I'm Very Classy!
Prevention and treatment of thromboembolic disorders
Anticoagulants
A failed IV attempt was made in the wrist, where is the next best site?
Inner forearm (or proximal)
Effect of 'white coat syndrome' on a person's blood pressure
Elevates it (systolic by 9mmHg and diastolic by 4.5mmHg)
Inspect this part of the needle that creates a narrow slit to aid in injecting causing minimizing tissue discomfort
Bevel
There are 4 imperative moments for hand hygiene when performing patient care
Before contact with patient or patient environment
Before aseptic procedures
After risk/exposure to bodily fluids
Once patient care is completed
Used to manage nausea and vomiting of various etiologies
Antiemetics
What must be done to the IV hub before accessing a saline lock?
Cleanse with antiseptic (scrub the hub)
Ideal placement of a blood pressure cuff
Heart level
Purpose of lightly tapping the ampule or swirling it quickly prior to breaking the top
Remove fluid from neck
This term refers to yellow, stringy, non-viable tissue often found in wounds that must be removed to promote healing
Slough
These receptors, located chiefly in the heart where stimulation results in increased heart rate and myocardial contractility to manage HTN, angina, etc
Beta Blockers
This isotonic intravenous solution does not enter the cells and is used to replace or maintain fluid balance
0.9% Normal Saline
Core temperature is regulated by the
Hypothalamus
When mixing short acting insulin and an intermediate or long acting in the same syringe, this insulin is drawn up first
Long Acting (clear before cloudy)
Name this lung sound according to the description: moister sounds heard during middle of inspiration; not cleared with coughing
Crackles (medium)
Rapid inhalation aids in the treatment of reversible airway obstruction due to asthma or COPD
Bronchodilators
IV cannula size that is appropriate for an adult patient receiving fluids and/or a blood transfusion?
20 or 22 gauge
Perry & Potter pg 818
Describe the level of a pulse rate documented at a 2+
Barely palpable - diminished
This type of an injection leaves an approx 6mm bleb on the skin
Intradermal
These lung sounds are best heard posteriorly between scapulae and over anterior bronchioles at first and second intercostal spaces as air moves through large passages
Bronchovesicular
Used in combination with exercise, helps to ↓ the morbidity and mortality of atherosclerotic cardiovascular disease
Lipid Lowering Agents
How many points of care contact are indicated for handwashing when starting an IV?
Four
These findings indicate that respiratory distress is worsening: pH 7.32 PaCo2 48 Bicarb 24
Respiratory acidosis
Best practice suggests this method of administration is ideal for IM injections
Z track
These valves close creating the S1 and S2 heart sounds
S1 - Atrioventricular (mitral and tricuspid)
S2 - Semilunar (aortic and pulmonary)