Patient Care: Test Two 3/11

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Patient Care: Test Two 3/11
2014-01-14 14:40:39
Radiation therapy patient care

Patient Care: Test Two 3/11
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  1. In the case of an electrical fire:
    Turn off the electricity at the main power, call 911, use proper fire extinguisher.

    In class Tracey said to disconnect power, call 911 and shut the vault door
  2. In case of fire: R.A.C.E.
    • R- Rescue
    • A- Alarm
    • C- Contain
    • E- Extinguish
  3. Class ___ fire involves solid combustibles.
    Class ___ fire involves liquids or gases.
    Class ___ fire involves electrical fires.
    • A- solids
    • B- liquids or gases
    • C- electrical
  4. In case of electrical fire, use Class ___ fire extinguisher only.
    Class C
  5. Body positions:
    Lying on one side
    • Lateral Recumbent
    • (like fetal position)
  6. Body positions:
    Lying on side with one leg in front
  7. Body positions:
    Supine with upper body elevated
  8. Body positions:
    Supine with upper body partially elevated
  9. Body positions:
    Head is lower than the feet, at an approximately 15° angle
  10. Body positions:
    Prone with knees under body

    Easily one of the the most humiliating positions ever- brace for impact!!! ☺
  11. Body positions:
    Supine with knees bent and feet in the air (stirrups)
    • Lithotomy
    • (ob-gyn position)
  12. Surgically formed fistulas from the large and small bowel through the abdominal wall that terminate in an external opening called a stoma:
    Colostomy or Ileostomy
  13. A bluish color to the skin, indicating lack of oxygen:
  14. A cold sweat:
    • Diaphoretic
    • -could indicate high level of pain
  15. Difficulty breathing while laying down:
  16. Difficulty breathing:
  17. Temperature is controlled by the __________
  18. What are the normal temperature ranges for oral, rectal and axillary?
    • Normal ranges:
    • Oral temp- 96.8°-99.8°F
    • Rectal temp- 0.5°-0.1°F higher than oral
    • Axillary temp- 0.5°-1.0°F lower than oral
  19. Pyrexia or hyperemia (also known as a ______) is ________°F or higher in adults.
    • Fever
    • 100.4°F or higher
  20. An abnormally rapid pulse > 100BPM
  21. Normal pulse in adults:
    90-100 BPM
  22. Normal adult rate of respiration:
    12-20 breaths per minute
  23. Greater than 20 breaths per minute:
  24. Noisy breathing or wheezing:
  25. Blood pressure is expressed as:
    • Systolic  (95-140)
    • ____________
    • Diastolic  (60-80)
  26. Normal systolic range:
    • 95-140 mm Hg
    • (measures pumping action)
  27. Normal diastolic range:
    60-80 mm Hg

    (Indicates ability of arterial system to accept pulse of blood when left ventricle contracts)
  28. What makes up the majority of cells in the blood:
    Red Blood Cells
  29. What is the life span of red blood cells?
    120 days
  30. Normal ranges: Red blood cells (RBC)
    Men: 4.5 - 6 million per mm3

    Women: 4 - 5.5 million per mm3

    Newborns: 5 - 6.5 million per mm3
  31. This is found in the interior of the red blood cell, and its primary function is to carry oxygen to lungs to tissue and carbon dioxide from tissue to lungs:
  32. Normal ranges: Hemoglobin
    • Men: 14 - 18 grams per 100mL
    • Women: 12 - 16 grams per 100mL
    • Newborns: 14 - 20 grams per 100mL

    CRITICAL <8 grams per 100mL
  33. This indicates the percentage of red blood cells per unit of blood volume and a centrifuge must be used to measure it:
  34. Normal ranges: Hematocrit
    Men: 42 - 52%

    Women: 36 - 46%

    CRITICAL <32 - 34%
  35. This component of the blood defends the body against invading bacteria, viruses and cancer cells; and they develops from stem cells in the red bone marrow:
    White blood cells (WBC)
  36. Normal range: White blood cell
    5,000 - 10,000 per mm3

    CRITICAL < 2,000 per mm3
  37. What is the life span of a white blood cell?
    • 10 days 
    • (except for lymphocytes which is 100 days)
  38. Which is more radio-sensitive: red blood cells or white blood cells?
    White blood cells

    -the shorter the life span the more radio-sensitive
  39. What blood type is the universal donor?
  40. What blood type is the universal recipient?
  41. A test to determine the presence and/or extent of infectious conditions and inflammatory processes that are usually systemic in nature:
    • Erythrocyte Sedimentation Rate
    • (ESR or sed rate)
  42. This substance is a byproduct of protein metabolism:
    • Blood Urea Nitrogen
    • (BUN)
  43. This measures the amount of waste products from the breakdown of hemoglobin (normally filtered by the liver)
    Serum Bilirubin
  44. Decrease or stoppage of blood flow to tissues due to contraction or constriction of vessels:
  45. A state of general ill health and malnutrition, electrolyte & water imbalance, progressive loss of body weight, fat & muscle:
  46. Calorie malnutrition observed in patients who are slender:
  47. Protein malnutrition; characterized as retarded growth & development, muscle wasting, de-pigmentation of hair & skin, edema, and depression of the cellular immune response:
  48. Skin reactions from xrt may persist ____ to ____ after treatment.
    6 months - 5 years
  49. Stages of skin reactions:
    Dry Desquamation-
    Moist Desquamation-
    • Epilation- 15Gy
    • Erythemia- 20Gy
    • Dry Desquamation- 30Gy
    • Moist Desquamation- 40Gy
    • Necrosis- 50Gy
  50. The Early stages of skin reactions to xrt (which include dryness, red inflamed areas, white or yellow membrane, mild burning sensation) occur at what dose range?
    • Early Stages:
    • 30-40Gy
  51. Esophagitis occurs at what dose:
  52. Mucositis & stomatitis occur at what dose:
  53. Nausea & vomiting occur at what doses:
  54. Diarrhea occurs at what dose?
  55. What types of areas are more sensitive to skin reactions to xrt?
    • -Sites where two skin surfaces touch (ie. rolls)
    • -Sites where two fields touch/overlap
    • -Sites where skin surface is thin & smooth
    • -Skin trauma/surgical scar sites
    • -Areas of inflammation
  56. Epilation occurs at what dose?
    15Gy epilation
  57. Erythemia occurs at what dose?
    20Gy erythemia
  58. Dry desquamation occurs at what dose?
    30Gy dry dersquamation
  59. Moist desquamation occurs at what dose?
    40Gy moist desquamation
  60. Necrosis occurs at what dose?