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SIM1
Lab
| Question | Answer |
|---|---|
| micturiation | urination, void, made water |
| elimination | urination, diarrhea, bowel movement |
| urine per hour | 30-50ml |
| wicking | when something gets wet and moisture draws in microorganisms. |
| mask | can only be wore for an 1 or until it becomes moist |
| what do you do if your trying to protect the patient from getting anything. | put on a mask |
| backrub | only at night to provide relaxation not for circulation |
| bath time | prime time for assessment and ROM |
| a bed bath can be what | complete or partial |
| how do you bath a patient | distal to proximal to increase venous return |
| peri care | front to back |
| smegma | cottage cheese on genital area of females and males. will come off with soap or water |
| sordes | flat cottage cheese in the mouth. don't try to pull it off. |
| peri care for female | groin, labia majora, labia minora. meatus, catheter if present, anal area |
| peri care for male | groin, meatus, catheter if present, glands, shaft, scrotum, back of scrotum, anal area |
| denture care | rock back and forth, brush at 45 degree angle |
| unconscious patient oral care | put patient on side, use yankaur |
| yankaur | suction tube |
| all 4 side rails | consider restrain |
| I & O | 24 hrs, assessment of patient fluid and electrolyte balance |
| intake | liquid taking orally, by feeding tube, parenterally |
| output | urine, diarrhea, vomit, gastric suction, drainage from surgical tubes/site |
| amount of fluid intake | 1500 ml/day |
| weighing diapers | 1g = 1ml |
| measurement | 30cc=1oz, 1cc=1ml, 5cc=1tsp |
| chain of infection | agent or pathogen, reservoir or source for pathogen, portal of exit for pathogen, mode of transmission, portal for entry for pathogen, host. |
| asepsis | absence of pathogenic microorganisms |
| types of asepsis | medical or surgical |
| medical asepsis | clean technique, procedures to reduce the number of organisms. |
| surgical asepsis | sterile technique, procedures to eliminate all microorganisms |
| hand washing | washing hands with plain soap and water |
| antiseptic hand wash | washing hand with water, soap, and antiseptic agent |
| personal protective equipment | gowns, masks, gloves, and eyewears |
| airborne precaution | respiratory, mask, measles, chickenpox, pulmonary or laryngeal TB, negative airflow of at least 6 air exchanges per hour |
| droplet precaution | mask, scarlet fever, pneumonia, streptococcal pharyngitis, pertussis, mumps, meningococcal |
| contact precaution | gloves and gown, colonization or infection with multiple drug-resistant organisms, respiratory syncytial virus, major wound infection, herpes, scabies |
| supine position | lying flat on the bed, for IV, injection, sleeping |
| prone position | lying flat on the stomach, backrub, dental surgery |
| side-lying position | sleeping of the side, rest, pressure of the lower back |
| sims position | sleeping on the side with legs by the stomach, pregnancy, enemas, rectal temp, assessment of anal area |
| fowlers position | at 45 degree, semi below 45, high above 45, sleep, eat, breathing |
| orthopneic position | fowler position with hand and head on a table, respiratory problem |
| dorsal recumbent position | flat with knee up, range of motion, foley, sleep |
| lithotomy position | on edge of the table with feet on stands, having babies, pepsmear |
| trendelenburg position | reverse head is up feet are down, modified feet are up head is down, shock, release intracranial pressure, edema, HTN |
| trocanter roll | to prevent external rotation and planter flexion |
| hand roll | prevent contractures |
| cleansing baths | bed , tub, sponge, shower, prepackaged disposable bath |
| therapeutic baths | sitz: to reduces pain and inflammation and medicated: scabies, aids in relief skin irritation |
| ulcer stages | stage 1: redness of the skin goes away in days, stage 2: redness and break down of the skin, stage 3: muscle lost, stage 4: when it get to bones |
| teeth are organ of what | chewing and mastication |
| aspiration | choking on water or other stuff while unconscious also causes pneumonia |
| pediculosis capitis | head lice |
| athlete's foot | tinea pedis |
| anthrapometrics | measure of height, weight, head, arm, muscle circumferences, and skin fold thickness. |
| contractures | patient draws up all the way to fetal position. |
| sherring | rubbing against the sheets |
| ted hose | blood cloth, no wrinkles |
| cradel | for burn or wound patient |
| stool | feces |
| vomit | emesis |
| mechanical/hayer lift | to lift and transfer patient from bed to where ever. |
| fall | ease patient to floor |
| ambulating | use half a step behind patient, walking device with weak leg then strong leg |
| cane/walker | alway on strong side, 6 in away from feet, the elbow needs to be 45 degree for size of the cane, waist line for size of walker |
| crutches | 2-3 finger away from axillary |
| how do you check for placement & patency | aspirate the gastric juice, check for PH |
| gravity is use for what | feeding |
| enteral feeding | flush with 30cc of water before and after feeding, head of bed elevated for 30 mins after feeding |
| care of G-tube | wash it with soap and water |
| gavage | going in |
| lavage | coming out |
| TPA | total parental nutrition, must go to large vein, always give fats, not together |
| levine tube | measurement marks on tube |
| PEG tube | into the stomach |
| PEJ tube | into the jejunum |
| gastric rupture | pops like a ballon because of air or liquid |
| sterilize | autoclay, heat, UV light, sporicidal chemical (for plastic only) ultrasound, gas, radiation |
| autoclay paper | good for 3-6 month if think if not only for month |
| fenestrated drape | it has a hole in the middle |
| growth of bacteria | it grows 1 in in an hour |
| liping | rinse the edge of previous opened solution with liquid |
| dehiscence | when the wound opens up |
| approximated | the edges are close together |
| eviseration | when organ prutuse through the opening. |
| hydrocolloids | pressure ulcer |
| rubra color | infection |
| black color | necrosis |
| masarated wound | wound that is not dry |
| statis ulcer | blood is not circulated and the cell dies |
| open drainage | pinrose |
| close drainage | hemavag, J-Vag, Jackson pret |
| catheter | indwelling, foley, straight, intermitten, robinson |
| male catheter | 6-9 in |
| female catheter | 2-3 in |
| latex catheter | 2-4 weeks |
| PVC catheter | 4-6 weeks |
| silicon catheter | 2-3 months |
| most common size of ballon | 5-10 cc |
| most common size of catheter | 14-16 |
| another name for external condom catheter | texas special |
| urameter | to measure small amount |
| types of restraints | wrist, mitten, ankle, belt, diaper, vest |
| order of restraints | get it with in one hrs of restraints, renew every 24 hrs, check it every 15 min, take it off every 2 hrs and do ROM |
| types of mobility | active: when patient does everything, passive: when nurse does everything, and active-passive: when patient does it with help of nurse |
| ROM times | should be done 3-5 time |
| flexion | downward from body alignment, use for head, shoulder, elbow, wrist, finger, hip, ankle, and toes |
| extension | bring it out from body alignment, use for head, shoulder, elbow, wrist, finger, and hips |
| hyperextension | above from body alignment, use for head, wrist, finger and toes |
| lateral flexion | moving from side to side, use for head |
| lateral rotation | turning in circular movement, use for head |
| adduction | moving it toward the body, use for shoulder, finger, hip, and toes |
| abduction | moving away from the body, use for shoulder, finger, hip, and toes |
| horizontal adduction | adding to horizontal, use for shoulder, and hip |
| internal rotation | rolling inward, use for shoulder, elbow, and wrist |
| external rotation | rolling outward, use for shoulder, elbow, and wrist |
| supination | palm up, use for elbow |
| pronation | palm down, use for elbow |
| radial deviation | bend wrist toward pinky finger, use for wrist |
| ulna deviation | bend wrist toward thumb, use for wrist |
| circumduction | moving in full circle, use for wrist, finger, ankle, and toes |
| dorso flexion | above form body alignment, use for ankle |
| planter flexion | downward, foot drop, use for ankle |
| inversion | turn ankle toward the other ankle, use for ankle |
| enversion | turn ankle away from the other ankle,use for ankle |
| opposition | touch thumb to each finger, use for fingers |
| prostheses | artificial sensory devices, contact lenses, hearing aids, and artificial eyes |
| enucleation | complete surgical removal of the eyeball |
Created by:
anuali
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