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34 Cards in this Set

  • Front
  • Back
Gordon's
Functional
Health
Patterns
activity/exercise/sleep/rest
cognitive/perceptual
stress/coping
psychosocial
nutritional/metabolic
Sexuality/Reproduction
Values/Beliefs
Nursing Process
Assessment
Diagnosis
Planning
Intervention
Evaluation
Nursing Diagnosis
Diagnosis R/T Etiologies(may have secondary to) AMB specific s/s
SOAP/IER charting
Subjective
Objective
Assessment
Plan
Intervention
Evaluation
Revision
PIE charting
Problem
Interventions
Evaluation
CBE charting
Charting by Exception
SBAR charting
Situation
Background
Assessment
Recommendation
included in skin assessment
color
moisture
turgor
temperature
texture
edema
lesions
nail: color, shape, texture
bronchial breath sounds
loud, high pitched, tubular sounds
expiration longer than inspiration
air moving through trachea
bronciovesicular breath sounds
medium pitched
equal inhale/exhale
air mvmt thru lrg airways
vesicular breath sounds
soft, low pitched, breezy
lengthy inspiration/brief expiration
air mvmt thru sm. airways
Heart Sounds
upon auscultation
Aortic- 2nd ICS R sternal border
Pulmonic- 2nd ICS L sternal border
Tricuspid- 4th ICS L sternal border
Mitral- 5th ICS midclavicular
1st heart sound
"lub"
closure of AV values
beginning of systole
2nd heart sound
"dub"
closure of semilunar valves
beginning of diastole
effects of pH on medication absorption
acidic meds better in stomach
basic meds better in sm intestine
6 rights of medication administration
patient
medication
dosage
time
route
documentation
three checks of medication administration
BEFORE you remove meds
AFTER you prepare meds
AT THE BEDSIDE before admin
Infant nutrition
Iron stores depleted 4-6 mo
Calcium
Vitamin C
Vitamin D
highest nutritional needs
Toddler/Preschooler nutritihttp://www.flashcardexchange.com/mycards/add/942716on
commonly low: iron, calcium, Vit A, Vit D
autonomy impacts diet
school-age nutrition
nutrient needs slower
more independent food choices
adolescent nutrition
need: protein, calcium, iron, Vit B, Vit D
adult nutrition
need: calcium, folic acid, iron
older adult nutrition
sl. reduced energy requirements
calcium important
need: complex carbs esp fruit & veg
diminished senses alter eating
pregnancy/ lactation nutrition
dramatic increase in needs
clear liquid diet
does not supply adequate nutrition

water, tea, coffee, broth, clear juice, popsicles, carbonated drinks, gelatin
full liquid diet
clear liquids + anything that is liquid at room temp

for short term use
mechanical soft diet
for chewing difficulties
full liquid + soft fruits/veggies, breads, pastries, eggs, cheese, chopped/ground/shredded meat

risk for constipation
pureed diet
blended diet- any food as long as it is blended
BMI
wt in kilograms/ (ht in meters) squared
hypoglycemia
below 70
hyperglycemia
above 109 fasting
above 126 random
normal blood sugar
70-120
hemoglobin male
14-18
hemoglobin female
12-16