Hospital Flashcards

0
Q

Blue Tag

A

M7, I7, 7N, 7S

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1
Q

Green Tag

A

M8, 8N

Inpatient Rehab

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2
Q

Brown Tag

A

M6 I6

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3
Q

Gray tag

A

psychiatric

6N, 6S

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4
Q

Orange Tag

A

M5, Buc 5, I5, WP5, KCI

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5
Q

White Tag

A

I4, Buc 4

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6
Q

Fuchsia Tag

A

ICU, KPCCU

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7
Q

Pink Tag

A

NICU, Peds, PICU

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8
Q

Yellow Tag with Yellow Paper

A

Podiatry, ortho, 8069

7x week frequency

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9
Q

Red Tag

A

CITCU

7 x a week frequency

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10
Q

Making tags

-what to do

A

PT consults from the printer or the yellow folder

Name, floor of patient, frequency, date

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11
Q

WBC

normal
critical
what that means

A

4,000-10,000
critical value: >10,000

feverish, sign of infection

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12
Q

HCT

normal
critical
what that means

A

Normal Value: 34.0-43.0
Critical Value: <34

low value can indicate significant blood loss or over hydration

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13
Q

Hgb

normal
critical
what that means

A

11.6-14.4
critical value <7

if critically low patient will have difficulty maintaining adequate blood oxygen and may be anemic. patient unsafe to get out of bed due to risk of fainting. patient likely to need transfusion

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14
Q

platelets

normal
critical
what that means

A

100,000-450,000
critical value: 450,000

if low patient at risk for bleeding
if high patient at risk of blood clot

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15
Q

INR

normal
critical
what that means

A

international normalized ratio

when a patient is not on blood thinner normal is 1.0

if on Coumadin INR must be between 2-3 FOR THERAPY. if above 4 then no exercise or oob activities

if INR is too low then patient at risk of blood clot
if INR is too high then patient at risk of bleeding out

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16
Q

fasting glucose

normal
critical
what that means

A

normal: 55-00

critical value: 110

if hyperglycemic the patient may have excessive thirst, headaches, difficulty concentrating, blurred vision, or fatigue

if hypoglycemic patient may experience nausea, cold and clammy skin, irritable, jittery, confused, tachycardiac, fatigue, headache

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17
Q

O2 saturation

normal
critical
what that means

A

normal value: >95%
critical value: <92% alarm will sound on monitors

patient may experience dizziness, lightheadedness, fatigue, SOB, headache, irritability

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18
Q

Heart Rate Blood Pressure

A

Normal Value: 60-80bpm,
110/70 mmHg

Critical Value:
Heart Rate >110
if cardiac patient stop exercise >130
if regular exercise stop exercise 200/90 no exercise

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19
Q

What to Look at on Chart Review

A
  1. Diagnosis
  2. PMH-sx to note
  3. Meds–note side effects
  4. Last PT session for WB status, level of assist needed, exercise performed, pt tp;erance of therapy session
  5. Critical Lab Values: WBC, HCT, Hgb, Platelets, INR, Fasting glucose, O2sat, HR and BP
  6. Radiology report
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20
Q

what are the critical lab values (8)

A
WBC
HCT
Platelets
INR
Fasting Glucose 
O2 Sat
HR
BP
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21
Q

critical WBC

A

> 10

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22
Q

critical platelets

A

450,000

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23
Q

critical INR

A

1 if not on a bld thinner

if on coumadin: >4

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24
Q

INR high vs low

A

high INR: risk of bleeding

low INR: risk of clot

25
Q

critical fasting glucose

A

110

26
Q

critical O2 saturation

A

<92%

27
Q

critical HR

A

> 110

if cardiac patient stop exercise >130
if regular patient stop exercise <50

28
Q

critical BP

A

200/90

29
Q

Subjective History

A

do you live alone?
do you live in a house or apartment?
do you have stairs to go to you bedroom?
did you use an AD before coming to the hospital? if so, what device?
where you independent in ADL before admission to the hospital?
are you in any pain? quantity? quality? location?
determien AOx3: place, person, time

30
Q

sternal precautions

A

do not lift more than 8lbs
do not push or pull with your arms when moving in and OOB
do not flex shoulders >90degrees
avoid reaching far across your body
avoid twisting or deep bending
do not hold breath during activity
brace chest when coughing and sneezing, use cardiac pillow

31
Q

spinal precautions

A

no bending
no lifting
no twisting (use log roll to get out of bed)
do not lift more than 5-10 pounts

32
Q

hip precautions

A

no hip flexion above 90 degrees
keep thighs higher than knees when sitting
do not squat
do not cross legs–no adduction past midline
do not twist leg, no IR past midline

33
Q

what do colors of socks mean

A

blue/beige: low falls risk

orange: high falls risk
red: hx of fall

34
Q

anterior hip precautions

A

no hip extension
no hip abduction
no pointing toes out or in, make shoes are always in line with your shoulders

35
Q

light touch sensation

A

use fingers to lightly brush small regions of patient’s upper and lower extremities
can brush along dermatome pattern to assess the site of sensory lesion

36
Q

proprioception

A

where did i move

move pt toe up and down several times and ask patient to identify which direction being moved

37
Q

coordination tests

A

dysmetria

dysdiochokinesia

38
Q

dysmetria

A

have pt touch your finger and then their nose
test this at different speeds, locations, and ranges
note accuracy under different conditions

40
Q

dysdiochokinesia

A

have patient quickly turn their palms up and then palms down. have patient repeat several times quickly and then evaluate whether both hands are moving at the same speed and with the same accuracy.

can also be done with rapid PF DF of the feet
sign of cerebellar dysfunction

41
Q

visual tracking

A

H test

42
Q

visual accomodation

A

bring object 1-2 ft from patients face towards their nose as patient stares at the object, normal response is to see the constriction and conversion of both eyes

43
Q

visual field

A

have patient cover one eye and look at examiners nose, examiner brings fingers from behind patients eyes in all 4 quadrants patient should report awareness of the objects a few cm past the plane of their eyes

44
Q

saacades

A

have pt rapidly look from one finger to the other without moving their head, test in all four places to assess all extraoccular muscles, note deviations in movement, smoothness, speed, nystagmus, vertigo, diplopia and blurring

45
Q

steregonosis

A

object

46
Q

graphesthesia

A

number or letter

47
Q

telemetry

A

monitor patient vital signs, generally EKG and SPO2

48
Q

BP cuff

A

BP, usually left arm

49
Q

pulse oximeter

A

measures oxygen saturation in blood

50
Q

foley catheter

A

flexible tube passess through urethra into bladder to drain urine into collection bag

51
Q

aterial line

a line

A

used to obtain more accurate blood pressure

usually radial artery but can be femoral artery

52
Q

sequantial compression device (SCD) or venodynes

A

type of intermitent penumonic compression to reduce clot formation and edema

53
Q

cordis

A

central venous line used to administer fluids and medicines also used as port to connect other IV tubing

54
Q

PICC line (peripherally inserted central catheters)

A

used when central lines needed to be used for longer periods of tme, lowers chance of infection

55
Q

chest tube

A

to remove air or fluid from pleural space

56
Q

swan ganz catheter

A

catheter inserted into pulmonary artery to detect heart failure or sepsis and evaluate effect of drugs

57
Q

posey finger control mitts

A

when pt is not cogn stable to prevent pulling out of any of their lines or tubing

58
Q

nasal cannula

A

deliver O2 ia nose when pts able to eat speak and drink

59
Q

non rebreather mask

A

for higher conenctrations of O2 to be delivered, for patients who are on high flow nasal cannulas

60
Q

trach collar

A

for long term intubation to prevent damage to airway and vocal cords

61
Q

ventimask

A

O2 concentration and also allows for independent breathing patterns by patient

62
Q

NG tube

A

for feeding and administering drugs connects to stomach directly