Wounds
COCA
Hint: must name all and correctly
What is color, odor, consistency, amount?
How to measure for NG tube
Hint: must be in correct sequence
What is measuring from the tip of the nose, to the earlobe and to the xiphoid process?
PERRLA
Hint: must name all and correctly
What is pupils equal, round, reactive to light and accommodation?
iSBAR
Hint: must name all correctly
What is introduction, situation, background, assessment, and recommendation?
Address and phone number
What is biographical/demographical data?
Correct order of measurements for wounds
What are length, width, and depth?
Bonus (double points) if able to name them in the correct order
Necessary check before setting up decompression and insertion of NGT
What is the suction regulator and canister?
Checking that a person is A&O x 4
What is ask the patient full name, DOB, place, situation or time?
AIDET
Hint: must name all correctly
What is acknowledge, introduce, duration, explanation, and thanks?
Metformin
What is medication?
Definition of undermining
What is tissue loss under the edges of a wound (like a cave) that is not obvious to the skin surface?
Rate for G tubes versus J tubes
What is the rate of G tubes are much faster than J tubes due to location?
Bonus (double points) if able to name what happens with running the J tube fast: severe nausea and diarrhea
Bonus (triple points): dumping syndrome
Circumduction
What is a 360 degree rotation of the joint (ie. arm circles)?
Wong-Baker scale
What is a type of pain scale typically used in children?
Smoking
What is social?
The medical term for pus
What is purulent/exudate?
Acceptable gastric residual before enteral feedings
<250mL in consecutive feedings or <500mL for one feeding
The four signs of a DVT
Hint: must name all
What are redness, warmth, pain, and swelling?
Bonus (double points): if able to name a type of testing we can do to check for DVT though no longer indicated to do-Homan's sign
Five examples of non-pharmacological pain management
What are relaxation, TENS unit, distraction, heat, cold, massage, acupressure, acupuncture, hypnosis, music therapy, and/or exercise?
Job
What is occupation/social history?
Bacteria that commonly smells musty
DAILY DOUBLE (double the points)
What is pseudomonas?
How to suspect NG tube is in the small intestine without radiology
What is higher pH (~6-7.4)?
Bonus (double points): if able to name what pH we look for with insertion of NGT- 5.5 or below
Type of infection patient is at risk for if they have a Stage IV pressure ulcer (medical term)
What is osteomyelitis (bone infection)?
Type of wound Braveheart endured at the end of the movie
Hint: it will be a medical term we learned in class
What is evisceration?
Non-sedated incision and drainage of abscess
What is surgical/procedural?