Prac FCs

Question 1

Epidural assessment questions

Answer 1

P/N
Numbness
Weakness
Heaviness
Headache
Pain at epidural site

Question 2

Cardiac mobilisation

Answer 2

• Can use bed rope in cardiac, both hands on bed rope to pull self into sitting
• Once in sitting arms across chest and shuffle to edge of bed

Question 3

General considerations for all mobilisations

Answer 3

• Check gown is done up at the back when standing and loosen before sitting
• Feel bed on back of the leg when getting ready to sit
• Nose over toes, no reaching for rollator until were in standing

Question 4

Interview before mobilising

Answer 4

• Post op Q’s → nausea, drowsiness, dizziness, pain
  
  • If patient has N/V then make sure to get assistant to bring vomit bag
• Epidural if relevant

Question 5

What are you feeling for during obs, palp and cough

Answer 5

Feeling for:

• Fremitus, temperature, symmetry and movement

Cough

• Sanitise

Question 6

Circulation check

Answer 6

• Tibilia posterior
• Dorsis pedius
• Capillarity refill

Question 7

Incentive spirometry prescription

Answer 7

5 breaths x 2 sets with BC every hour

Question 8

Abdominal mobilisation

Answer 8

Sidelying to then drop legs of bed

Question 9

PEP prescription

Answer 9

8-10 breaths in a cycle and repeat 5-10 times

Question 10

DVT check

Answer 10

Interview

• DVT history
• Pain or discomfort in calves
• Temperature
• Pain with calf
• Hoomans sign

Pulse

• Tibilia posterior
• Dorsis pedius
• Capillarity refill

Question 11

What is a Yankeur suction tip

Answer 11

• Oral suctioning tool
• Firm plastic suction tip
  with large opening
  surrounded by bulbous
  head
• Used to suction
  oropharyngeal secretions
• Not to be used past back
  of throat – GAG!

Question 12

How to use handihailer

Answer 12

1. Open the cap
2. Open the mouthpiece
3. Insert the medication capsule in the centre chamber4. Close the mouthpiece
4. Press the green piercing button, then release (this pierces holes in the capsule to release the medication on inspiration) 6. Sit upright
5. Expire gently but not fully
6. Slight neck extension
7. Seal mouth around mouthpiece
8. Slow, deep inspiration
9. Inspiratory hold (5-10sec)
10. Expire gently, through nose
11. Open the mouthpiece, then tip to discard used capsule14. Close the mouthpiece and cap

Question 13

Uncuffed vs cuffed and when they are used

Answer 13

• Function of the cuff is to prevent aspiration of GI contents, prevents the movement of the tube, provides good seal for ventilation
• Indicated when patient is unconscious, unable to swallow, requires full mechanical ventilation
• If the patient is awake, able to swallow, pediatric, able to speak with uncuffed then it is not often used

Question 14

Endo vs naso

Answer 14

• Larger tube
• Damage to patients teeth

**Naso****

• Easier to insert
• Smaller tube but easier to block with secretions
• Sinus infections, nose bleeds