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40 Cards in this Set
- Front
- Back
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Rest |
Wakeful state with reduced physical mental activity |
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Name 2 reason why sleep is essential |
Maintain body func. Imm une syst. Promote cell growth and repair |
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2 phases of sleep how many cycles |
NREM wake-sleep 4stages REM dreams deepest. 4-6 cycles night dialy |
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Hours of sleep |
Newborn 20 Elderly 7-9 Student 4-5 |
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Factor effecting sleep |
Circadian (light-dark) Med. Cond./needs need to pee or drug increase need to pee Environment, mental worry |
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L tryptophan |
Promote sleep |
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Alcohol 2part effect |
Depression asleep Wear off: neuro stim.-wakeful |
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sedatives |
Cause calmness promote rest/sleep |
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Hypnotics |
Induce sleep |
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Srimulants |
Cause wakefulness |
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Paradoxical effect |
Rebound effect I.e. cause excittation |
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Depression can cause |
No sleep- too much sleep |
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Name 2 nurse intervention to facilitate sleep |
Back rub provide if they like noise, adjust air/temp |
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Insomnia resolves |
Less than 3 weeks Try to use routine get up if can't sleep more than 20 min |
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Hypersomnia and 2 forms |
Feeling sleepy, include narcolepsy and sleep apnea/hypopnea synd |
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Narcolepsy may include |
Cataplexy, sudden loss of muscle tone result in collapse |
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Apnea cause what to increase and what decrease? |
Down 02 hypoxemia and up C02 hypercapnia Can cause stroke or heart attack |
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Hypoxia and treatment |
Down 02 cell level Cpap cont. Pos. Airway pressure Non supine pos. |
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Hypersomnolence |
Excessive sleep From seasonal aff. Dis. (Sad) Phototherapy get sun! 2-6hr day |
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Somnambulism |
Sleep walking |
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Bruxism |
Teeth grind |
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Somniloquy |
Sleep talk |
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Jcaho and who |
2 i.d. form, prevent fall, effective comm |
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Infants cause and prevent |
Falling. Prevent child proof and supervise! |
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Adolescents and prevent |
Sport/play injuries. Buy protective equip |
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Young adult and adults and prevent |
Young: car accident, prevent by provide risk info Middle age: ignoring safety prac, prevent being positive role model |
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Elder and prevent |
Falls, prevent eliminate hazard use of ambulatory aids! |
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Latex found and prevent |
Catheter tube, I've tube, 02 tube Private room, washing hands |
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Latex consequence |
Hypotension, resp. Distress, death |
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Fire steps (race) |
Rescue, alarm, contain fire, extinguish |
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Extinguisher (pass) |
Pull to unlock, aim, squeeze trigger, sweep back forth on fire |
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Asphyxiation and cause |
Low 02 level can't breathe Food, drown, inhale smoke |
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Fire deaths |
50-80% |
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Carbon monoxide and treatment |
CO poisoning, leads to muscle ache, confusion, unconscious, death Treat 02 mask, well area ventilated |
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Reastraints |
Physical obj. And or chemical substances to restrict movement |
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Why restraint used |
Protect self harm |
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Complication of restraints |
Confusion, sores, adl due to being restrained |
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Restraint monitor criteria |
Assess document every 1-2h regarding: vital signs, ROM , toileting, readiness of removal |
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Types restraint |
Hand mitt no iv grab, vest held down, wheelchair strap can't move out, |
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Restraint principles |
Try alternative methods first, GED doctor approval first, position properly Notify family, hourly assess, document response |
