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AE Midterm > Terms > Flashcards

Terms Flashcards

(53 cards)

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1
Q

STEEEP

A

safety, timely, effective, efficiency, equitable, patient-centered

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2
Q

QSEN (6)

A 
patient-centered 
safety
teamwork and collaboration 
informasx tics
quality improvement 
evidence-based practice
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3
Q

Latent Failure

A

arises from decision that affect policies, procedures, allocation of resources – “blunt end”

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4
Q

Active Failure

A

direct contact with the patient – “sharp end”

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5
Q

Organizational system failure

A

indirect failures related to organizational structure/management, processes, transfer of knowledge

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6
Q

Technical failure

A

indirect failure of facilities or external resources

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7
Q

Presbycusis

A

High frequency hearing loss

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8
Q

Iatrogenesis

A

complications that arise from invasive procedures, nosocomial infections

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9
Q

SPICES

A 
Sleep disorders
Problems eating/feeding
Incontinence
Confusion 
Evidence of falls
Skin Breakdown
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10
Q

Katz

A

Index of Independence in Activities of Daily Living (ADL)

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11
Q

Frailty

A

Stage of age-related physiologic vulnerability, resulting from impaired homeostatic reserve and a reduced capacity of the organism to withstand stress.

chronic illness + physiological changes of aging + harmful social/psychological environments

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12
Q

Geriatric Cascade

A

Phenomenon of rapid decline resulting from frailty, acute illness, and stress of institutional care – domino effect

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13
Q

Components of critical thinking specific to nursing

A 
Specific knowledge base
Experience
Competencies
Attitudes
Standards
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14
Q

Nursing Process

A 
Assessment
Nursing Diagnosis
Planning
Implementation 
Evaluation
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15
Q

Leading cause of death from injury for adults

A

Falls

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16
Q

How do falls come to the attention of the healthcare team?

A 
Medical hx
Physical assessment
Mental status
Labs and diagnostic results
Home safety assessment
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17
Q

Common causes of delirium

A 
Drugs
Elimination 
Liver and other organs
Infection 
Respiratory 
Injury 
Unfamiliar environment
Metabolic
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18
Q

CAMs test

A
  1. acute onset
  2. inattentiveness
  3. disorganized thinking OR altered level of consciousness
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19
Q

Hendrich

A 
Fall Risk Model 
Confusion/disorientation
Depression
Male Gender
Altered elimination 
Vertigo/dizziness
Antiepileptics
Benzodiazepines (atvian)

> 5 = high risk

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20
Q

Systemic Effects of Immobility - Metabolic

A

Negative nitrogen balance
Altered GI function
Fluid and electrolyte balance

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21
Q

Systemic Effects of Immobility -Cardiovascular

A

Orthostatic hypotension

Thrombus formation

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22
Q

Systemic Effects of Immobility -Urinary

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A

Urinary stasis

Renal calculi

23
Q

Systemic Effects of Immobility -Respiratory

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A

Atelactasis

Hypostatic pneumonia

24
Q

Systemic Effects of Immobility -Muscular changes

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A

Loss of endurance and muscle mass
Decreased stability and balance
Loss of muscle mass
Muscle atrophy

25
Systemic Effects of Immobility -Skeletal effects
Impaired calcium absorption | Joint abnormalities
26
Systemic Effects of Immobility -Integumentary
Pressure ulcer | Ischemia
27
Interventions - Metabolic
High protein, high calorie diet | Vitamin B, C, A, D
28
Interventions - Cardiovascular
``` Progress from bed to chair to ambulation Sequential compression devices (SCDs) Thrombo-embolic Device (TED) Leg exercises, ROM Anticoagulation therapy (Heparin) ```
29
Interventions - Integumentary
Reposition every 1 to 2 hours | Skin care
30
Interventions - Respiratory
Cough and deep breathe ever 1 to 2 hours | Chest physiotherapy
31
Interventions - Musculoskeletal
Passive ROM vs Active ROM | Isotonic vs Isometric
32
Interventions - Elimination
Adequate hydration | Diet rich in fluids, fruits, vegetables, and fiber
33
Interventions - Psychosocial
Emotional support | Anticipate needs
34
Pressure Ulcers are a result of...
Pressure or Pressure in combination with shear - pressure intensity - pressure duration - tissue tolerance
35
Stage I pressure ulcer
non-blanchable redness
36
Stage II pressure ulcer
``` Through dermis (no fat involved) no slough ```
37
Stage III pressure ulcer
Subcutaneous layer, might see some muscle | presence of slough, possible undermining and tunneling
38
Stage IV pressure ulcer
Passed fat and into muscle and bone, possible undermining and tunneling
39
IAD
Incontinence Associated Dermatitis Exposure to urine Diffuse in skin folds Not necrotic Pain and itch
40
4 phases of wound healing
1. Hemostasis 2. Inflammatory phase - protective response to injury 3. Proliferative phase - rebuilding of tissue 4. Maturation phase - collagen production and organization (ongoing for years)
41
Assess pressure ulcers for...
Granulation tissue Slough Eschar Exudates (color, odor, consistency)
42
Braden Risk Assessment (6)
``` For pressure ulcers Nutrition Mobility Activity Moisture Friction and Shear Sensory Perception ```
43
Wound dressing - Hydrocolloids
Clean Stage II or shallow Stage III
44
Wound dressing - Transparent Film Dressing
Used for autolytic debridement
45
Wound dressing - Hydrogel
For shallow minimally exuding pressure ulcer (not infected) and are granulating
46
Wound dressing - Alginate Dressing
For moderate to heavily exudating ulcers
47
Silver Impregnated Dressings (Silver Sulfadiazine)
Infected wound
48
Honey Impregnated Dressing
Use of medical-grade honey for stage II and III
49
Gauze
do NOT use for clean granulating wounds
50
Pharmacokinetics
Describes how medications are absorbed; distributed; metabolized in cells, tissues, or organs; and how they are excreted
51
Medication is inactive if...
bound to a protein
52
Most biotransformation occurs in the...
Liver
53
Bioavailability
% of what is left after going through the metabolic process

AE Midterm (3 decks)

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