quiz 6 Flashcards

notes from 11.1-11.4

1
Q

ankle brachial index calculation

A

higher ankle pressure divided by higher arm pressure

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2
Q

normal ABI

A

1.00-1.29

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3
Q

borderline ABI

A

0.91-0.99

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4
Q

mid to moderate ABI

A

0.41-0.99

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5
Q

severe ABI

A

less than 0.40

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6
Q

ideal position for GI inspection

A

supine with knees slightly flexed

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7
Q

general assessment of GI

A

insepction, auscultation, percussion, palpation

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8
Q

assess abd. skin color for

A

lesions, bruising, jaundice

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9
Q

what causes jaundice

A

elevated bilirubin

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10
Q

how to assess abd. skin for contour

A

life head –> hernias = bulge

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11
Q

assessing abd for distention

A

bowel obstruction?
ascites

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12
Q

assess abd for dressings

A

do not displace– CDI or OTA

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13
Q

auscultate how many quads

A

only 1 if normal sounds heard
- all 4 and below umbilicus if abnormal

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14
Q

borborygmi

A
  • stomach growling
  • loud, prolonged gurgles
  • increased peristalsis
  • abnormal
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15
Q

high pitched tinkling sounds from abd indicate…

A

bowel obstruction

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16
Q

if absent bowel sounds…

A
  • check all 4
  • consider clinical situation
  • paralytic ileus?
17
Q

paralytic ileus

A
  • no peristalsis
  • d/t post surgery or anesthesia
18
Q

normal percussion tone for stomach

A

tympany

19
Q
A
20
Q
A
21
Q
A
22
Q
A