Skills ppt Flashcards
what table should you never touch in surgery
back table
contraindications for fluorescein stain
puncture wounds disrupting vitreous; rupture of globe if fluid coming from eye
where do you put anesthetic for fluorescein stain
inferior cul-de-sac (lower eyelid)
what do you put on the tip of the fluorescein strip
a drop of saline
where do you put the fluorescein strip after you put saline on it
bulbar conjunctiva
for phlebotomy, a tourniquet assists with
venous access
how long should tourniquet be in place
no longer than 1 minute
which way is the bevel always pointing in phlebotomy
UP
what is the preferred venipuncture site
median cubital vein
why is the median cubital vein the preferred site
it is superficial and least prone to nerve injury
safe area for capillary puncture in infant
medial plantar surface of the heel
indications for IV access
obtain blood samples
infuse fluids
medications or blood products
most common complication associated with IV access
soft tissue infiltration
Indications for urgent/emergent intubation
hypoxia
hypercapnia
GCS 8 or less
rapid change in mental status
airway injury
impending airway compromise
high risk for aspiration
what does DOPE stand for for endotracheal intubation
Displaced tube
Obstructed tube
Pneumothorax
Equipment failure
Major indications for NG tube placement
feeding
suctioning
Indications for NG tube feeding
Dysphagia
Head and neck CA
Malnutrition
Altered mental status
IBD
Endotracheal intubation
Indications for gastric suctioning for NG tube
Toxic ingestion
Gastroparesis
Small bowel obstruction
Intractable N & V
Upper GI bleeding
GI surgery
what position should patient be in for insertion of NG tube
upright sitting position
do you need sterile gloves for placement of NG tube
no, you should use non-sterile gloves
average length for NG tube
55 cm
how to measure NG tube
tip of nose to the earlobe to the xiphoid process
