Personal care
Morning care should consist of the following 4 things
Toileting, Oral Care, Dressing, Hair care
Used for sleeping
Flat
What are the 5 VS and the 6th Subjective one
Temp, Pulse, Resp, BP, O2 Sat, Pain
Factors that contribute to unsafe patient environment
Pt age, mobility, communication, pain, delay in assistance. equipment
Application of this temperature causes vasodilation
Heat
This term means the things we do to assist the patient daily
Activities of Daily living
Used for watching TV or visiting
Fowlers
3 Times to assess VS
Admission, Q8 hrs. or per policy, per dr order, Change in condition, before and after meds that can affect them, blood transfusion, surgical procedures, after a different result that is concerning
The rule for restraint use is what
Must have exhausted all other options
Contra indications to heat therapy
Appendicitis, Bleeding wound or injury, Newly injured joints, Large areas of the body at the same time
Bathing is important for patient comfort. Name 4 things that it helps wih
Cleaning the skin, Skin assessment time, increases circulation, increases sensation, provides comfort, Improved self esteem
used when blood pressure is low
Trendelnburg
Normal body temp in F, Heat stroke and hypothermia
97-99
104-110
95-80
Restraints must be checked and removed how often
checked every 30 min and removed every 2 hours
When is cold therapy used
Edema, Stop bleeding, Pain relief, Reduce muscle spasm, Reduction of fever
Define a partial bath and why it is used
Face, Hands, Axilla, Buttocks, Perineal area. If patient is too ill for full bath
used for tube feeding to prevent aspiration
Semi Fowlers
This word means controlling body temperature
Thermoregulation
Type of restraint to prevent scratching
Mitt
Max time for cold therapy
20-30 min
4 ways to improve the patient environment
Manage noise, reduce clutter, clear out odors, manage furniture
used to elevate the head of the bed without bending the waist
Reverse Trendelenburg
Signs of fever OTHER than temp
headache, Muscle aches, sleepiness, diaphoresis, anorexia, nausea, confusion, seizures
Most common Fire extinguisher are a combo of what 3 letters
A, B, C
How does cold effect metabolism
Lowers body temp, slows metabolism, decreases o2 demand, decreases ischemia