Breathing
Whole person care
Oxygenation
Surgical
Random
100
patients on morphine should be monitored for what?
Respiratory depression!
Especially post op
100
What is agnostic?
Atheist's does not believe in God
Agnostic does not believe it's possible for us to know is God exists
100
signs and symptoms of oxygen toxicity
n/v
ringing in the ears
dizzy
facial twitching
100
What are we using these for?
Prevent surgical site infections! also best for bleeding precautions - no razors
100
Stages of grief
denial
anger
bargaining
depression/fear
acceptance
200
healthy sleep hygiene
establish routine
no caffeine - 6 hours!
use white noise if needed
same bed time
avoid alcohol and smoking
exercise during the day
use your bed for only bedtime activities
200
oxygen safety basics
water based lube
make sure patient has clear walkways not obstructed by oxygen tubing
cotton clothing
200
assessment before I can feed my patient post op
cough/gag
bowel sounds
200
What religion is this
Catholics!
Ash wednesday - start of lent prior to easter
300
Difference in obstructive sleep apnea and central sleep apnea
Central is on the brain - common in children with genetic syndromes
300
functions of an advance directive
guides end of life care
names power of attorney - has nothing to do with money
lets patients wishes be known
300
indicators of BIPAP and when to hold treatment
obstructive sleep apnea
anytime n/v if they can not take off the mask
300
When do we transfer a patient to the OR "bed"
or OR table
intraop!
300
define
contusion
abrasion
laceration
avulsion
contusion - blunt force trauma, skin intact
abrasion - scrape
laceration - cut-jagged edge
avulsion - degloving
400
describe Cheyne-Stokes respirations and their indications
fast deep breathing followed by shallow breaths - can have apnea
death is coming
400
should the family be allowed to bring objects from home for religious practices in the ICU?
As long as they are not a serious hazard (candles) - yes!
400
what needs to happen before trach suctioning
hyperoxygenate! 15L!
if oxygen is not available then hyperventilate/bag
400
benefits of a surgical check list (preop)
helps the nurse follow protocol - gown/ID band, informed consent is done correctly
surgical bath/hair clipping - reduce infection risk
Improves communication - does not replace hand off
400
Signs of a stage 4 (IV) pressure ulcer
bone/tendon
500
priority intervention for smokers post op?
respiratory hygiene
turn/cough/deep breathe
incentive spirometry
500
describe the steps in post mortem care
Position the body neutral
support family
removal of lines (unless there's what?)
Clean/wash and place in new gown
observe any religious/last practices
500
Describe the amount of flow in each oxygen device
nasal cannula - low flow - 1-6 lpm
simple mask - 6-12 lpm
venturi mask - only titratable one 24%-50%
non rebreather - highest concentration 60-90%
500
When do we start operative teaching?
from the moment the decision has been made for surgery
500
What documentation would you need for a pressure ulcer
Location location location!
size
photo
type of dressing
drainage
wound bed
response to treatment