wear for contact precautions
gloves, gown
Examples of when to use droplet precuations
Flu, whooping cough, mumps, Streptococcus A
What to where for droplet
gloves, gown, mask
examples of airborne transmission
chicken pox, TB, measles, SARS
what to wear for airborne precuations
gloves, mask, gown, possible respirator
NWB
Non-weight bearing
foot/toes do not touch floor
TTWB
Toe-touch weight bearing
10-15%
foot may rest on the floor
PWB
Partial weight bearing
30-50%
this % of weight on foot– not much
WBAT
Weight bearing as tolerated
as much as can tolerate without discomfort
FWB
Full weight bearing
75-100%
full weight on leg is encouraged
Posterior hip precautions
no hip flexion past 90 degrees
no hip adduction past neutral
no hip internal rotation
Anterior hip precuations
no hip extension
no hip external rotation
Global hip precuations
Anterior and posterior
no flexion past 90
no adduction past neutral
no internal OR external rotation
no prone laying
no bridging
TKR precautions
no pillow behind knees while in supine
both feet on floor when sitting
wear knee impobilizer
avoid kneeling
no high impact 3-6 weeks
driving in 4-6 weeks
