LP 9-12 Flashcards
(130 cards)
1
Q
prehypertension adult
A
120/80-139/89
2
Q
children over 7 pulse
A
80-90
3
Q
causes of decrease in body temperature
A
depressed state, exposed to cold
4
Q
when is PACU start?
A
1940’s
5
Q
why must pain be controlled post op?
A
increase in HR and BP, stroke, hard to manage
6
Q
homans sign
A
clot in deep veins of legs, DVT
7
Q
4 routine studies in pre op prep
A
history and physical-interview and exam
blood counts-may reveal conditions that contraindicate surgery
operative permit-signed and witnessed
surgeons order-for hair removal
8
Q
chemical skin prep
A
antiseptic solution used for disinfection of the skin
9
Q
most serious cardiac dysrhythmia
A
V fib
10
Q
decrease in body temp
A
warming reactions
11
Q
goals of PACU
A
return pt back to a safe physiological level
12
Q
orthopnea
A
breathing possible when sitting or standing
13
Q
anatomy
A
normal anatomy
14
Q
hypertension adult
A
140/90-159/99
15
Q
active drain
A
suction
16
Q
what is assessed when taking respirations?
A
rhythm, depth
17
Q
bradycardia
A
below 60 beats, caused by meds, heart disease
18
Q
mechanical
A
wounds prepped after the surrounding unbroken skin is cleansed and with a different sponge
19
Q
cardiac arrest
A
heart stops beating
20
Q
is catheterization sterile?
A
yes
21
Q
post op observation of the patient
A
airway, BP, temp, HR, skin
22
Q
passive drain
A
gravity
23
Q
application
A
application of the principles of aseptic technique
24
Q
what is the most common method of draining bladder?
A
urethral catheterization
25
blood vessels contract
decrease in vessel size, heat loss
26
rectal
99.6
27
decrease in BP
bleeding, vascular collaps
28
purpose of drains
oozing of blood, fluid, air
29
birth pulse
130-160
30
who first described postop care unit?
florence nightingale
31
adult respiration
12-20
32
operative procedure
the planned operative procedure
33
3 locations for temperature
oral, rectal, axillary
34
first line of defense
skin
35
duties performed by the ST before first incision
gown and glove
| drape mayo
36
shaving
removal of hair
37
why is catheter inserted after induction?
prevent pain
38
what is a positive care approach designed for?
serve as memory tools for surgical problem solving
39
pneumothorax
accumulation of air or gas in the pleural cavity
40
CARE
reminder that all activities affect the care given to the patient
41
thrombus
stationary clot attached to wall of vessel
42
what is critical thinking?
method of organizing your thoughts that allows you to make appropriate decisions
43
adolescent BP
118-75
44
space below crease of elbow
brachial
45
apical assessment
greater accuracy, measured for 1 minute
46
embolus
travelling clot
47
environmental concern
general awareness and concern for patient care environment
48
increase in body temp
cooling reactions
49
pathology
related pathological condition
50
types of drains
rubber, plastic, nylon
51
a doctors order isn't required to insert a foley catheter
false
52
top of foot
dorsalsis
53
hypothermia
below 97 degrees
54
critically ill patients may go directly to the ICU post op
true, they need one on one care
55
6 procedures that may be ordered by doctor done prior to surgery
ECG, blood chemistry, electroencephalogram, special xray, IV fluids, catheter insertion
56
adult pulse
60-80
57
duties performed by the ST from incision to end of surgery
pass instruments
maintain sterile field
count is correct
58
equipment in PACU
crash cart, defibrillator, meds, glucometer
59
role
individual role
60
what is the primary determinant of the procedure?
anatomy and pathology
61
what is urethral catheterization
flexible tube via urethra into bladder
62
arterial line
measures BP, used for critically ill patients, anesthesia gives to patient when they are asleep
63
malignant hyperthermia
increases 1-2 every 5 minutes
64
increase in BP
hypertensive crisis, stroke
65
complications of urinary catheterization
pain or death
66
post op complication
hemorrhage, respiratory issues, thrombus
67
what are vital signs?
measurements of the body's most basic functions
68
5 steps for critical thinking
```
identify goal
gather information
generate response
implement
assess results
```
69
heart
apnex
70
what affects BP?
pain, bleeding, age, gender
71
systolic
pressure exerted against arterial walls when ventricles contract
72
increase in HR post op
pain, hemorrhage
73
a positive
conduct a review before each surgical procedure
74
pulse
left ventricle of the heart contracts
75
infant respiration
30-60
76
kussmauls
fast deep gasping in diabetic respiration
77
what might a rash indicate?
reaction to meds/anesthetic given
78
factors when taking pulse
rate, quality, rhythm
79
exhalation
force air from lungs back into environment
80
tips for catheterization
be aware of allergies
inflate 10cc for 5cc
secure tubing
gravity drainage
81
oral temp
98.6
82
pulmonary embolism
obstruction of a pulmonary artery, blood clot
83
convert F to C
subtract 32 from number, then multiple by 5/9
84
what does A POSitive stand for?
anatomy
pathology
operative procedure
specific variation
85
normal adult BP
less than 120/80
86
causes for increase in body temperature
infection, physical activity, stress
87
pulse behind knee
popliteal
88
hyperthermia
above 99 degrees
89
newborn BP
50/25-52/30
90
respiration
exchange of oxygen and carbon dioxide between atmosphere and cells
91
a positive care approach definition
developed to stimulate critical thinking abilities
92
what regulates temperature?
hypothalamus
93
local cases vital signs
2 nurses, one doing vitals and other circulator
94
inhalation
inhale fresh air into lungs
95
tympanic
usually same as oral
96
arteries under greatest pressure
systolic
97
thumb side of wrist
radial
98
indwelling catheter
foely
99
what causes breathing?
diaphragm and intercostal muscles
100
what is BP?
amount of pressure exerted against arterial walls when the heart contracts and relaxes
101
pre op prep for the patient on the day of surgery
NPO, dentures and jewelry removed, bladder emptied
102
children under 7 pulse
80-120
103
why do we monitor IV flow rates?
adjust with the increase or decrease of BP
104
advantage of shave
closer to the time of surgery
105
eupnea
normal respiratory rate
106
duties performed by ST before surgery
receive case cart
assemble items
orient furniture
open supplies
107
children respiration
18-30
108
caring attitude
care directed to patient and surgical team
109
two items ST shouldn't doubt
instrumentation
| normal operative steps of a procedure
110
straight catheter
Robinson red rubber catheter, coude tip
111
what does CARE stand for?
caring attitude
application
role
environmental concern
112
rales
rattling respiration
113
thrombophlebitis usually occurs in
superficial and deep veins
114
thrombophlebitis
inflammation of a vein
115
tachycardia
over 100 beats, caused by anemia, obesity
116
rhonchi
wheezing
117
what is a urethral cath. used for?
decompression of bladder, drainage of urine
118
critical thinking involves the application of knowledge and experience gained in the past to solve a current problem
true
119
what controls respiration?
medulla oblongata
120
ureteral catheter
cystoscope
121
diastolic
pressure exerted against the walls of arteries when heart is filling
122
what contributes to the development of an embolism?
stasis of blood
123
cheyne stokes
fast even breaths followed by periods of apnea
124
axillary
97.6
125
pyrexia
fever
126
when does post op care begin?
when the surgical procedure is concluded
127
advantage of electric thermometer
rechargable, no mercury
128
specific variation
any variation that may be necessary to accommodate this specific surgeon or patient
129
apnea
no breathing
130
dyspnea
shortness of breath
