NUTRITION
people with heart disease might need more strict control of which nutrients
Lipids
TRUE OR FALSE: THE UPPER AIRWAY IS STERILE
FALSE
UPPER AIRWAY INCLUDES THE NASAL PASSAGES, MOUTH, PHARYNX
LOWER AIRWAY: TRACHEA, BRONCHI, BRONCHIOLES
WHAT DO YOU DO IF YOU ADMINISTER THE WRONG MED?
ASSESS THE PATIENT, CALL PROVIDER
WHAT ARE THE NEGATIVE EFFECTS OF SLEEP DEPRIVATION?
HEART DISEASE, STROKE, INFECTIONS, INJURY, DM, POSS. CANCER
WHAT CLIENT EDUCATION WOULD YOU PROVIDE FOR A PT. WITH SLEEP APNEA
AVOID ETOH, SMOKING, LOOSE WEIGHT
what kind of vitamins are A, D, E & K ?
fat soluble or water soluble?
fat soluble vitamins "All Dogs Eat Kibble"
water soluble: C & the B-complex vitamins
NAME UPPER AND LOWER INFECTIONS
UPPER: RHINOSINUSITIS, PHARYNGITIS, INFLUENZA, COMMON COLD
LOWER: RSV, BRONCHITIS, TB, PNEMONIA
The doctor orders 2 mg IV. The vial says 4 mg/mL. How many mL do you draw up?
.5ML
IN WHAT SLEEP STAGE IS SYMPATHETIC ACTIVITY REDUCED?
STAGE 3
STAGE 1: VERY LIGHT SLEEP. FEELING OF RELAXED AND DROWSY, AWAKENS EASILY, LOSS OF AWARENESS AND SURROUNDINGS.
STAGE 2: DEEPER SLEEP, 10-20 MIN LONG, REQUIRES MORE STIMULATION TO AWAKEN, INCREASED RELAXATION
STAGE 3: SLOW WAVE DEEP OR DELTA SLEEP VITAL SIGNS DECREASE, MORE DIFFICULT TO AWAKEN, REDUCTION OF SYMPATHETIC ACTIVITY
WHAT IS HYPERSOMNOLENCE DISORDER?
EXCESSIVE DAYTIME SLEEINESS THAT LASTS 3 MONTHS
IMPAIRS SOCIAL AND VOCATIONAL ACTIVITIES, INCREASED RISK FOR ACCIDENT AND INJURY
hyperglycemia
<50 hypoglycemia
>127 hyperglycemia
RAT BED
early signs: restlessness, anxiety, tachycardia/tachypnea, late signs: bradycardia extreme restlessness, dyspnea
NAME THE SUB Q AREAS FOR INJECTION
ARM, LEG, BELLY
WHEN DOES REM OCCUR AND RE-OCCUR?
WHAT IS THE AVERAGE LENGTH?
OCCURS 90 MIN AFTER FALLING ASLEEP, AND REOCCURS EVERY 90 MIN
AVERAGES 20MIN
(LONGER WITH EACH SLEEP CYCLE, VARYING VITAL SIGNS, MENTAL AND EMOTIONAL RESTORATION)
what is Eupnea
regular respirations
HOB HOW HIGH THE BED IF THE PATIENT HAS IMPAIRED SWALLOWING
90
DIAGNOSTIC TESTS FOR HYPOXIA
ABG
XRAY
SPUTUM CULTURE
PULSE OX
PEAK EXPIRATORY FLOW RATE
THE Z PACK METHOD IS OPTIONAL
TRUE
WHAT IS INSOMNIA?
WHAT IS THE TIME PERIOD OF ACUTE V. CHRONIC?
DIFFICULTY SLEEPING AT LEAST 3 NIGHTS/WEEK FOR 3 MONTHS
ACUTE LASTS A FEW DAYS (THINK STRESSORS)
CHRONIC LASTS A MONTH OR MORE
S/S: DAYTIME SLEEPINESS, POOR CONCENTRATION, FATIGUE, LETHARGY, IRRITABILITY
S/S of SLEEP APNEA
snoring, snorting, grunts, thrashes about during sleep, fatigue, morning headache, hypertension, tachycardia
TRIGLYCERIDES: formed when the body converts excess calories into fat <150
HDL (GOOD high density PROTEIN) THINK HIGH 40 FOR MEN 50 FOR WOMEN
LDL LOW DENSITY PROTEIN THINK LOW <100
respirations that abnormally deep and increase in rate
Kussmal Respirations
NAME THE 6 OR 8 RIGHTS OF MED ADMINISTRATION
NAME THE DO'S AND DONT'S OF SLEEP HYGIENE
DO: EXERCISE WITHIN 2 HOURS BEFORE BED, ESTABLISH A BEDTIME ROUTINE, GO TO BED AT THE SAME TIME EACH NIGHT, ARRANGE A SLEEP ENVIRONMENT FOR COMFORT
AVOID: SCREEN TIME, SLEEP AIDS, CAFFEINE, ETOH, SMOKING, HEAVY MEALS, CARBS, OVERHYDRATION
INTERVENTIONS RESTLESS LEG SYNDROME
DECREASE ETOH/TOBACCO, AVOID STIMULANTS, MODERATE EXERCISE, MASSAGING/STRETCHING LEGS, HEAT/COLD COMPRESSES, IRON OR ANTICONVULSANTS