Suture Removal
What is the purpose of using forceps during suture removal?
To lift the knot and reduce skin trauma
What type of medication is commonly administered via nebulizer?
Bronchodilators (e.g., albuterol)
What does a peak flow meter measure?
Peak expiratory flow rate (PEFR)
What does spirometry measure?
Lung function
What is the typical angle used for a SQ injection?
45-90 degrees
Why should you avoid pulling the outside portion of the suture back through the skin?
It’s contaminated and can introduce bacteria
How should the patient breathe during a nebulizer treatment?
Slowly and deeply through the mouth
How many times should the test be performed?
Three times
How many attempts are required for accurate spirometry?
At least three
What are common SQ injection sites?
Abdomen, thigh, upper arm
What should be done before removing sutures?
Inspect for healing and signs of infection
What indicates that the nebulizer treatment is complete?
No more mist is visible; cup is empty
Which value should be recorded?
The highest of the three attempts
Why must the patient exhale completely during the test?
To accurately measure total lung volume and flow
What size needle is typically used for SQ injections?
25-30 gauge
How do you document suture removal?
Number removed, wound appearance, patient response, and any dressing applied
Why is it important to monitor the patient during treatment?
To assess for adverse reactions
Why is correct posture important during testing?
Maximizes lung expansion for accurate results
When should spirometry not be performed?
Recent surgery, unstable cardiac condition, active respiratory distress
What are the “5 Rights” of medication administration?
Patient, drug, dose, route, time
What complications might occur during or after suture removal?
Wound reopening, bleeding, infection, embedded sutures
What must be documented after a nebulizer?
Medication, dose, duration, pre-procedure assessment, post-procedure assessment, and patient tolerance
What should you do if all three readings vary widely?
Assess technique and repeat; notify provider if inconsistency persists
Can you give Yellow Fever vaccine per standing order?
No, needs an order placed my pcp similar to typhoid and JE
Why should SQ sites be rotated regularly?
To prevent tissue damage