What happens when there is too much water in the water seal (>2cm)
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exerts a pull and can cause difficulty breathing as patient needs more
pressure to allow their lung to expand
list metabolic complications of PN
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, rebound hypoglycemia
hyperglycemia
EFAD
Hyperammonemia
Liver dysfunction
Electrolyte imbalances
Pancreatitis (if person has high triglycerides)
When would a wound be deemed unhealable
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if there is no adequate circulation as determined by an ABI measurement
(revascularization surgery may be an option for some to provide adequate
circulation and then wound healing)
Primary Nurse Responder role during Code Blue
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- Determine responsiveness (ABC, yell, touch, shake, note time)
- Activate code blue response system (yell for help and/or push the button)
- May insert an oral airway
- Bed flat and Initiate compressions
T or F: an open ended CVC ALWAYS requires clamping
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, ONLY requires clamps if the open ended CVC does not have a proximal
valve
List the different types of long-term catheters
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tunnelled
IVAD
PICC
what is slough?
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dry or wet, loose or firmly attached yellow or brown tissue
Describe a stage X pressure ulcer
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- Unstageable
- full thickness skin and tissue loss that is obscured by slough or eschar and
cannot be staged
- May be open or closed
, When would you expect to see bubbling in the air leak chamber
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- initially set up the system you have air coming from all the tubing so you
expect bubbles for the first few minutes
- as a pneumothorax resolves you expect bubbling to decrease;
intermittent bubbling on expiration is normal for a pneumothorax
- if attached to suction
If your patient is allergic to shellfish, which topical antimicrobial should not be used
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anything with iodine
T or F: you use staging for all types of wounds
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F- only pressure ulcers
What is included in the daily assessment of a CVC
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exerts a pull and can cause difficulty breathing as patient needs more
pressure to allow their lung to expand
list metabolic complications of PN
Give this one a try later!
, rebound hypoglycemia
hyperglycemia
EFAD
Hyperammonemia
Liver dysfunction
Electrolyte imbalances
Pancreatitis (if person has high triglycerides)
When would a wound be deemed unhealable
Give this one a try later!
if there is no adequate circulation as determined by an ABI measurement
(revascularization surgery may be an option for some to provide adequate
circulation and then wound healing)
Primary Nurse Responder role during Code Blue
Give this one a try later!
- Determine responsiveness (ABC, yell, touch, shake, note time)
- Activate code blue response system (yell for help and/or push the button)
- May insert an oral airway
- Bed flat and Initiate compressions
T or F: an open ended CVC ALWAYS requires clamping
Give this one a try later!
, ONLY requires clamps if the open ended CVC does not have a proximal
valve
List the different types of long-term catheters
Give this one a try later!
tunnelled
IVAD
PICC
what is slough?
Give this one a try later!
dry or wet, loose or firmly attached yellow or brown tissue
Describe a stage X pressure ulcer
Give this one a try later!
- Unstageable
- full thickness skin and tissue loss that is obscured by slough or eschar and
cannot be staged
- May be open or closed
, When would you expect to see bubbling in the air leak chamber
Give this one a try later!
- initially set up the system you have air coming from all the tubing so you
expect bubbles for the first few minutes
- as a pneumothorax resolves you expect bubbling to decrease;
intermittent bubbling on expiration is normal for a pneumothorax
- if attached to suction
If your patient is allergic to shellfish, which topical antimicrobial should not be used
Give this one a try later!
anything with iodine
T or F: you use staging for all types of wounds
Give this one a try later!
F- only pressure ulcers
What is included in the daily assessment of a CVC
Give this one a try later!
