Fundamental II review for test on 6/27
Terms in this set (51)
18 to 20 French catheter
To catherterize an adult male what size catheter would you use?
30 to 40
How many cc's for bladder irrigation
1 to 2 inches (no shaving)
When applying condom catheter how many inches do you leave a space between the tip of the penis and the drainage tube of the condom sheath?
How to avoid bladder infection (UTI)
No Cotton underwear or tight clothing, bathe daily and clean peri area (front to back) drink cranberry juice and eat prunes or plums daily, empty bladder every three hours while awake or void 30 mL an hour, drink 2500 mL per day.
Bacteria loves going to warm damp places
Why should you avoid wearing a bathing suit for a long period of time?
To avoid tension or pulling on the catheter minimize pressure or tension so that it doesn't get pulled tight.
Why may you tape a catheter on the front of the abdomen?
4 to 6 hours
If you remove a catheter when do you expect that person to void on their own?
To strengthen the muscles on the pelvic floor weaker due to child bearing.
What are kegal exercises?
5.5 to 7.0
What is normal pH of urine?
because they cause alkaline urine; bacteria grow more readily in alkaline urine.
Why do you teach people who have frequent bladder infection to avoid citrus fruits and citrus juices?
Throw out the first urine because it went though the body before 8:00
If you're doing a 24 hour urine on a patient and it starts at 8am and your patient goes to the bathroom at 8: 15 what are you going to do?
12 to 24 hours to make sure they are voiding enough
If you take a catheter out how many hours do you do an intake and output after the catheter is taken out?
If you take a stick and dip it cause you are looking for infection what kid of cells are you looking for?
A strainer to try and catch the stones
If someone have kidney stones what might we put in the bathroom?
What are kidney stones made out of?
Disoriented, personality change, confusion
Elderly person has an UTI what symptoms do they exhibit that doesn't have anything to do with UTI?
Take a deep breath to try and relax the muscles.
Catheterizing a male and encounter some resistance pushing the catheter in and the patient grimace that it hurts what are you going to tell him to do?
Every 8 hours
How often do you change the trachea catheter?
In peroxide or household bleach.
When changing the treach catheter how do you clean the equipment?
How to prevent in home respiratory infection
Reduce air pollutants and to avoid them elsewhere as much as possible. Crowded theaters, shopping malls, and other places where people sit close together place the person with compromised respiration at risk.
high pitched, harsh, or musical sounds on inspiration
What does stridor sound like
10 slow deep breaths ever hour when awake. Breathe in to reach a certain volume once goal is reached hold your breath or 3 seconds then remove the hose then slowly exhale.
Incentive spirometer how do you use it and how often?
Smoking, electrical outlets or cords may have frayed wires,Do not use oils, grease-based ointments, alcohol, ether, acetone, or other flammable materials on or near the patient when oxygen is in use in the room.
Oxygen equipment is highly flammable what are you going to be careful of?
Perform pharyngeal suctioning before deflating the cuff. check cuff pressure at least every 8 hours
If you're deflating the trache cuff what would you want to do before deflating it?
Use the pharyngeal airway (nasopharyngeal and oropharyngeal).
What would you use if the tongue keeps failing to the back of the throat?
The order of trache care when a patient has a lot of secretions.
Suction them to clear the airway cleaning the skin around the stoma, changing the dressing, cleaning the inner cannula if there is one, and replacing the ties that hold the tube in place when soiled. Care is to be done every 8 hours or if there are any secretions blocking the airway.
prone to infection, There is a loss of elastic recoil during expiration, and respiratory muscles must be used to complete expiration, thickening of the alveolar membrane, oxygen saturation going to decrease.
What happens to the respiratory system with aging?
Early signs of hypoxemia
Patients just do not "seem right" even though the vital signs are within normal limits. There may be signs of confusion and dyspnea
Later signs of hypoxemia
Cyanosis (blue tinge to skin or mucous membrane) and retractions (muscles moving inward on inspiration) of accessory muscles of the neck, chest, and abdomen are late signs of respiratory insufficiency (stridor, tachypnea).
Decreased amount of oxygen in the bloodstream is?
Decreased oxygen at the cellular needs is called?
Increased carbon dioxide in the blood is called?
would give an inaccurate reading in pulse ox
Jaundice, nail polish, sensor misplacement, cyanosis, cold fingertips, reduced peripheral pulses, ambient light, and anemia are other factors that may cause inaccurate readings.
Why and how to do a percussion
Percussion is done to loosen secretions and mucus plugs. Percussion is the rhythmic clapping with cupped hands over the thoracic area, but not over the spine or sternum.
What is postural drainage
Different positions are used to drain different segments of the lungs so that secretions can be cleared. It is done in the morning (45-60mins) before meal.
2 to 3 liters
COPD what is our liter flow going to be?
What are we going to use because the oxygen is very drying?
Low to medium concentrations, 40%-60%; must use liter flow greater than 5 L/min
For concentration what is the simple mask?
Higher concentrations, 60%-80%; must keep reservoir bag inflated at all times
For concentration what is the partial rebreathing mask?
Highest concentrations, 80%-95%; must keep reservoir bag inflated at all times
For concentration what is the non-rebreathing mask?
When we do nasopharyngeal suction can we do it mouth to nose?
What is a Pneumothorax
Air in the chest cavity, a chest tube put in, the compartments of the chest tubes conists of the Suction chamber, water-seal chamber, and drainage chamber of disposable chest drainage device
80 - 120
Oral suctioning what is the suction set at?
What to do if a patient collapses and you find them
Shake victim and shout are you okay, arouse if unconscious, Look listen and feel, Call for help, then feel for parotid.
Encourage fluid intake1,500 to 2,000 per day.
To thin secretion how much fluid per day do you give?
Causes of hypoxia
Pulmonary disease, extreme obesity, high altitude, pulmonary fibrosis, respiratory acidosis, airway obstruction, decreased Neuromuscular Function, thoracic cage movement, gas diffusion, (pg503 28.1)
Position the person who is very short of breath in the orthopneic (forward) position, using pillows on the over-the-bed table.
How does someone with COPD breathe?
position of the chest tube
unit must be positioned below the level of the chest tube, and the tubing should hang straight, without looping, from the chest tube to the container, one way valve suction chamber.
Warm substance to help the cilia bring up the stuffs. Or take several deep breaths, forcefully huff-cough to move secretions up, and expectorate produced sputum.
When congested how are you going to bring up the stuff up?
Two deep breaths and then inhale deeply then forcefully cough out.
How do you do forcefully cough?
Place the hands halfway between the xiphoid process and the umbilicus with the thumb of the fist inward.
Where should the fist be for the Heimlich maneuver?
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