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Med Surg > Clinical > Flashcards

Clinical Flashcards

1
Q

Before a pt goes to surgery, what should their blood glucose be kept above?

A

150

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2
Q

What is the purpose of BIS (bispectral index) monitoring during anesthesia?

A

To assess pt’s depth of consciousness

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3
Q

Red-tinged drainage

A

Sanguineous

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4
Q

Clear or yellowish drainage

A

Serous

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5
Q

Where is the tip of a central line located?

A

Superior vena cava

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6
Q

What is a hub used for?

A

For flushing IV or admin of IV push meds

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7
Q

What is vented tubing used for?

A

Meds in glass containers

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8
Q

How often should a saline lock be flushed?

A

Every 12 hours

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9
Q

How often should IV sites be examined?

A

Every 4 hours and as needed if pt has discomfort or complications

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10
Q

Irritating fluids in tissue area around IV

A

Extravasation

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11
Q

Non vesicant fluids leaking around IV site

A

Infiltration

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12
Q

How to avoid nerve damage to the median nerve

A

Do not start an IV within 4 inches of the wrist

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13
Q

When do 10 mL syringes NEED to be used

A

When doing anything with a midline or PICC line

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14
Q

Common syringe size for Intradermal injections

A

1 mL

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15
Q

Common needle gauge and length for Intradermal injections

A

26-29 gauge
0.5 inch

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16
Q

Max volume for Intradermal injection site

A

0.1 mL

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17
Q

Common syringe size for subcutaneous injections

A

1-3 mL

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18
Q

Needle gauge and length for subcutaneous injections

A

25-31 gauge
0.5 - 1 inch (only 1 if the person is very obese)

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19
Q

Max volume for a subcutaneous injection

A

1 mL

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20
Q

Common syringe size for intramuscular injections

A

3 mL

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21
Q

Needle gauge and length for intramuscular injections

A

21-23 gauge
1-2 inch (2 inch is rare)

22
Q

Max volume for intramuscular injections

A

3 mL for Ventrogluteal and Vastus lateralis
1 mL for deltoid

23
Q

What type of insulin as Aspart?

A

Rapid

24
Q

Onset of action for Aspart

A

10-20 mins

25
Q

Peak for aspart

A

1-3 hours

26
Q

Duration of action for Aspart

A

3-5 hours

27
Q

What type of insulin is Regular?

A

Short acting

28
Q

Onset of Regular insulin?

A

30-60 minutes

29
Q

Peak of Regular insulin

A

1-5 hours

30
Q

Duration of Regular insulin

A

6-10 hours

31
Q

What type of insulin is Detemir?

A

Long acting

32
Q

Onset of Detemir

A

60-120 minutes

33
Q

Peak of Detemir

A

None

34
Q

Duration of Detemir

A

12-24 hours

35
Q

What should you do if you pt’s accu check is <70 and they can swallow?

A

Admin 15 g carbohydrate every 15 mins until glucose level is >70
(3 glucose tabs or 4 oz soda)

36
Q

What should you do if pt’s accu check is <70 and they cannot swallow?

A

Administer 25 mL (1/2 amp) of D50W (50% dextrose)

37
Q

What should you do if your pt’s accu check is <70 and they cannot swallow and do not have an IV?

A

Administer 1 mg glucagon IM and turn pt onto left side

38
Q

What should you do after you’ve administered/fed glucose to pt?

A

Recheck glucose after 15 mins. If it is not >70 after 30 min of tx if still not >70
When it is >70, provide protein/carb snack like 2 tbsp PB & 3 saltine crackers or 8oz milk

39
Q

CN 1

A

Olfactory
Use alcohol pad to assess

40
Q

CN II

A

Optic
PERRLA

41
Q

CN III

A

Oculomotor
Follow finger or penlight with eyes only

42
Q

CN IV

A

Trochlear
Follow finger or penlight with eyes only

43
Q

CN V

A

Trigeminal
Clench jaws, use light touch test

44
Q

CN VI

A

Abducens
Follow finger or penlight with eyes only

45
Q

CN VII

A

Facial
Smile, frown, make funny faces, taste sugar or salt?

46
Q

CN VIII

A

Vestibulocochlear
Determine distance or loudness of sounds

47
Q

CN IX

A

Glossopharyngeal
Gag reflex or swallowing (can assess when giving meds or a drink of water)

48
Q

CN X

A

Vagus
Pt says “ahh”, watch for uvula movement

49
Q

CN XI

A

Accessory
Pt shrugs shoulders and turns head against force

50
Q

CN XII

A

Hypoglossal
Pt sticks tongue out

Med Surg (12 decks)

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