Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Fundamentals 2200 > Unit 10: Oxygenation and Perfusion > Flashcards

Unit 10: Oxygenation and Perfusion Flashcards

1
Q

What are guidelines in order to obtain an accurate NURSING HISTORY?

A

Objective data
inspection
palpation
auscultation
determine WHY patient needs care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the abnormal lung sounds to look out for?

A

Crackles
Wheezing
Rhonchi
Stridor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What do crackles sound like?

A

popping and crackling, usually from pneumonia patients; fluid in the lungs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does wheezing sound like?

A

whistling or musical noise on EXHALATION (think asthma, you’ve had this bitch)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does rhonchi sound like?

A

rattling by an OBSTRUCTION in the airway (also found in patients with asthma or COPD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does stridor sound like?

A

High pitched wheezing.
it is a medical emergency
can be caused by epiglottitis, croup, or viral infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Ways to reduce risk?

A

dietary
exercise
smoking
stress reduction
environmental factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is hypoxia?

A

lack of oxygen to cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is hypoxemia?

A

lack of oxygen to blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is oxygen toxicity?

A

high partial pressures the cause oxidative damage to the cellular membranes, causing alveoli to collapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does serous mean?

A

watery
clear
straw colored

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does sanguineous mean?

A

large numbers of rbc, looks like fresh bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does serosanguineous mean?

A

mixture of serum and RBC, light pink to blood tinged

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What does purulent mean?

A

WBC’s, liquefied dead tissue debris, bacteria
thick, foul odor, varies in color from dark yellow to green

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Sxs of suspected deep tissue injury?

A

nonblanchable tissue
skin is red, maroon, or purple

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is a Stage 1 pressure injury?

A

nonblanchable
painful
firm
soft
warmer or cooler

17
Q

What is a Stage 2 pressure injury?

A

partial thickness loss of dermis
shiny or dry shallow injury

18
Q

What is a Stage 3 pressure injury?

A

Full thickness with necrosis into SQ layer
Can see fascia, muscle, tendons, bone ligaments, and bone

19
Q

What is a Stage 4 pressure injury?

A

Full thickness with extensive damage or necrosis, and bone tendon or muscles exposed

20
Q

What is undermining?

A

an open area extending under skin along the edge of the wound

21
Q

Acronym to document pressure injury?

A

TIME
Tissue
Inflammation or Infection
Moisture
Edge of wound

22
Q

What is the Braden Scale?

A

level of pressure injury development possibility

23
Q

What is a low Braden Score?

A

6

24
Q

What is a high Braden Score?

A

23

25
Q

What does a low braden score mean?

A

Lower score means higher risk

26
Q

What does a high braden score mean?

A

higher score means lower risk

Fundamentals 2200 (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions