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58 Cards in this Set
- Front
- Back
Core body temperature is maintained in the |
Hypothalamus |
|
Primary source of heat is |
Metabolism |
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Main site of heat loss in the |
Skin |
|
Diffusion of heat by electromagnetic waves |
Radiation (not wearing mittens, suns rays to earth) |
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Transfer of heat through currents of air or water |
Convection (hand in a stream, fan blowing on body) |
|
Transfer of heat to another object during direct contact |
Conduction (Ice or heating pack) |
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Factors that affect body temperature (5) |
Circadian rhythms, age/gender, stress, exercise, environment |
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Pyrexia and Hyperpyrexia |
Pyrexia: 100-104 F or 38-40 C Hyperpyrexia: >105.8 or 41 C |
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Hypothermia |
Less than 95 F or 35 C |
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Normal heart rate |
60-100 BPM |
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Assessing the pulse (4) |
Rate, Amplitude, Quality, Rhythm |
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Respirations are controlled by the |
Medulla and pons |
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Voluntary control of breaking (ex: singing) |
Cerebral Cortex |
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Sense CO2 and O2 by blood flow to the heart |
Chemoreceptors |
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Normal rate/breathing pattern |
Eupnea |
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Normal respirations per minute |
12-20 |
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Tachypnea & Bradypnea ranges |
Tachy: > 24 Brady: <10 |
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Painful/difficult breathing. SOB |
Dyspnea |
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How to find cardiac output (CO) |
HR x SV |
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Pressure in artery with contractions |
Systolic BP |
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Pressure in artery at rest |
Diastolic BP |
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Mean arterial pressure should be greater than __ Hg |
60mm |
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What senses arterial stretch? |
Baroreceptors |
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A change of ___-___ mmHg is considered significant |
20-30 |
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Sizing of a BP cuff should be ____ of upper arm and ___% circumference of the arm |
2/3, 40% |
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In a BP taken from the popliteal artery, SBP would be 20-30 mmHg _______ than brachial, and DBP would...? |
Higher, DBP stays the same |
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C to F, F to C |
F= 1.8C + 32 C= F-32/1.8 |
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Order of writing a proper nursing diagnosis |
Nursing diagnosis, medical diagnosis, signs and symptoms |
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Goal = ________ driven Implementation= __________ driven |
Patient, health care |
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Difference between consultation and delegation |
Consultation= any other specialists invited to help treat Delegation= Passing responsibility |
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Each health care group keeps data on its own separate form |
Source-Oriented Systems |
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Organized around patient problems |
Problem oriented systems |
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Organized around patient problems |
Problem oriented systems |
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Charting only abnormal findings, highlights of your pt |
Charting by exception system |
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Organized around patient problems |
Problem oriented systems |
|
Charting only abnormal findings, highlights of your pt |
Charting by exception system |
|
Entered via computer |
EHR systems |
|
Organized around patient problems |
Problem oriented systems |
|
Charting only abnormal findings, highlights of your pt |
Charting by exception system |
|
Entered via computer |
EHR systems |
|
SOAPIER |
Subjective, Objective, Assessment, Plan, Interventions, Evaluation, Revision |
|
Organized around patient problems |
Problem oriented systems |
|
Charting only abnormal findings, highlights of your pt |
Charting by exception system |
|
Entered via computer |
EHR systems |
|
SOAPIER |
Subjective, Objective, Assessment, Plan, Interventions, Evaluation, Revision |
|
Focusing on the pt strengths. Positive perspective |
Focus |
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Organized around patient problems |
Problem oriented systems |
|
Charting only abnormal findings, highlights of your pt |
Charting by exception system |
|
Entered via computer |
EHR systems |
|
SOAPIER |
Subjective, Objective, Assessment, Plan, Interventions, Evaluation, Revision |
|
Focusing on the pt strengths. Positive perspective |
Focus |
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Brief summary that communicates the plan of nursing care for each patient |
Kardex |
|
Serves as baseline to identify changes while monitoring the patients condition |
Nursing Admission Form |
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When does discharge planning begin? |
On admission |
|
SBAR |
Situation, Background, Assessment, Recommendations |
|
SBAR |
Situation, Background, Assessment, Recommendations |
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Intrapersonal vs interpersonal |
Intra: self talk Inter: patient/nurse, etc |
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Denotative vs connotative meaning |
Den: dictionary Conn: implied |