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Flashcards in NS1222 Deck (40):
1

Subcutaneous medication administration

Needle size :25/26 g
Needle length:16mm 45 degree angle
9mm-90degrees
Don't aspirated

Common meds given : vaccines, insulin, clexane

2

Intramuscular medication administration

Common meds: analgesia,antemetics,
Needle size: 25-38mm 90 degrees
Ventro: 3ml
Deltoid:1ml
Vastus:3ml
Aspirate

3

Factors to consider when selecting a needle to administer an IM injection of metaclopramode

Persons weight-amount of muscle mass/adipose tissue
Site of injection
Viscosity of the medication

4

Glasgow coma scale

Eye response (4)
Verbal response (5)
Motor response (6)

5

Alpha cells

Produce the hormone glucagon
Stimulates breakdown of glycogen into glucose
Breaks down fat and protein into the intermediate metabolites that are converted into glucose

6

Beta cells

Secrete the hormone insulin in response to a rising level of circulating glucose

7

Insulin

Stimulates the skeletal muscles to uptake glucose and convert it to glycogen and uptake amino acids from the blood and convert them to a protein

WATCH VID

8

People at risk of type 2 diabetes

People with impaired glucose tolerance (IGT)

People with a history of a cardiovascular event

People aged 35 and over
Indigenous peoples
Hypertension,BMI over 30
Woman with polycystic ovary syndrome who are obese

9

Elective surgery

Surgery that is performed to prove life or patient well-being but is not for immediate life threatening conditions

10

Emergency surgery

Necessary to prevent death or risk of permanent dysfunction of the body and it's process

11

Cosmetic surgery

To improve function or appearance

12

Pre op considerations

Tape rings/remove jewellery
Remove mail polish
Remove make-up
Nil by mouth
TEDS
Vitals are normal
Valid consent

13

Post op care

Immediate post op observations
Wound and drains
Pain levels
Fluid status, how much has gone in, how much has gone out

14

How to prevent deep vein thrombosis

TEDS
LEG EXERCISES
EARLY MOBILISATION
FLUID INTAKE

15

How to prevent atelectasis or respiratory compromise

Deep breathing and coughing
Mobilisation
Positioning

16

If the patient become SOB, tachypnoeic and hypoxic what can you do?

Reposition (high-Fowlers)
Encourage deep breathing and coughing
Conduct respiratory assessment
Vitals

17

Criteria for discharge from post anaesthetic care (PACU)

Vitals must be stable
Pain score must be minimal
Dressings must be dry and intact
GCS should be 15

18

Dehiscence

When a wound ruptures along a surgical incision

19

Evisceration

When surgical excision opens and abdominal organs protrude from the incision

20

Wound healing

PRIMARY

When the tissue surfaces have been approximated
E.g. A wound closed with sutures

21

Wound healing

SECONDARY

When wound edges cannot or should not be closed and allowed to heal gradually
E.g. Ulcer

22

Wound healing

TERTIARY

Initially cleaned and then closed after 4-5 days - considered for highly contaminated wounds

23

Chain of infection

Infectious agent
Reservoirs
Portal of exit
Means of transmission
Portal of entry
Susceptible host

24

Wound ooze

SEROUS

Watery clear fluid
E.g. Blister

25

Wound ooze

Haemoserous (sanguinous)

Consists of large amounts of red blood cells and looks like blood mixed with clear fluid

26

Wound ooze


PURULENT

Thicker consistency, varies from yellow, green, brown
Result of tissue debris and bacteria, often unpleasant odour

27

Discharge planning

Should commence as part of the persons initial assessment (within 24 hours)

28

Health education

Is about assessing the needs of the person first. It's about what they want and need, not what we think is best

29

Factors to consider when discharging a person

How they are getting home
Are they performing their ADL's independently
Is their house appropriate
When is their follow up appointment
Who is with them at home
Do they have discharge medications, do they understand the Meds
How they are having their wound dressing done
Do they need or want any services to help them at home

30

Respiratory inspection

Tachypnoea
Nadal flaring
Use of accessory muscles
Tracheal deviation
SOB
Colour

31

Respiratory auscultation

Crackles
Wh is as
Rhonchi

32

Respiratory percussion and palpitation

Tympany
Tactile Fremitus
Respiratory excursion

33

Nursing interventions for a person with altered respiratory symptoms

Reposition
Deep breathing and coughing
Applying oxygen
Vital signs
Respiratory assessment

34

How to position someone for a cardiovascular assessment

Supine
Upright
Lateral
Semi-Fowlers

35

How to ensure patient comfort during a CA

Provide a gown so not exposed
Ensure curtains are pulled
Make sure they don't need the toilet
No visitors
Ask if they would like someone present
Make sure they are pain free

36

S1

Beginning of systole closure of mitral and tricuspid valves

37

S2

The end of the systole/beginning of diastole; closure of aortic and pulmonic valves

38

Assessing apical pulse

You palmate the point of maximal impulses and if it is difficult to find, you can ask the person to roll on their left side

39

When collecting a cardiovascular health history

Family medical history -specifically close fam
Are they on any medications for their heart or blood
Have they ever experience chest pain
What does it feels like, where the pain is, does it move or radiate, 0-10 pain, how long it's lasted, what makes it stop, what brings it on

40

What values are you listening to during a cardiovascular examination

Aortic 2nd right sterns border

pulmonary 2nd left sternal border

Tricuspid 4th/5th left sternal border

Mitral 5/6th mid clavicular line