Skills, Interventions, & Assessments Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

airborne precautions

A
  • measles, varicella, tuberculosis (pulmonary or laryngeal)
  • private room
  • masks for caregivers and visitors (N95 or HEPA respirator for TB)
  • negative pressure airflow 6-12 exchanges per hour
  • pt should wear mask outside room
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

droplet precautions

A
  • streptococcal pneumonia or pharyngitis, Haemophilu influenzae B, scarlet fever, rubella, mumps, pertussis, mycoplasma pneumonia, meningococcal pneumonia and sepsis, pneumonic plague
  • private or cohort room
  • masks for caregivers and visitors
  • pt should wear mask outside room
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

contact precautions

A
  • respiratory syncytial virus, shigella, infectious enteric diseases (C. diff), wound infections, herpes simplex, impetigo, scabies, multidrug-resistant organisms
  • private or cohort room
  • gloves and gown for caregivers and visitors
  • disposal of infectious dressing material in nonporous bag without touching outside of bag
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

protective environment

A
  • immunocompromised pts, allogenic hematopoietic stem cell transplant recipients
  • private room
  • positive pressure airflow, 12 or more exchanges per hour
  • HEPA filtration for incoming air
  • mask for pt when out of room
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Neurovascular Assessment

A
  • Pain
  • Parasthesia
  • Pulse
  • Pallor/Polar (temperature)
  • Pressure/Swelling
  • Paralysis/Loss of function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

intramuscular injection

adult

ventrogluteal, vastus lateralis

A

needle: 1-1.5 inch, 19-23 gauge
method: 90 degree, z-track skin

max amount: 3 mL

for irritating meds, oil-based solutions, aqueous suspensions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

subcutaneous injection

adult

A

needle: 0.5-5/8 inch, 25 gauge
method: 45-90 degrees, pinch skin

max amount: 1 mL

only non-irritating, water-soluble medications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

intramuscular injection

adult

deltoid

A

needle: 5/8-1.5 inch, 22-25 gauge
method: 90 degree, z-track skin

max amount: 1 mL

for irritating meds, oil-based solutions, aqueous suspensions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

intradermal injection

adult and pediatrics

A

needle: TB syringe, 3/8-5/8 inch, 25-27 gauge
method: skin taut, 5-15 degrees, bevel up

max amount: 0.01-0.1 mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

intramuscular injection

infant (1-12 months)

A

site: vastus lateralis
needle: 5/8 - 1 inch, 23-25 gauge
method: 90 degrees

max amount: 0.5 mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

intramuscular injection

newborn (1-28 days)

A

site: vastus lateralis
needle: 5/8 inch, 25 gauge
method: 90 degrees

max amount: 0.5 mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

intramuscular injection

toddler (1-2 years)

vastus lateralis

A

needle: 5/8 - 1 inch; 23-25 gauge
method: 90 degrees

max amount: 1 mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

intramuscular injection

school age child (3+)

vastus lateralis

A

needle: 5/8 - 1.5 inches; 22-25 gauge
method: 90 degrees

max amount: 2 mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

intramuscular injection

teen

vastus lateralis

A

Needle: 5/8 - 1.5 inches; 22-25 gauge

method: 90 degrees

max amount: 2.5 mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

intramuscular injection

toddlers (1-2 years)

deltoid

A

needle: 5/8 - 1 inch; 22-25 gauge
method: 90 degrees

max amount: 0.5 mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

intramuscular injection

school age children and teens

A

needle: 5/8 - 1 inch; 22-25 gauge
method: 90 degrees

max amount: 1 mL

17
Q

subcutaneous injection

infant (1-12 months)

A

site: anterolateral thigh
needle: 5/8 inch; 23-25 gauge
method: pinch skin, 45-90 degrees

max amount: 1 mL

18
Q

subcutaneous injection

school age children and teens

A

site: anterolateral thigh or triceps
needle: 5/8 inch, 23-25 gauge
method: pinch skin, 45-90 degrees

max amount: 1 mL

19
Q

Pediatric Maintenance Fluid Requirements Per Day

A

up to 10 Kg → 100 mL/kg/day, plus

10.1-20 Kg → 50 mL/kg/day, plus

>20 Kg → 20 mL/kg/day

20
Q

pediatric replacement fluid protocol

A

20 mL/Kg of NS or LR infused rapidly as IV bolus

isotonic only