Nu203 lab clinical wk 2
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45 terms
Terms | Definitions |
|---|---|
dont take an oral temp if: | mouth breather, demetia, unconcious or lethargic |
tympanic | ear good for children |
slides across forehead | temporal |
foley probe | urethra |
swan ganz | into heart |
tympanic must be held which way | up and back |
children typanic held which way | pull ear down and back |
use sheath cover for what kind of thermometer | digital |
disposable | tempa-dot, used in contact isolation |
most common for low temp | operator error- go get another thermometer |
time to count for a irregular pulse | 1 min |
bp preliminaries | av fistula, picc line, mastectomy |
why do you have to ask about a mastectomy | bp cannot be taken on that arm |
both breasts removed? | use leg or forearm |
wrap bp cuff how many inches above brachial pulse | 1-2 inches |
pre-hyper tension bp | 121-139 |
stg 1 hypertension | 140-156 |
stg 2 hypertension | 160+ |
normal diastolic range for clinical | 60-89 |
normal systolic range for clinical | 90-139 |
any abnormal must be reported within | 15 min |
mean arterial pressure formula | (2 x DBP) + SBP/ 3 |
what is the normal for the mean arterial pressure (MAP) | 70- report if under 60 |
blood flow to organs | perfusion pressure |
use a doppler when | faint pulses, cant hear, icu patient |
doppler recorded always as | systolic/ 0 |
record what when doing the forearm | whether it was taken on right or left |
use the forearm for what kind of patient | obese, masectomy, doctor okays it |
vital sign trends | last 3 sets of vital signs |
always compare abnormals to | adult normal ranges |
always follow up on.. | abnormals before leaving |
vital sign trends include what | the lowest and highest from the last 3 sets of vital signs |
always compare info with what? | the chart you got that morning |
drop factor | # of drops in 1 ml of fluid |
drip rate | drops/min |
10 | 6 |
15 | 4 |
20 | 3 |
micro drip | divide by 1 |
flow rate | ml/hr |
always round number to nearest___ when dealing with flow rate | whole number |
how mfast pump is pumping | flow rate |
how fast fluid is dripping into the drip chamber | drops/min |
drop factor | # of drops in 1 ml of fluid |
you get the drop factor from what | the type of tubing |
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