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N242 > Stuff I wanna know final > Flashcards

Stuff I wanna know final Flashcards

1
Q

max amt for IM

A

4-5 but only 2=3 well absorbed

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2
Q

max for butterfly

A

2-3

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3
Q

max for child sub Cut

A

0.5

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4
Q

max for sub cut

A

0.5-1.5

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5
Q

Systemic complications for SPC

A

Septicemia
cirulatory overload
embolism

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6
Q

Local complications because of

A 
Poor insertion 
inappropriate size 
bad stable 
ph or osmolarity 900+ 
poor assess
incort or infrequent dress changes
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7
Q

how often dress change

A

5-7 days for semi perm. 2 for gauze

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8
Q

what to label on IV dress

A

date & time applied

Size, type of device & insertion date

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9
Q

when to change IV site

A

4 days

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10
Q

when to change IV tube

A

4 day for continuous of 24 hour for intermittent

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11
Q

seniors & children IV gauge

A

22-24

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12
Q

25 gauge for?

A

sub cut

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13
Q

22 gauge?

A

IM

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14
Q

affects the rate

A 
vasospasm 
venous trauma 
manipulation of device 
flexion 
occlusion
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15
Q

mirror drops

A

60 per mill for less than 100 ml an hour

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16
Q

where IV container go

A

30 inches above site or 76.2 cm. Piggy back 6 inch higher

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17
Q

LISPRO HUMALOG

A

ONSET 15-30 minutes
Peak 60-90 minutes
DURATION 3-6 hours (2-5)
Give 15 before meal

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18
Q

ASPART

A

ONSET 10-20
Duration 3-6 hours
GIVEN 5-10 BEFORE MEAL

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19
Q

Regular insulin

A

onset 30-60
peak 1-5
Duration 10
GIVE 30 MINUTES BEFORE MEAL

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20
Q

NPH

A

1-2 hr onset
6-12 hr peak
18-24 hr

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21
Q

when sterilestips

A

any separtation greater then 2 seiches / staples apart

snsure to cut 4-5 cm or 1.5-2 in on each side of wound

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22
Q

how much can JP drain hold

A

100-200 ml/24 hr

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23
Q

how much can hemovac hold

A

500 ml/hr

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24
Q

how often check drainage

A

hourly

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25
Q

when to remove sutures & staples

A

usually 7-14 days

26
Q

when to remove retention sutures

A

usually 14-21 days

27
Q

when are drains usually removed

A

24-48 hour

28
Q

what does skin do

A

thermoreg, metabolism, immunity, fluid balance regulation

29
Q

outermost layer - stratum corneum

A

prevent dehydration, physical burial & topical med

30
Q

inner most layer - stratum germinative

A

basal layer single keratinocytes

31
Q

how do partial thickenesss heal

A

by regeneration (only epidermis & partial dermis)

32
Q

how do full thickness wounds heal

A

SCAR FORM

33
Q

Phases of wound healing

A

1) Hemostasis = Control blood loss
2) Inflammatory = control inflame & clean wound bed
3) Proliferative = epithelial cells layer down within 24-48 hours - contraction- HEALING RIDGE BY 5-9 D
4) Maturation & remodel = collagen is remodelled - stronger

34
Q

Factors that negatively impact wound healing

A

Hypovolemia, hypotension, vasoconstriction, edema, hypoxia , nutrition, DM, Corticosterioid, advanced age

35
Q

how long is terry left open

A

3-5 d

36
Q

Neg pressure wound therapy

A

Edema & fluid removed, contraction, optimized blood flow new BP, moist environ

37
Q

clean

A

always start @ suture line “cleanest

38
Q

infection

A

microorganism form wound surface penetrate into wound tissue

39
Q

when does dehiscence occur

A

5-8 days post op

40
Q

when does Infection occur

A

3 days post op but if you put somethingg in the 1 yr

41
Q

what contributes to dehiscence

A

anemia, malnutrition obesity or steroids

42
Q

new dressing label

A

has date, time & initials on it

43
Q

TIME ACCRONYM

A 
TISSUE MANAGMENT (BIOBURDEN) 
INFLM/INFECT

MOISTURE
EDGE (goal is proliferative

44
Q

Key principles of physiological wound environment

A

adequate moisture
temp control
ph
control bacterial burden

45
Q

Polyurethane film dressing

A

surgical infection

46
Q

gauze dressing

A

not for granulating - change 2-3x a day

47
Q

transparents/ waterproof

A

shallow, minimal exudate, partial thickness, easy view may cause maceration, hard to removed.
Change every 3-4 days

48
Q

hydrocolloids

A

gel semi occlusive
full thick, not einfected
Maceration
change 2-5 days

49
Q

hydrogel

A

Partial or full thick, light exudate, clean base, decreases pain increases autolysis, onfoms to wound
change 3x a week

50
Q

alginates

A

highly obsorbent, trump, leg ulcer, nonaderence, emocculsive, 24-48 hours

51
Q

foam dress

A

All! good for the really bad onesssss

24 hours change

52
Q

dry

A

protect from injury, sped heal, not interact with wound tissues

53
Q

wet to dry

A

not good it derbies

54
Q

wet to moist

A

not good - hypertonic - pulls fluid out - dries out

55
Q

moist environment

A

favours epithelial cell migration, promote extracellular maxtrix, drerease fibrosis, decreases infection

56
Q

full thickness wounds

A

inflame 3 days
proliferation is 3-24 days
remodel is 2 years

57
Q

epithelial resurface

A

7-10 days

58
Q

hemorrhage

A

greatest risk 24-48 hours

59
Q

infection

A

all chronic wounds considered infected

60
Q

what is a fistula

A

abnormal passage between 2 o4gan or organ & body
poor wound healing
infection, lyte imbalance, breakdown

61
Q

Purpose of dress

A 
Not contaminated 
aid hemostasis 
patient can't seee
support 
thermal insulation 
moist environment

N242 (6 decks)

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