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What do you measure for ted hose?
- Heel to gluteal furrow
- Heel to back of knee
Seem goes on inside of thigh and away from skin
What are Sequentials set at?
Every litre of O2 equals how much of in increase in sPo2
Which oxygen mask provides most accurate flow?
How much does nasal canula deliver? what the usual and max flow amounts?
2L and 6 L Max
Which oxygen mask delivers the highest amount of o2? Whats important to remember?
- Non rebreather....no room air
If you dont have bag inflated 2/3....CO2 Inhalation!!
Simple oxygen mask provides how much o2? how many litres/min
When do you use a humidifier....
with all masks....and nasal canula if above 3L/min
What does pulse oximiter measure?
- Sa02...arterial oxygen saturation
- Ratio of oxygenated HGB to total HGB
Normal pulse ox....
- Adult = 95%
- Elderly= 93-94%
What do you use on irritated nares?
Water soluable lube
Hot and cold therapy are used to treat
pain and inflammation
rest ice compress elevate
What do you use on Geriatrics for moist hear?
How long do you do a cold compress for?
20-30 min every 2 hours
What is MOIST heat used for?
Increase blood flow to a wound
Details of urinalysis submission
20 mLs minimum and to lab with in 1 hour of collection
What can cause a false positive with a stool sample?
If pt ate red meat
What can throat and nasal swabbing induce...that's normal
sneezing and vomitting
When do you take a throat culture?
1 Hour after food or liquid intake
Wound cultures...aerobic vs. anaerobic
Aerobic is found on edges of wound.
anaerobic in middle of wound.
Do Anaerobic first!!!! MIDDLE
What kind of stuff do you want to swab in a wound?
4 S's of wound assessment
evaluate bleeding disorder
panic value less than 20,000 microlitre
decrease in WBC indicating marrow depression from chemo, immunosuppression, VIRAL infections
less than 500 micro litre
What does Hgb assess?
bloods ability to transport o2
What does HCT assess?
tells space occupied by RBC's
What does ESR measure?
Erythrocyte sedementation rate
rate RBC's settle....when elevated you have inflammation
What kind of tube do you not put meds thru? Why?
J Tube....clogs it, too tiny
- never recap a used needle
- don gloves only during admin
- hold used syring downward and take straight to sharps
Only type of injection we aspirate prior to admin?
Heparin-pinch, aspirate, massage
- IM-prime with 0.2 of air
- Aspirate for blood
- count to 10 before removing needle
- Great Trochanter
- Anterior superior iliac spine
- Iliac crest
- greater trochanger of femur
- lateral femoral condyle
Med order requests need....
- PT name
- date ordered
- name of med
- frequency and or time
- initiators signature
3 checks before med admin
- before removing from drawer
- before dispensing at bedside
- before opening with patient
What kinds of drugs dont I crush?
Timed released and enteric coated....want absored in intestines, not stomach
How do you crush multiple drugs?
separately and dissolve each in a few mL's of water
Before and after administering meds in a gtub what do I do?
flush with 30-50mL's of warm water
If meds need to be given by a certain time....what is my drop dead?
30-60 min of that time
Why would I hold Digoxin?
K is at or above 2.0 and apical pulse is less than 60
Why would I hold potassium?
If above 5.5 mEq/dl