Stuff I wanna know final

Question 1

max amt for IM

Answer 1

4-5 but only 2=3 well absorbed

Question 2

max for butterfly

Answer 2

2-3

Question 3

max for child sub Cut

Answer 3

0.5

Question 4

max for sub cut

Answer 4

0.5-1.5

Question 5

Systemic complications for SPC

Answer 5

Septicemia
cirulatory overload
embolism

Question 6

Local complications because of

Answer 6

Poor insertion 
inappropriate size 
bad stable 
ph or osmolarity 900+ 
poor assess
incort or infrequent dress changes

Question 7

how often dress change

Answer 7

5-7 days for semi perm. 2 for gauze

Question 8

what to label on IV dress

Answer 8

date & time applied

Size, type of device & insertion date

Question 9

when to change IV site

Answer 9

4 days

Question 10

when to change IV tube

Answer 10

4 day for continuous of 24 hour for intermittent

Question 11

seniors & children IV gauge

Answer 11

22-24

Question 12

25 gauge for?

Answer 12

sub cut

Question 13

22 gauge?

Answer 13

IM

Question 14

affects the rate

Answer 14

vasospasm 
venous trauma 
manipulation of device 
flexion 
occlusion

Question 15

mirror drops

Answer 15

60 per mill for less than 100 ml an hour

Question 16

where IV container go

Answer 16

30 inches above site or 76.2 cm. Piggy back 6 inch higher

Question 17

LISPRO HUMALOG

Answer 17

ONSET 15-30 minutes
Peak 60-90 minutes
DURATION 3-6 hours (2-5)
Give 15 before meal

Question 18

ASPART

Answer 18

ONSET 10-20
Duration 3-6 hours
GIVEN 5-10 BEFORE MEAL

Question 19

Regular insulin

Answer 19

onset 30-60
peak 1-5
Duration 10
GIVE 30 MINUTES BEFORE MEAL

Question 20

NPH

Answer 20

1-2 hr onset
6-12 hr peak
18-24 hr

Question 21

when sterilestips

Answer 21

any separtation greater then 2 seiches / staples apart

snsure to cut 4-5 cm or 1.5-2 in on each side of wound

Question 22

how much can JP drain hold

Answer 22

100-200 ml/24 hr

Question 23

how much can hemovac hold

Answer 23

500 ml/hr

Question 24

how often check drainage

Answer 24

hourly

Question 25

when to remove sutures & staples

Answer 25

usually 7-14 days

Question 26

when to remove retention sutures

Answer 26

usually 14-21 days

Question 27

when are drains usually removed

Answer 27

24-48 hour

Question 28

what does skin do

Answer 28

thermoreg, metabolism, immunity, fluid balance regulation

Question 29

outermost layer - stratum corneum

Answer 29

prevent dehydration, physical burial & topical med

Question 30

inner most layer - stratum germinative

Answer 30

basal layer single keratinocytes

Question 31

how do partial thickenesss heal

Answer 31

by regeneration (only epidermis & partial dermis)

Question 32

how do full thickness wounds heal

Answer 32

SCAR FORM

Question 33

Phases of wound healing

Answer 33

1) Hemostasis = Control blood loss 2) Inflammatory = control inflame & clean wound bed 3) Proliferative = epithelial cells layer down within 24-48 hours - contraction- HEALING RIDGE BY 5-9 D 4) Maturation & remodel = collagen is remodelled - stronger

Question 34

Factors that negatively impact wound healing

Answer 34

Hypovolemia, hypotension, vasoconstriction, edema, hypoxia , nutrition, DM, Corticosterioid, advanced age

Question 35

how long is terry left open

Answer 35

3-5 d

Question 36

Neg pressure wound therapy

Answer 36

Edema & fluid removed, contraction, optimized blood flow new BP, moist environ

Question 37

clean

Answer 37

always start @ suture line "cleanest

Question 38

infection

Answer 38

microorganism form wound surface penetrate into wound tissue

Question 39

when does dehiscence occur

Answer 39

5-8 days post op

Question 40

when does Infection occur

Answer 40

3 days post op but if you put somethingg in the 1 yr

Question 41

what contributes to dehiscence

Answer 41

anemia, malnutrition obesity or steroids

Question 42

new dressing label

Answer 42

has date, time & initials on it

Question 43

TIME ACCRONYM

Answer 43

``` TISSUE MANAGMENT (BIOBURDEN) INFLM/INFECT ``` MOISTURE EDGE (goal is proliferative

Question 44

Key principles of physiological wound environment

Answer 44

adequate moisture temp control ph control bacterial burden

Question 45

Polyurethane film dressing

Answer 45

surgical infection

Question 46

gauze dressing

Answer 46

not for granulating - change 2-3x a day

Question 47

transparents/ waterproof

Answer 47

shallow, minimal exudate, partial thickness, easy view may cause maceration, hard to removed. Change every 3-4 days

Question 48

hydrocolloids

Answer 48

gel semi occlusive full thick, not einfected Maceration change 2-5 days

Question 49

hydrogel

Answer 49

Partial or full thick, light exudate, clean base, decreases pain increases autolysis, onfoms to wound change 3x a week

Question 50

alginates

Answer 50

highly obsorbent, trump, leg ulcer, nonaderence, emocculsive, 24-48 hours

Question 51

foam dress

Answer 51

All! good for the really bad onesssss | 24 hours change

Question 52

dry

Answer 52

protect from injury, sped heal, not interact with wound tissues

Question 53

wet to dry

Answer 53

not good it derbies

Question 54

wet to moist

Answer 54

not good - hypertonic - pulls fluid out - dries out

Question 55

moist environment

Answer 55

favours epithelial cell migration, promote extracellular maxtrix, drerease fibrosis, decreases infection

Question 56

full thickness wounds

Answer 56

inflame 3 days proliferation is 3-24 days remodel is 2 years

Question 57

epithelial resurface

Answer 57

7-10 days

Question 58

hemorrhage

Answer 58

greatest risk 24-48 hours

Question 59

infection

Answer 59

all chronic wounds considered infected

Question 60

what is a fistula

Answer 60

abnormal passage between 2 o4gan or organ & body poor wound healing infection, lyte imbalance, breakdown

Question 61

Purpose of dress

Answer 61

``` Not contaminated aid hemostasis patient can't seee support thermal insulation moist environment ```