| Term | Definition |
| Hyperopia | Farsightedness |
| Myopia | Nearsightedness |
| Presbyopia | Near vision in middle aged and older adults
Loss of elastity of lens |
| Retinopathy | Changes in retinal blood vessels
Leading cause if blindness |
| Cataracts | Incr opacity of the lens |
| Glaucoma | Intraocular pressure |
| Strabismus | Both eyes do not focus
Eyes appear crossed |
| Macular degeneration | Aging and resulting in damage sharp and central vision |
| Exopthalmos | Bulging eyes |
| Ptosis | Dropping eyes |
| Erythematous | Yellow lump or sty on follicle of an eyelash
Indicates suppurative infection |
| Cage | Cut down
Annoyed
Guilty
Eye-opener |
| Asses skin tugor | Fold of skin on the bk of hand
Stern also area with fingertips and release |
| Lateral recumbent | Heart
Aids in heart murmurs
Respiratory difficulties do not tolerate this position |
| Sims | Rectal and vagina
Flexion of hip &knee
Joint deformities hinder p. Ability to bend hop &knee (elderly) |
| Dorsal recumbent | Head neck lungs breast hears abdomen extremities pulse
Abdomen assessment promote relaxation of abd. Muscles
P. W painful disorder more comfortable w knee flexed |
| Supine | Head neck breast heart axillary abdomen extremities pulse
Most relax easy access to pulse site
P becomes short of breath easy raise head of bed |
| Sweet and fruit y ketones | Oral cavity
Diabetic acido |
| Sweet heavy thick odor | Draining wound
Psedomonas (bacterial infection) |
| Musty odor | Casted body part
Infection inside |
| Ammonia | Urine
Uti, renal failure |
| Glosgow cons scale | Eyes open
Verbal
Motor response |
| Abstract thinking | A stitch in time saves nine
Dont coubt your chickens before they hatch |
| SPLATT | Symptoms
Previous fall
Location
Activity during fall
Time
Trauma after fall |
| During seizure | Stay w pt and call for help
Do not lift pt from floor to bed.
If standing guide to ground and cradle in lap
Turn p on side
Do not restraint
Do not put objects in mouth
Stay w pt
Reorient and assure
Head to toe assessment |
| Risk band | Yellow- falls
Red- allergies
Purple- do not resuscitate |
| TUG | Verbal instruction to stand up from a chair
Walk 10 ft quickly
Turn @ walk bk and sit down
Pt rise from straight bk chair w/o using arms 4 support
Begin counting
Look for unsteadiness in gait
Sit bk down w/o using arms |
| TUG | 12 seconds or longer - at risk for falling |
| Five pt scale for TUG | 1- normal
2very slightly
3-mildly normal
4- moderately
5-severely |
| RACE | Rescue
Activate
Confine
Extinguish |
| Fire extinguisher | A- combustible/ wood cloth paper plastic
B- flammable / gas grease paint anesthetic
C- electrical equipment |
| Restraints | Are not to be ordered prn |
| |
| Pull
Aim
Squeeze
Sweep |
| Lead poising is highest in what age group | Infancy and toddler |
| In adolecent what clues r giving for drugs | Blood spots on clthes |
| Mental or physical threat
No actual contact is required | Assault |
| Actual and intentional touching without consent
Hitting, striking a client, | Battery |
| Protects pt from unwanted intrusions
Release pt medical record to a unauthorized person
Public relations department | Invasion of privacy |
| Publication of false statements that results in damage to a persons reputation | Defamation of character |
| One speaks falsely about another | Slander |
| Written defamation of character
Charting false entries | Libel |
| Person standing in for a parent w their parent rights | Loco parentis |
| Peripheral edema
Distended neck veins
Weight gain
Nausea
Weakness | Right sided heart failure |
| Crackles
Dyspnea
Cough
Fatigue | Left sided heart failure |
| HF
Slows heart rate and conduction | Digoxin |
| Antagonist: protamine sulfate
Lab value: PTT or ApTT | Heparin |
| Antagonist: vitamin K
Lab: PT determine efficacy | Warfarin (Coumadin) |
| Partial thromboplastin time | PTT |
| Prothrombin time or INR
Determine efficacy of coumadin | |
| PASS | |
| Erythematous
Yellow lump( sty) | Indicates acute suppurative inflammation |
| Koilonychia (spoon nails) | Concave
Iron deficiency anemia |
