This pain scale uses faces instead of numbers
What is the Wong-Baker FACES scale?
Full-thickness loss of skin with adipose tissue exposed but no bone, muscle, or tendons visible.
What is a stage III pressure injury?
These are the "Ps" of perfusion.
What are Pain, Pallor, Paresthesia, Paralysis, and Pulselessness?
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Bonus (6th P): Poikilothermia (cool to touch compared to other body parts; esp Left - Right comparison of same limb)
Innate 24-hour clock that influences sleep patterns
What are circadian rhythms?
Becoming a new parent may cause this, disrupted sleep resulting in symptoms such as irritability, poor memory, and decreased reflexes.
What is sleep deprivation?
OLD CARTS
What is
Onset, Location, Duration, Characteristics, Aggravating/Alleviating factors, Radiation, Treatment, and Severity?
Intact skin, nonblanchable area of erythema.
What is a stage I pressure injury?
Proper skin preparation and glucose control (80-180) are ways to help prevent this.
What are surgical site infections?
This type of sleep apnea is causes all respiratory effort to cease.
What is central sleep apnea?
Pain is subjective - psychological and physiologic factors come into play in this part of the pain experience.
What is perception?
This type of pain is protective, typically has an identifiable cause, and is not prolonged in duration.
What is acute pain?
Clear, thin, watery fluid on surgical dressing
What is serous drainage?
This lab value may indicate anemia in a female patient.
What is a HGB lower than 12?
Stage of sleep in which the most vivid dreams occur
What is REM?
On a PCA pump, the lockout interval prevents this.
What is overdose?
This process, converting a stimuli into an electrical signal, must occur before neurotransmitters can communicate pain to the brain.
What is transduction?
This nutrient is particularly important for wound healing.
What is protein?
A white blood cell count greater than 10,000 may suggest this.
What is an infection?
Sleep disorders more common in children that can occur when arousal during REM takes place.
What are parasomnias?
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sleep walking, sleep eating, nocturnal enuresis, etc.
The priority nursing diagnosis for a patient who, using a PCA, is assessed to have a respiratory rate of 10.
What is Ineffective Breathing Pattern?
All nonpharmacologic pain management interventions, such as acupuncture and distraction, are based on this theory.
What is gate control?
For this type of healing, the edges of the wound are not approximated and healing occurs from the bottom up.
What is secondary intention?
The Aldrete score evaluates 5 areas to score these two parameters in determining a patient's readiness for discharge from PACU.
This is the period during the lifespan during which the highest percentage of sleeping hours are spent in REM.
What is neonatal?
The division of the autonomic nervous system in control when your respiratory rate increases, heart rate increases, heart contractility increases, pupils dilate, digestion slows, oxygen to brain increases, glucose availability increases - and you are READY TO FIGHT THE CROC!
What is sympathetic nervous system?
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Fight or Flight is activated.