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Factors affecting body temp. |
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Definition
age circadian rhythms exercise hormonal stress environmental |
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most accurate, least favorite.... Adult 97-100F Pediatric 99.8 or 37.7C |
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Definition
safest, most noninvasive, least accurate |
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readily accessible, quick not as accurate due to cerumen and/or technique |
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15-30 min after eating or drinking or smoking glass 2-3 min |
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across chest, adults 9 min kids 5 min |
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drugs which lower pulse rate |
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Definition
negative chronotrophic drugs, beta-adreneric Ca++ channel blockers |
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Definition
epinephrine and positive chondrotrophic drugs |
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pulmonary changes which raise pulse |
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Definition
low o2 stats things such as COPD and asthma |
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pulse with regular rhythm |
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Definition
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Definition
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auscultate irregular or unequal pulses |
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Definition
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Definition
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Acceptable pulse ranges: Infant |
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Definition
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Acceptable pulse ranges: Toddler |
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Definition
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Acceptable pulse ranges: Preschooler |
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Definition
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Acceptable pulse ranges: School aged |
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Definition
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Acceptable pulse ranges: Preschooler |
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Definition
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Acceptable pulse ranges: Adolescent |
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Definition
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Acceptable pulse ranges: Adult |
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Definition
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Definition
0-absent/not palpable 1+ diminished 2+ expected/normal 3+ full/increased 4+ bounding |
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Normal respiratory ranges: newborn |
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Definition
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Normal respiratory ranges:infant |
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Definition
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Normal respiratory ranges: toddler |
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Definition
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Normal respiratory ranges: child |
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Normal respiratory ranges: adolescent |
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Definition
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Normal respiratory ranges: adult |
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Definition
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medicine effecting respiration |
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Definition
down- broncho-dilators, opioid up- amphetamines and cocaine |
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Normal Blood pressure: newborn |
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Definition
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Normal Blood pressure: 1month |
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Definition
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Normal Blood pressure: 1 year |
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Definition
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Normal Blood pressure: 6 years |
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Definition
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Normal Blood pressure: 10-13 |
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Definition
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Normal Blood pressure: 14-17 |
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Definition
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Normal Blood pressure: >18 |
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Definition
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Definition
95-100 (ideally above 98) |
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pain is emotional and cognitive |
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things to look for with pain : LOCSTAAM |
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Definition
L- location O-onset C- character S- severity T- timing A- alleviating factors A- aggravating factors M- medication or other treatments tried |
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uncomfortable due to noxious stimulous |
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non-pharmacological interventions: |
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Definition
acupressure distraction music therapy progressive muscle relaxation simple relaxation therapy simple massage simple guided imagery |
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fluid retention/hydration best measured by |
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Definition
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anything liquid at room temp |
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Definition
visceral (aching locally or cramping) or somatic pain (ache, throb) normal processing of stimuli |
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Definition
abnormal pain. treatment normally involves adjutant analgesics |
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2009 dietary guidelines to remember |
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Definition
fat intake btw 20-35% calories mostly polyunsaturated or monounsaturated fatty acids
little salt lots of potassium |
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religious restrictions: Islam |
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Definition
pork alcohol caffeine Ramadan fasting ritual animal slaughter required |
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religious restrictions: Christianity |
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minimal alcohol holy day observance (possibly no meat) |
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religious restrictions: Hinduism |
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Definition
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religious restrictions:Judaism |
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Definition
pork fowl shellfish rare meat blood, mixing meat with milk, kosher 24hour fasting with Yom Kippur no leavened bread during passover no cooking on the Sabbath (sat) |
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religious restrictions: Mormons (church of latter-day saints) |
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Definition
alcohol, tobacco, caffeine, limit meat |
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religious restrictions:Seventh-day Adventist church |
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Definition
pork shellfish alcohol coffee tea vegetarian |
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Definition
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double check dose with other nurse |
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clear then cloudy!! short then long acting! |
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Heparin IV will ALWAYS be |
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Use caution with heparin when |
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Definition
ASA NSAIDS Ulcers aneurysms bleeding precautions |
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Prophylactic dose of heparin |
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Definition
5,000 units right before OR |
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Definition
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subcutaneous injections: heparin lovenox fragmin insulin |
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Definition
1cc syringe 1/2-5/8 inch needle 25-27 gauge volume 45 or 90 degree angle |
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Definition
syringe- 1cc preferred can use 3 needle 3/8in gauge 26-27 volume .001-1cc 5-15 degrees bleb |
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Definition
syringe 3cc needle 1 1/2 in (adjust to person) gauge 20-25 angle 90degree aspirate know sites 3cc max |
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1.Right Client 2.Right Medication 3.Right Time 4.Right Route 5.Right Dosage 6.Right Documentation |
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