Vocab Flashcards
anisocira
unequal pupils
mydriasis
dialated and fixed pupils
miosos
pinpoint (uber tiny) pupils
Cranial nerve 2 & 3
PERLA
Cranial nerve 8
ears whisper test, acoustic
sensory/motor
some say marry money but my brother says big butts marry more
Cn 11
spinal; shoulders
cn 7
face
6 cardinal positions of gaze
CN 3, 4, 6
nystagmus
eyes rock back and forth
ptosis
droopy eye
dysconjugate
abnormal position
rosenbaum
checks near vision
held 14 inches away
DREAMTDP
Dose Route Education Assessment Medication Evaluation Refuse Time Document Patient
muscle strength
0- no strength 1- 10% 2- 25% 3- 50% 4- 75% 5- 100%
Types of enemas
soap suds
tap water
saline
medicated
best position for enema
Left lateral - why? best position for gravity to help
enema instructions
warm solution
insert lubricated tube 3-4 inches
open clamp
raise no higher than 12 inches to aid in administration
stop momentarily (~30 seconds) then start slower
dwell time 5-10- cleansing, to 30 min retention
orthopnea
positional breathing
cyanosis
bluish/grayish discoloration of skin/mucuous membranes
crakcles/rales
fine or coarse, load, often heart on inspiration; fluid in alveoli, probably diminished CO2
nocturia
increased urination at night- wakes people to pee
edema
accumulation of fluid
dyspnea
difficult breathing
hemoptysis
coughing up blood, quantity (number of tissues)
prolapse
inadvertent displacement
5 p’s of sexual history
protection (from sti's) partners practice (type of sex) prevention (pregnancy) past history
Rhonci
coarse, often heard on exhalation (babbling brook), noise sound of fluid, mucous in airway
Wheezes
high pitched sounds heard on inspiration or exhalation (expiatory wheezes) or both
Stages of grief
Denial Anger Bargaining Depression Acceptance
ADPIE
Assessment Diagnose Planning Implementation Evaluate
ascites
accumulation of fluid
anorexia
loss of appetite
constipation
3 or fewer BM/week
Dehydration
deficit of water in body
diarrhea
stool more than 3x/day
distension
abdominal is more full than usual
dysphagia
difficulty swallowing
flatus
air in GI system
emesis/vomitus
products of vomiting
hemorrhoids
swelling of veins; internal/external
hernia
protusion of large intestine through weakness in abdominal wall
incontinence (fecal)
involuntary loss
medical nutrition diet
uses diets to treat condition
jaundice
yellow lungs discoloration of skin from increase in albumin levels
nausea
weak feeling/need to vomit
vomiting
ejecting stomach contents