Guías de estudio, Notas de estudios & Resúmenes

Name three purposes of the skeletal system. - Forms the framework of the body Protects the internal organs Produces red blood cells Serves as a storage site for calcium Works with the muscles to cause movement Moving away from midline - Abduction Moving toward the midline - Adduction Bending, decreasing the joint angle - Flexion Straightening, increasing the joint angle - Extension Moving in a circular fashion - Circumduction Turning toward midline - Internal rotatio...

Hypoxia Assessment Early - Tachypnea Tachycardia Restlessness, anxiety Pale skin & mucous membranes Elevated blood pressure Use of accessory muscles Nasal flaring Adventitious lung sound Hypoxia Assessment Late - Bradypnea Bradycardia Confusion and stupor Cyanotic skin & mucous membranes Hypotension Signs of fatigue Diminished lung sounds Cardiac dysrhythmias Impaired Oxygenation: assessment - Skin color Patient positioning Orthopnea Tripoding Assuming position of comf...

Normal Fluid Intake - ml/day Normal Fluid Distribution - Isotonic balance of ECF (Intravascular & Interstitial) and ICF Abnormal Fluid Distribution - - Intracellular edema - Interstitial edema - "Third Spacing" Normal Fluid Output - ml/day GI Fluid Output - - 100 - 200 ml/day - Feces - Diarrhea - Emesis Skin Fluid Output - - 500 - 600 ml - Insensible losses - Sweat Kidney Fluid Output - - ml - Urine Lungs Fluid Output - - 400 ml - Insensible - Faster w...

Assessment - Systematic gathering of information related to the physiological, psychological, sociocultural, development, and spiritual status of an individual, group, or community. What are the 4 components of Assessment? - Diagnosis, Planning Outcomes, Planning Interventions, Implementation, Evaluation. What is the necessary data for identifying the client's health problems and strengths? - Diagnosis What is the data about the client's motivation, family, and available resources ...

Assessing respiratory effort/dyspnea - 1. Nasal flaring- visible enlargement of nostrils with inhalation 2. Retractions- visible pulling in. Caused by negative pressures generated in chest to increase depth of resp. 3. Use of accessory muscles- using intercostals, abdominal muscles, or neck and shoulders when there is an increased demand for O2 4. Grunting- noisy, difficulty breathing 5. Body positioning to facilitate respirations 6. Paroxysmal nocturnal dyspnea- sudden awakening...

Abductor pillow - edge shaped pillow between the patient's legs, *used to prevent internal hip rotation and hip abduction* Used after femoral fracture, hip fracture, or surgery. Two point crutch gait - *partial weight bearing*, use both feet. This is faster, but offers less support than the four point. The foot opposite of the crutch goes forward, so advance left foot along with right crutch, then right foot along with left crutch simultaneously. Three point crutch gait - *non-w...

Types of stress - -developmental -situational -psychosocial -physiological -external/internal Developmental stress - predicted to occur at various life stages ex. Going to college Situational stress - Unpredictable and may occur at any time in life and can be positive or negative ex. Chronic illness that comes about Psychosocial stress - external to us and impact us ex. Prolonged poverty Physiological stress - internal imbalances ex. Joint overuse, infection External s...

Documentation - act of recording patient status & care in written form or electronic form, or in a combination of the 2. Explain the purposes of documentation - 1. Communication "continuity of care" 2. Legally 3. Financially 4. Education & quality improvement Explain how, when, & why to complete an incident report. - -if an event that happens that isn't consistent with routine care (a never event- pt developing a pressure ulcer, falling) -*first assess the pt & the pt's response...

Nursing process - How nurses think, identify, and respond Problem solving process AAPIE - Assessment, analysis, planning, implementation, evaluation Assessment - The evaluation of your client through subjective (from client; ex-pain, itching, headache) and objective (what you observe; ex-vital signs) data 1-initial 2-focus 3-time-lapsed 4-emergency Client is best source Documentation of assessment must be: - Concise, thorough, and accurate Primary source - Patient Seco...

FPCC EXAM 1 LATEST UPDATE GRADED A+ asepsis the absence of pathogenic microorganisms Medical Asepsis a.k.a Clean Technique, procedures for reducing the number of organisms present and preventing the transfer of organisms. ex: washing hands before preparing food at home Asymptomatic no symptoms Disinfection the process of removing many or all microorganisms exudates fluid and cells that are discharged from cells or blood vessels [e.g., pus or serum] serous clear like plasma...