Skills Final

Card Set Information

Author:
jml844
ID:
123837
Filename:
Skills Final
Updated:
2011-12-15 06:49:51
Tags:
SSON
Folders:

Description:
Fall 2011
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  1. Oil Enema
    • Lubricates Stool
    • (retention)
  2. Carminative Enema
    • Relieve gaseous distention
    • (retention)
  3. Kayexalate Enema
    • Eliminate potassium
    • (retention)
  4. Lactulose Enema
    • Eliminate lactase
    • (retention)
  5. Tap Water Enema
    • Cleansing/return flow
    • Harris Flush
  6. Normal Saline Enema
    • Not popular
    • Cleansing
  7. Soap Suds Enema
    • irritates bowels--peristasis
    • cleansing
  8. fleets enema
    • most popular
    • pulls water into stool
  9. Hydrocolloid dressing
    • Not for infections (doesn't let anything out or in)
    • for stage 1,2,3 wounds
  10. Hydrogel
    • moist environment
    • for stage 2,3,4
  11. Tegaderm
    transparent for stage 1 without moisture
  12. Foam dressing
    for ALL stages with excessive drainage
  13. Intradermal Injection
    • tuberculin syringe (upper limit=0.5)
    • injection angle <15°
  14. SubQ Injection
    • used for insulin, heparin, and some immunizations
    • insulin or tb syringe (upper limit=1mL)
    • 3/8-1" needle
    • 25-30 G
    • Inject at 45-90° (pinch 2 inch) angle
  15. IM injection: Deltoid
    • 1 mL upper limit
    • 5/8-1" needle
    • 23-25 G
    • Inject at 72-90°
  16. IM injection: Vastus Lateralis/Ventro Gluteal
    • 3-4 mL upper limit
    • 1-2" needle
    • 21-23 G
    • Inject at 72-90°
  17. IV Therapy:
    24/26 Gauge
    neo, peds, gero
  18. IV Therapy: Gauge 22
    • standard
    • blood given
  19. IV Therapy: Gauge 20
    minor surgery
  20. IV Therapy: Gauge 18
    trauma, ER
  21. IV Therapy: Gauge 14/16
    Major surgery
  22. Check IV site
    Q2 hr
  23. Flush IV site
    Q8 hr
  24. Change IV tubing
    Q72 hr
  25. Change IV solution
    Q24 hrs
  26. NS
    • Isotonic-fluid replacement with vommitting, etc.
    • watch for overload
  27. D5W
    • hypotonic in body
    • treat hypernatremia
    • watch for water intoxication and dilutional hyponatremia
  28. LR
    • Isotonic (expands plasma)
    • no calories
    • used with GI losses and operations
    • do not give longer than 48 hrs
  29. Hetastarch
    • Isotonic
    • RAPID volume expansion
    • may cause bleeding
    • watch for circulatory overload
    • used for cardiogenic, hemorrhagic, or septic shock
  30. 0.45% NS
    0.33% NS
    • Hypotonic fluid
    • Hydrates CELL
    • no calories
    • treat hypernatremia
  31. D5 1/2NS
    • Hypertonic
    • Good Maintenance fluid
    • calories, free water, sodium chloride
    • promotes hydrationa dn diuresis in dehydrated pts
    • replace GI losses
  32. D50
    • very hypertonic
    • Treats hypoglycemia
    • can cause osmotic diuresis
  33. Albumin 25%
    • colloid
    • expands plasma volume
    • increase plasma oncotic pressure
    • USE WITH CAUTION IN CARDIAC/RENAL PT
  34. Isotonic
    • Increases intravascular space but maintains osmolarity (no effect WITHIN cells)
    • Expands intravascular compartment
    • for intravascular dehydration, and hypernatremia

    Monitor for fluid overload and hyponatremia
  35. Hypotonic
    • decreases osmolarity
    • pulls fluid INTO cells and OUT of intravascular compartment
    • Very uncommon
    • not for pts with head trauma, ICP, neurosurgery, low BP, or 3rd spacing issues
  36. Hypertonic
    • increases osmolarity
    • draws fluid INTO intravascular compartment OUT of cells

    • watch for circulatory overload
    • NOT for pts with impaired kidney function (DKA)
    • treats Ascites and 3rd spacing

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