chapter 31 med surg procedures

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Created by:

cindylester  on May 16, 2010

Subjects:

medical surgical procedures

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chapter 31 med surg procedures

anatomy
the study of how the body is shaped and structured
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Definitions

anatomy the study of how the body is shaped and structured
physiology the study of body function
cells basic unit of life, microscopic, human body has estimated 100 trillion
plasma membrane surrounds cell
cytoplasm inside cell carries on the cells function
nucleus contains the genetic code that determines the cells function
tissues when cells of similar structure and function are placed together
histology the study of tissues
4 types of tissues epithelial connective muscle nervous
shapes of cells squamous cuboidal coumnar transitional
3 classifications of muscles skeletal cardiac and smooth
opthalmoscope used for eyes
otoscope for external auditory canal and tympanic membrane
nasal speculum inspect the lining of the nose, nasal membranes and internal septum
tuning fork used to check a patients auditory acuity and test bone vibration
tape measure used to assess length and circumference in infants and wounds
stethoscope used when auscultating certain areas of the body particulary the heart, lungs, abdomen, carotid arteries
reflex hammer used to test the neurologic reflexes of the knee and elbow
gloves disposable and protects the healthcare worker and patients from microorganisms
additonal supplies gauze cotton balls ky hemocult packets lab request forms
methods of examination inspection, palpation, percussion
2 basic methods of percussion direct and indirect
mensuration measuring height weight, the length of the extremity, extent of flexation, size of uterus during pregnancy
manipulation forceful passive movement of a joint to determine the range of extension or flexion of a part of the body
fowlers position patient sits on exam table with their head of the table at 90 degrees angle or simply the patient sits on the edge of the table used for head neck chest or for patients that find it difficult to lay down drape waist down
semi-fowlers position the head of the table is raised 45 degrees used for post surical exams patients with breathing disorders, fevers, and head trauma's drape nipple line down
supine lie flat with face up and lower legs supported by the table extension used to examine the front of the body inculding the heart, breasts, and abdominal organs gown open down the front and drape anything not being examined
dorsal face up with the weight distributed primarily to the surface of the back knees bent may be used for rectal, vaginal and perineal areas compleatly draped
lithotomynever place in this position unless the dr is in the room and is ready for that portion of the exam on there back knees sharply flexed arms on the side or across the chest and the buttocks are at the bottom edge of the table and feet in stirrups drape over abdomen and knees if no breast exam drape should cover chest
sims or lateralpt is placed on there left side left arm and shoulder are drawn back behind the body so that the body's wieght is on the chest right arm is flexed upward for support left leg is slightly flexed and the buttocks are pulled to the edge of the bed the right leg is sharply flexed upward drape from underarm to knee so dr can just raise a small portion to expose the rectum used for exams instillation of rectal meds preineal procedures
prone pt lies face down drape cover the middle of the back to below the knees with the gown open in the back used to examine the back for some surgical procedures
knee chest pt on knees and chest with head turned on table arms under head for support buttocks are up into the air used for proctologic exams

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