Review Flashcards
V1 right side of sternum
4th intercostal space
V2 left side of sternum
4th intercostal space
V4 midclavicle lines up with nipple
5th intercostal space
V6 mid axillary
5th intercostal space
V3 halfway between v2 and v4
5th intercostal space
V5 halfway between v4 and v6
5th intercostal space
4R Arms
Arm fleshy part tabs facing down
4R legs
fleshy part tabs facing up
What’s evaluated in UA?
Chemical dipstick is placed in urine
Physical odor can be aromatic or fetid
Appearance clear or cloudy
Color yellow to amber
Microscopic lab
3 terms for elimination
Urination
Void
Micturition
Clean catch/med
Patient wipes opening of urethra
Then begins to urinate and catches urine midstream
24hr void
Patient will flush first mornings void and continue to collect urine for the rest of the day including next morning void will be kept on ice or refrigerated
Catherization
Catheter is placed through urethra into the bladder only DA’s, nurses and the doctors can do this only sterile collection
IM
Intermuscular
20-25g needle
90 degree needle
Aspirate yes
Massage yes
Deltoid,gluteus,vastus lateralis
Antibiotics,analgesics,steroids,vitamin B12
Immunizations
SC
Subcutaneous
25-27g needle
45 degree needle
Aspirate yes/no
Massage no
Fatty upper arm and fatty abdomen
Insulin,heparin and allergy meds
ID
Interdermal
27g needle
10-15 angle
Aspirate no
Massage no
Volar or ventral
Allergie,skin test,TB skin test
Follow up 48-72hrs
Positive skin test do chest x-ray
If x-ray positive
Notify
Staff
Coworkers
Family
6 rights of drug administration
PRMDTD
1 right patient
2 right route administration
3 right medication/drug
4 right dose
5 right time
6 right documentation
Anuria
Absence of urine
Hematuria
Blood in urine
Glycosuria
Glucose/sugar in urine
Proteinuria
Protein in urine
Blood pressure
Fluxating pressure exerted from artery walls
Low end range 90/60
High end range 130/80 or 140/90
Average range 120/20
Higher than 130/80 or 140/90 is hypertension
Lower than 90/60 is hypotension
Top # systolic contractions
Bottom # diastolic relaxation
Resperations
Number of breaths per minute
Low end is 12 high is 20
Average 14-16
Higher than 20 is tachypnea
Lower than 12 is bradypnea
Respiratory cycle
1 inhalation + 1 exhalation
inspiration + 1 expiration
Pulse
Number of heart beats per minute
Low end 60 high end 100
Normal 60-100
Higher than 100 tachycardia
Lower than 60 bradycardia
Brachial elbow
Radial wrist
Dorsalis pedis top of foot
Popiteal behind knee
Carotid neck
Apical chest
Femoral groin
Axillary armpits
Temperature
Heat gain/loss in body
Oral 98.6
Tympanic 98.6
Rectal 99.6 (most accurate)
Axillary 97.6
High temp febrile
Normal to low afebrile
Minor wound tray
Exam gloves
Sterile gloves
4x4
2x towel clamps
Suture
Syringe and extra needle
Measuring tape
Lidocaine
Tissue forceps
Irish scissors
Scalpel blade holder
Scalpel blade
Specimen cup
Wound prep
2x curved hemostats
Needle drivers short and long
OBGYN TRAY
Sterile gloves
KOH
stool guaiac card
surgical lubricant
4x4
Developer
Specimen cup
Cervical spatula
Cervical brush
Punch biopsy
Ring forceps with gauze
Vaginal specula
Exam gloves
Measuring tape
Dilator
Slides
Legs facing up
Avqmented
Arms facing down
Precorclia
