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sHAka-KaN > quattro > Flashcards

quattro Flashcards

1
Q
A
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2
Q

Recall 2 complications of nasal cannulae. What are patients advised to avoid these?

A

Nasal sores
Epistaxis
Use water-based creams to moisturise

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3
Q

What is this and what is it used for?

A

Nasal speculum: open + expand nasal cavity for examining inside nose

Thudichum Nasal Speculum

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4
Q

What is this and what is it used for?

A

Nasopharyngeal airway
Used as an airway in people with decreased GCS/ decreased gag reflex

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5
Q

How should nasopharyngeal airway be sized and inserted?

A

Diameter should be sized against patient’s own diameter of little finger distal phalanx
Length should be determined by measuring from tip of nose to earlobe
Insert into nose with rotational action

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6
Q

What is one important contraindication for nasopharyngeal airway?

A

Suspected basal skull fracture

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7
Q

How do you prevent inhalation of nasopharyngeal airway?

A

Put a safety pin at the end

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8
Q

What is this? What is it used for?

A

Nebuliser mask and chamber
Used to administer all commonly prescribed bronchodilators for respiratory conditions
Aerosol drug effectiveness depends on quality of delivery to the

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9
Q

What are these?

A

Needle holders

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10
Q

What is this? Describe the function of each piece

A

128 Hz tuning fork: Vibration for joints
512 Hz tuning fork: Weber’s + Rinne’s
Neurotips for blunt/ sharp sensation
Orange stick: Babinski reflex
Tendon hammer: reflexes

Others may include: Snellen chart, opthalmoscope + tongue depressor

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11
Q

Neurology: What size tuning fork is used for vibration of joints vs Rinne’s and Weber’s?

A

Joints: 128 Hz
Rinne’s/ Weber’s: 512 Hz

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12
Q

What are these? Name another example

A

Ethilon (nylon) non-absorbable sutures: monofilament
Require 9 throws to maintain strong knot

Prolene

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13
Q

What are non-absorbable ethilon sutures usually used for and why?

A

Percutaneous wound closure as more likely to loosen over time than prolene non-absorbable sutures

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14
Q

Recall 2 uses of prolene sutures

A

Vascular anastamosis
Bowel anastamosis

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15
Q

What is this? What is it used for an when?

A

Non rebreather mask (NRB)
Used in delivery of O2 therapy
It requires patient can breathe unassisted

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16
Q

What is the flow rate of a non-rebreather mask and what % oxygen can it deliver?

A

10-15 L/min
Up to 90% oxygen

17
Q

What do non-rebreather masks attach to?

A

External oxygen tank
Bulk oxygen supply system

18
Q

What type of solution is normal saline?

A

Crystalloid

19
Q

What is this? When is it used?

A

Oropharyngeal airway
Used to provide an airway for a patient where there is impaired consciousness

20
Q

How should oropharyngeal airways be sized?

A

Measure size from angle of mouth to angle of mandible

21
Q

How should oropharyngeal airways be inserted?

A

Upside down then rotated (apart from in children, where it is inserted the right way up)

22
Q

What is this?

A

Peripheral IV Central Catheter (PICC) line

Inserted peripherally + advanced into a central vein

23
Q

Recall 3 uses of PICC lines

A
  1. Long-term vascular access for blood sampling
  2. Chemotherapy administration
  3. Infusion of hyperosmolar solutions e.g. those used for total parenteral nutrition
24
Q

What is this? What is it used for?

A

Proctoscope
Used to visualise anal canal + lower rectum
Used when injecting or banding haemorrhoids

25
Q

What is this?

A

Ryles NG tool

26
Q

What is a Ryles NG tool used for?

A
  • Primarily used for drip + suck
  • Can also be used to insert drugs or contrast into the GIT
27
Q

How is position of Ryles NG tube checked?

A

Aspirate gastric contents; check for acidity on dipstick

XR

28
Q

What is this? What are the 2 types?

A

Scalpel
Disposable
Non-disposable (blade changed)

29
Q

What is this?

A

Seldinger chest drain insertion pack

30
Q

List 4 indications for use of seldinger chest drain insertion

A

Pneumothorax: inventilated patient. tension pneumo after needle relief, persistent pneumo or large spontaneous pneumo

Symptomatic malignant pleural effusions

Empyema

Traumatic haemothorax

31
Q

What is this and what is it used for?

A

Self-retaining retractor

Holds wounds open for surgery

sHAka-KaN (5 decks)

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