Term
| range of motion used when a patient unable to actively contract muscles around joints or afraid |
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Definition
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Definition
| promote circulation, prevent contractures, maintain range of motion, enhance jouint cartiledge nutrition/lubrication, promotes proprioception |
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-does not prevent muscle atrophy
-may disrupt healing process |
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Airway - ET tube
what does it stand for |
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| use when unconcious and as last resort for ventilation - lies on gag reflex |
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2 - never remove the tube or hose!!!
keep kinks out - this air is only air they breath |
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| If have ET tube - what can PT do with them? |
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Definition
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2 - if in 1st 72 hours be careful - if knocked out - straight to OR
If O2 connected, do not move |
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Definition
| Ask when put in so know how careful to be |
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| Breathing - nasal cannula |
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Definition
| Tubes in nose with oxygen flow |
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Definition
| 1 - can usually remove to ambulate |
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Definition
| Ask nurse if need to keep it on - usually given as a precaution |
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| Breathing - simple face mask |
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Definition
-Covers mouth and nose
-100% oxygen |
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Definition
| 2 - do not remove for more than a minute |
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Definition
| Can move to chair without mask, but cannot ambulate |
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| Breathing - Non-breather mask |
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Definition
Should hear air flow
Bag may not be inflated |
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Definition
| 2 - do not remove for more than 1 minute |
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Definition
| Move to chair ok to remove - must wear for any ambulation |
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| Breathing - Tracheostomy mask |
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Definition
Airflow hooked up to treacheostomy tube
Loose-fitting |
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Definition
| 2 - do not remove from oxygen source |
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Definition
| Ask the nurse if they can remove to ambulate - most patients can |
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Definition
not used a lot
knob for variable oxygen flow |
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Definition
| over nose for sleep apnea |
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Definition
Use when rebreather doesn't work
Last step b/f intubation
Tight fitting facial mask over nose/mouth
Can be awake, but can't take off to eat |
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Definition
Used to suction out excess air in pleural space
While collapsed lung is healing |
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Definition
2 - Do not knock over the tank
Do not pull tubing |
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Definition
Can walk with tube in
If tube comes out, immediately apply petroleum patch from silver package - hold, and ask for help |
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| Breathing - Oxygen Saturation |
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Definition
SpO2 - Single most important vital sign
if at 99% know everything is functioning normally |
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Definition
Does not hurt to remove, but let nurse know so doesn't freak out
Make sure patient has it back on if dissconnected |
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Definition
Peripherally inserted central catheter
Goes all the way to the heart thru veins - stops at vena cava |
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Definition
Do not pull - very long
Watch bed rails, etc for pinching |
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Term
| Circulaton - Peripheral IV 1/2 |
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Definition
| 1 - Be careful - germ introduction could initiate sepsis w/in 10 minutes |
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Definition
Do not pull or touch
Can still ambulate
Keep dry
If IV bag attached - keep IV site below bag |
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Term
| Circulation - Central lines |
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Definition
| Low pressure into subclavian or jugular |
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Definition
Bed @ 30 degrees or below
Do not pull/tug
Do not disconnect
Keep dry |
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Term
| Circulation - Arterial lines |
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Definition
Inserted into an artery
High pressure -
Usually to monitor BP
surgically placed with sutures
Most in femoral artery - some in neck |
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Definition
do not pull/kink
Do not disconnect for exercise
Arm/wrist/groin/neck
Bed 30 degrees or less
Not able to ambulate if in femoral artery |
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Definition
2 - if come out - call for help - blood will spray everywhere - emergency
1 - move transducer to level of heart eyeball it |
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Definition
Surgically placed in vein
Accessed via hubber needle
Best for chemo b/c 24 healing - no open wound |
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Term
| Why can you not use a central line for chemo? |
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Definition
| Because the toxic chemicalls would destroy peripheral veins |
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Definition
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Definition
can unplug to ambulate
Plug back in after done
Keep patient attached to machine |
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Definition
Patient Controlled Analgesia
Usually right after surgerly |
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Definition
Patient only pushes button
High risk of falls
plug in after exercise
Ensure patient can reach button |
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Term
| Circulation - syringe pump |
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Definition
| Similar to bag pumps, but more precision for children |
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Definition
Plug back in after exercise
No pulling/kinking |
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Definition
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Definition
| 1 - nothing happens if pull off - just painful |
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Definition
Keep attached during exercise
Keep electrodes dry |
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| Circulaton - Holter monitor |
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Definition
Mobile ECG on battery pack
Transmits data wirelessly to doctor |
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Definition
| 1 - but try to leave connected at all times |
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Definition
| No impact to physical activity |
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Definition
| Telemetry box in pocket of gown |
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Definition
Allows easier ambulation
Turn monitor off when going on walk without telemetry box |
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Definition
Sequential Compression Device
Returns blood from legs back to heart |
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Definition
Take off before moving out of bed!!!
Do not risk falls |
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Definition
Left Ventricular Assist Device
Artificial pump to pump blood for heart
Replaces heart |
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Definition
important to get them up and moving after surgery - invasive
attached to machine or battery pack at all times |
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Definition
External - painfully shocks heart to control beating rhythym
Internal - pacing temporary w/wires out
Permanance |
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Definition
Do not move if on external or temp
Ambulate after permanant surgery
Keep attached to controller (ex/temp) |
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Definition
Measures and controls intercranial pressure
Wires into brain |
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Definition
2 - changing level of bed could kill patient
b/c changes pressure in head |
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Definition
| Drains excess fluid from cranium |
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Definition
Dangerous - keep connected at all times
Report leaking
Check chart for angle restrictions |
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Definition
| Traction device for neck - attackes to head w/screws |
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Definition
At risk for falls - peripheral vision
Safe to move around/ambulate |
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Definition
Do not take off weights!!!
Leg hang off bed - stabile |
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Definition
Used to drain deep wounds
Risk of pathogen
See tube in skin |
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Definition
| report if large amounts of drainage when move positions (pooling) |
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Definition
| (JP) Exterior bulb drain that suctions out puss etc |
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Definition
If no longer deflated - report to nurse
Never open
ASk nurse to change (if needed) before movement |
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Definition
Best for wounds
Forms seal to keep germs out
Constant suction
Look like Alien sucked to face |
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| Vacuum assisted drains PT |
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Definition
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Definition
All drains stay in during PT
Becareful not to spill puss
No pulling - report drainage |
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Definition
Nasogastric tube - feeding tube thru nose
For putting in feed or suctioning out stomach contents |
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Definition
2 - if do not remove before moving
can cause aspiration pneumonia - FATAL |
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Definition
Turn off feed before moving patient
Report unsecure tubing |
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Definition
Peg tube in G=stomache, J=jejunum, etc
feeing tube inserted into stomach directly |
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Definition
Usually have a tracheostomy tube also
Prevent pulling/tugging |
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| Eating/feeding - kangaroo pump |
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Definition
controls feeding tube
can have 2 bags - tube feed and water |
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Definition
Pause machine before moving patient
Never lay patient flat while pump in use
Report unclean tubes, breed bacteria |
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Definition
| flexible tube in urethra to bladder to drain urine |
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Definition
Do not pull!!! Balloon at end
No kinking
Keep bag below bladder |
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Definition
| pouch to collect waste through surgical opening in abdominal wall to intestine |
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Definition
Pretend it doesn't stink!
Do not knock off- find out where it is exactly |
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Definition
| Diverts urine form bladder to ostomy bag |
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Definition
| nephrostomy - diversion from kidney |
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Definition
| used to protect pt from pulling stuff out or harming self |
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Definition
Consult nurse before removing
monitor hands closely when off
Tie to frame, not rail
DO not leave patient |
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Definition
| less restrictive - just fine movement |
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Definition
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Definition
Used to straighten bones or relieve spinal pressure
Weights create gentle force
Do no lift weights |
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