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Module 2

Ca calcium
CO2 carbon dioxide
Cl chloride
K potassium
Na sodium
Albumin protein found in the blood stream
Bilirubin breakdown of hemoglobin
Total Protein measure of proteins
Cholesterol compound found in most body tissue
Lipoproteins transports lipids through the bloodstream
UTI urinary tract infection
Enterobladder Fistula when the intestines has a small opening leading to the bladder, allowing fecal matter to seep into the urinary system
Glucose simple sugar produce by the body
Specific Gravity test to see how well the kidney is functioning
Ketones produced by liver
WBC in urine hints at kidney inflammation
RBC in urine hints at UTI, kidney stones, and/or tumors
What are common organisms in stool? E. Coli, Coccus, and Clostridium
What are common parasites in stool? Hookworms, Tapeworms, and Protozoans
Intravenous in vein
Infiltration accumulation of tissue cells
Lumen inner vein
Patency degree of openness referring to a vein
Peripheral near surface
Vasoconstriction vein shrinks
Vasodilation vein expands
Venipuncture puncturing the vein
Gauge size of needle used
Percutaneous needle puncture
Occulsion to close/obstruct
What are three categories of Central Venous Access Devices? Purcutaneous CVC Tunneled CVC Implanted infusion
What are two ways Percutaneous Central Catheters are placed? Chest wall Neck
How often should you check on the infusion site and what should you look for? 2-4hrs edema, erythema, and warmth
How often should you flush a catheter and what should you flush it with? 8 hrs Heparin Soluntion
When should you change a central line dressing?
What route shouldn't you use if the patient is vomiting or comatose? Oral
Liquid medicine is measured at what point of the meniscus? The lowest part of the curve
If a medicine is ordered orally, and the client is NPO, what action should you take? Consult the charge nurse
Are eye drops sterile? Yes
Does nasal spray use less medication? Why? Yes, because it is absorbed quicker
Should you touch a topical medication with your hands when applying? No, you should use gloves
What direction should you gently pull the earlobe of an adult when instilling ear drops? Upward and back
What are the 3 parts of a syringe? Tip Barrel Plunger
What is the difference between a luer-lock and a plain needle? Plain needles slip on Leur-lock needles twist right and lock on
What type of syringes are there? Tuberculin Insulin 3mL Safety Glide Disposable Inj.
What are the 2 types of IV needles? Butterfly Over-the-needles
What type of injection is given for the TB test? Intradermal
IM Intramuscular
ID Intradermal
SQ Subcutaneous
IV Intravenous
Vastus Lateralis thigh, usually used for children <3y, can inject up to 3mL
Ventrogluteal hip/glut, usually used for adults & children >7m
Dorsogluteal no longer recommended due to risk of injury
Deltoid easiest access, can inject up to 1mL
Which site is preferred for IM injections for infants and children? vastus lateralis
Which injection site is well defined by bony anatomic landmarks? ventrogluteal
Does an IV push have to be done by an RN? Yes
What is an IV piggyback (intermittent infusion) drug infusions given at intervals
Continuous infusion Medication added to bad and is infused over time
Patient Controlled Analgesia Drug delivery system that gives preset IV dose
Who programs the PCA? an RN
What IM site has danger of injury? Dorsogluteal
What is the max mL that can be admin SQ? 1mL
Why must air be injected into a vial prior to removal of desired medication amount? To prevent the development of a vacuum
What is parenteral nutrition also known as? Hyperalimentation
What are the two types of parenteral nutrition? TPN PPN
What measurement is insulin syringes calibrated in? Units
How many nurses must document that an insulin dose was checked? 2
What do safety-glide syringes do? prevent needle sticks
What are disposable injection units? pre-filled single dose syringes
What is a lumen? opening of the needles beveled tip
How are sublingual medications given? under the tongue
Can you pop a liquid tablet for sublingal medications? yes
What can improper sit selection result to? Damaged nerves Necrosis Sloughing sking
What is the z-track method? First pull the skin tight and insert the needle at a 90 degree angle. Aspirate and if no blood is seen, administer injection. Wait 10 second and withdrawal needle quickly allowing skin to return to its normal postion
How often do Intermitten Venous Access Devices need to be flushed? Before and after use, and/or during shift changes
How many RNs must verify the PCA pump settings? 2
Every hour you should check for _______ on infusion sites. Flow of fluid Air in tubing Infiltration Phlebitis
Is the barrel of a syringe sterile? Yes
What are syringes typically measured in? mLs
What should you be cautious of when performing IM injections? location of bones, vessels, and veins
TPN is given via... Central line
PPN is given via... Peripheral line
The hypertonic solution in TPN is too harsh and can cause irritation to peripheral vein
How often should you check the infusion and IV site? Every hour
What adverse reactions should you monitor for? Systemic infection Fluid overload Allergic Reaction
What are signs of fluid overdoes? Anxiety Dyspnea Weak/rapid pulse
What type of medication is used in emergencies? Parenteral
How many mLs do you use to flush a tube for tubual medications? 10 to 20mLs
If an NG tube is connected to suction, how long after medication administration do you wait until you reconnect it? 30min
Eye drops should always be labeled... Opthalmic
Ear drops should always be labeled... Otic
What fingers should you use to open an eye? Middle and Ring
Should you touch the eye when giving drops or ointment? No
What temperature should ear drops be before administering them? room temperature
Should you touch the ear when giving ear drops? No
How administer ear drops to children under three? pull earlobe downward and back
How long should you waiting before moving after receiving ear drops? 5-10min
Are nose drops and nasal sprays individual use only? yes
How do you administer nose spray? Tilt patient head backwards. Compress one nostril. Insert spray bottle. Have patient inhale, then spray medication.
How long should you wait before blowing your nose after nose spray? 3min
Do inhaled medications have local or systemic effects? both
Should lips touch an inhaler? no
How should an inhaler be held? thumb at base of mouthpiece and fingers at the top
What is an aerochamber? spacer for inhaler commonly used for children
How long should you wait between each puff? 2-5 min
What medication may be ordered to be left at bedside? buccal medication
Are you allowed to eat, drink or smoke while buccal medication is dissolving? no
What do buccal medications bypass? the liver
Where should buccal medications be placed? between gum and the cheek
How much does a tuberculin syringe hold? 1mL
IVP Intravenous Pyleogram
LP Lumbar Puncture
MRI Magnetic Resonance Imaging
Midstream Specimen Cleanest part of specimen
Occult Blood Blood not seen with the naked eye
Paracentesis through abdominal muscle to remove ascetic fluid
Residual Urine urine left over in bladder
Sensitivity effectiveness of antibiotics
UGI Upper gastrointestinal series
UA urinalysis
What does CBC include? Neutophils Lymphocytes Monocytes Eosionphils Basophils
What does a RBC indice? MCV MCH MCHC RDW
HGB hemoglobin
HCT hematocrit
BMP base metabolic panel
BUN blood urea nitrogen
Barium Enema Colon
Barium Swallow esophagus
Bronchoscopy larynx trachea bronchi
Fiberoptic Colonscopy access to entire colon anus to cecum
Sigmoidoscopy access to anus rectum and sigmoid colon
Endoscopy upper GI tract
Allopathic Medicine western medicine
Alternative therapy non-traditional medicine
Complimentary therapies use with traditional medicine
Acupressure gentle pressure "acupuncture"
Acupuncture insertion of needles in the pressure points
Aromatherapy used of scents and essential oils
Biofeedback monitor vitals with in total relaxation state
Chiropractic therapies manipulation of musculoskeletal system
Herbal therapy use of herbs for medication
Holistic nursing treats mind, body and spirit of patient
Imagery visualization techniques that spark change in the body
Reflexology applying pressure to different parts of the feet
Relaxation state of decreased brain arousal
Therapeutic massage professional massage associated with health benefits
Yoga breathing exercises, body postures, and meditation for total body relaxation
What is the difference between complementary and alternative therapy? Complimentary is used with conventional medicine Alternative replaces conventional medicine
What does CAM stand for? Complimentary Alternative Medicine
How do you perform a two way check on client identification? Ask client's name/DOB or SSN. Verify client's bracelet and MAR
What are the six rights of medication administration? right patient right medication right time right route right dose right documentation
What does MAR stand for? Medication administration record
Created by: throwinSHAYd