Brainarium

CELL MEMBRANES: a type of membrane traffic in which a cell expends _______ to pump a solute _______ a membrane against its gradient is called _______. - ️️energy, across, active transport CELL MEMBRANES: Nonpolar (hydrophobic) molecules dissolve in lipid _______ and passes through membrane _______. _______ molecules & ions require _______ membrane proteins to pass through the membrane - ️️bilayer, rapidly, polar, special CELLS: The basic features common to all cells are: 1. ______...

A patient answers questions quietly and appears sad. While answering questions about her marriage, she begins to cry. Which response by the nurse is appropriate in this situation? - ️️"I see that you are upset. Is there something you'd like to discuss?" During a physical assessment of an elderly adult, the nurse has difficulty palpating the patient's dorsalis pedis pulses. Which piece of equipment would be helpful during this assessment? - ️️Doppler A patient on a medic...

in what situation is each health assessment done? - ️️emergent: life threatening situation, focuses on health history leading up to injury Comprehensive: annual exam, health promotion and teaching, review medications, admission to a hospital and surgery. Focused: in a clinic setting when someone has a cough, 1-2 body systems. Health assessment directs the future care, so it must be... - ️️-complete -accurate -current What are the 5 components of a health assessment? - ️️healt...

How do we use therapeutic communication with a patient who is angry? - ️️We listen to the patients and search for themes of their anger. We do not become defensive and personalize the situation because it may be from a previous experience, not our own. These patients are triggered by the feeling they have lost control over the situation which leads to feelings of helplessness and anxiety. Nurses must acknowledge their feelings by saying: "I understand that you are upset about being a...

Priority nursing interventions pneumonia - ️️- raise head of bed (at least semiFowler's) - admin O₂ - turn/reposition pts who are immobilized - assess lung sounds - deep breathing/coughing - provide adequate rest - admin meds - monitor for complications treatment of asthma - ️️*- Avoidance of triggers* - Short-acting ß2-agonists (SABA) - Inhaled corticosteroids (ICS) - Long-acting ß2-agonists (LABA) - Leukotriene antagonists (modifiers) (LTRA) pneumonia - ️️acute ...

The nurses roles when supporting the deceased family? - ️️1. Maintain comfortable and peaceful environment 2. Promote spiritual comfort 3. Support the grieving family 4. Provide comfort for the dying patient. A second licensed nurse serves as a witness if there is unused opioids after administering medication to a client? true or false? - ️️True - a second nurse has to witnesses the disposal of unused part of controlled substance This type of medication reaction occurs when a per...

What are some S/S of a patient who may have PUD? - ️️pain before/after food + at night, vomiting blood, coffee ground emesis (vomit), melena/black tarry stool (slower bleed), active severe bleed comes out gelatinous bright red, high HR, low BP What are 6 examples of patients who may be immunocompromised? - ️️- HIV pt. - Chemotherapy pt. - Elderly (confusion and disorientation w/ infection and severe inflammation. fever temp is lower their normal might be 96.8 becomes 100.2 or 100.4...

What is the ideal compression depth for adults, peds, and infants? - ️️Adults: At least 2 inches, no greater than 2.4 inches Peds: 1/3 the diameter of the chest (2") Infant: 1/3 the depth of the chest (1.5") Contraindications of the Sager splint - ️️Pt has additional life threatening injuries Pelvic fracture or hip fracture Open femur fracture Avulsion/amputation of the ankle or foot Fracture distal to mid shaft femur Comprehensive Pediatric Hospitals - ️️Bethesda East...

When on scene of a vehicle accident avoid using ____ to direct traffic if at all possible. - ️️Firefighters When positioning apparatus if police have no yet arrived on scene first ____ before addressing the emergency. - ️️Control oncoming vehicular traffic One of the best qualities a Driver Operator can posses is _______. - ️️Common sense Each year approximately _____ of all firefighter injuries and deaths are caused by vehicle collisions while responding to or returning from ...

SAMPLE - ️️Signs & Symptoms Allergies Medications Past Medical History Last Oral Intake Events Preceding Trauma Hawk Should Not be Used If - ️️Bariatric of 500lb or Greater Patient unable to lay supine Patient is combative and cannot be restrained Hazmat Contaminated Patient True Allergy Findings - ️️rash, SOB, swellin of the toungue, face and/or throat IO Sites for Adults: - ️️1. Proximal Humerous 2. Proximal Tibia 3. Distal Tibia IO sites for Pediatrics - ️️1....

Blunt Head chest trauma on blood with iris of meeting with history of disorder - ️️Grey intrusion into roof >12 inches at occupant side or >18 at any site into passenger compartment - ️️blue airways assistance or RR <10 or >29 - ️️red lack of radial pulse with HR >120 or BP <90 - ️️red GSC <= 13 - ️️red suspicion on spinal cord injury, loss of sensation or paralysis - ️️red 2nd or 3rd degree burns >= 15% - ️️red amputation at or above ...

Patients with Altered Mental Status consider... - ️️A.E.I.O.U/T.I.P.S * Alcohol * Epilepsy (Seizures) * Insulin (Hyper/Hypo) * Overdose/Oxygenation * Uremia (Kidney Failure) * Trauma * Infection * Psychiatric * Stroke/Shock Ventilatory rates for PED Patients; with & w/out pulse. Pt's w/ICP and/or herniation - ️️* w/pulse: 1 breath every 3 seconds * w/out pulse: 1 breath every 6 seconds * Pt's w/ICP & Herniation: Maintain Etco2 30-35% & SpO2 >90% What are the 6 righ...

article 45- wellness program part 4 (part 2) - ️️no case shall EMP main VAC time be used to supplement this type of absence unless, in the sole discretion of FR administrator, which shall be final, binding and not subject to grievance or arbitration, a waiver of this provision is granted. IF granted an EMP may elect to have VAC time deducted retroactively. EXT leave shall be defined as a single sick leave occurrence over 120 hrs. in the event of ext leave, EMP shall be awarded pay at 10...

for known terminal illness or hospice care patient that meet stroke alert criteria they can still be treated as a stroke alert and may be transported to ------ - ️️the closest stroke center primary or comprehensive placing patients in the ---- position is contraindicated due to the risks of asphyxiation. impalement or other situations may mandate the prone position. in these instances clear documentation of justification and attention to ------- is mandatory - ️️prone airway mainte...

What is the purpose of the County vehicle driver requirements policy? - ️️To ensure that all personnel who are obligated or required to operate a County vehicle as an essential function of their job, maintain a valid drivers license by the State of FL. A reasonable drug testing worksheet shall be filled out and sent to who ? - ️️Sent to the professional FF/paramedic Local 2928 and a copy shall be presented to personnel prior to any drug testing. The drug testing policy is intended ...

Access should be gained when the ________ of the building is not readily visible from the _______. - ️️Interior, Exterior If the communication center was notified by a monitoring company, that a fire alarm was a false alarm, and a proper code was given. What can all responding units do ? - ️️All responding units shall cancel What is the purpose of the Fire alarm SOG - ️️To establish procedures for response to fire alarms Upon dispatch to an automatic fire alarm, how should you...

Fresh Frozen Plasma - Indications - ️️- Contains all clotting factors except platelets and is frozen to preserve factor V and VIII. - Active bleeding. - Replacement of plasma coagulation factors when simultaneously blood volume expansion is required. - Also has antibodies: helps fighting infection - Can be used to revert the effects of Warfarin before surgery. Whole Blood - Indications - ️️- Treatment of acute massive hemorrhage. - Treatment of patients with active bleeding that ...

Place the following steps for the administration of a unit of packed red blood cells (PRBCs) in the correct order. 1 Verbally compare and correctly verify patient and blood product 2 Check appearance of blood for leaks, bubbles, clots, or purplish color 3 Prepare Y-tubing administration set with 0.9% normal saline solution (NSS) 4 Obtain baseline vital signs - ️️4, 2, 1, 3 A patient with A− blood type needs a blood transfusion. Which blood types are appropriate for the patient to re...

Why is warming a unit of blood products in a microwave and/or under hot water from the tap is contraindicated? a. it destroys the blood product b. it makes the blood product too hot to infuse and as it cools it coagulates c. preparation of blood products is the blood back's responsibility - ️️a. it destroys the blood product Homologous transfusions, also known as allogeneic transfusions. - ️️are transfusions using the stored blood products of donors Blood transfusion - ️️i...

When preparing to administer red blood cells, the nurse notes that lactated Ringer's solution is hanging on the patient's intravenous (IV) pole. The most appropriate action before administering the blood product is to cease administering the lactated Ringer's solution and flush the line with: - ️️Normal saline solution The nurse checks the health care provider's orders to determine if there are any pretransfusion medications to be administered. Which of the following would t...