Week 7 - Immobility and Subcutaneous Flashcards

1
Q

What is the negative impact of bed rest?

A

Bed rest, which was once a hallmark to ‘healing’, is no longer recommended in most rehabilitative situations

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2
Q

What percentage of muscle mass does a person lose during bed rest?

A

1% to 2% of muscle mass for every day of bed rest

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3
Q

How many VTE deaths a year?

A

10% of hospital deaths a year

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4
Q

How does immobility affect the respiratory system?

A
  • Pneumonia
  • Decreased respiratory effort
  • Decreased oxygenation of blood
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5
Q

How does immobility affect the cardiovascular system?

A
  • Blood clots
  • Reduced blood flow
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6
Q

How does immobility affect the integumentary system?

A
  • Decreased blood flow
  • Pressure ulcers
  • Infections
  • Skin breakdown
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7
Q

How does immobility affect the digestive system?

A
  • Decreased appetite and low fluid intake
  • Constipation and/or bowel obstruction
  • Incontinence
  • Electrolyte imbalances
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8
Q

How does immobility affect the nervous system?

A
  • Lack of stimulation
  • Feelings of anxiety and isolation
  • Confusion
  • Depression
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9
Q

How does immobility affect the musculoskeletal system?

A
  • Brittle bones
  • Contractures
  • Muscle weakness and atrophy
  • Footdrop
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10
Q

How does immobility affect the urinary system?

A
  • Reduced kidney function
  • Incontinence
  • Urinary tract infections
  • Urinary retention
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11
Q

What are the important parts in standard ANTT?

A
  • Clean environment
  • Hand hygiene
  • Sterile equipment
  • Micro aseptic fields
  • Key parts and key sites
  • Non touch technique
  • Non sterile gloves
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12
Q

What are factors impacting on needle selection?

A
  • Site of the injection
  • Depth of subcutaneous tissue covering the muscle
  • Medication viscosity
  • Persons age
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13
Q

What are the anterior subcutaneous injections sites?

A
  • Lateral aspect of the lower part of the upper arm
  • Abdomen in the umbilical region
  • Thighs
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14
Q

What are the posterior subcutaneous injections sites?

A
  • Posterior aspect of the upper arms
  • Back
  • Lower loins
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15
Q

What is subcutaneous injection?

A

Injecting into the subcutaneous tissue beneath the skin

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16
Q

Why do we use a subcutaneous injection?

A
  • Medications are absorbed slowly for a sustained effect
  • Less nerve endings & blood vessels
17
Q

How is a subcutaneous injection performed?

A
  • 45-90 degree angle
  • Small volume (generally up to 1 mL)
  • Heparin, insulin