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5 Cards in this Set

  • Front
  • Back
OXYGEN MANAGEMENT
H SMOKER

Humidity bottle 1/2 ful w/bbl
Should be in fowlers positn
Monitor(set)skn,eqip,tbng/glv
Observe 3r's rate,route,
cap refil, ox sat if assig
Keep trk ptresp,ask abt w/act
Examine hazards petr,elec,spk
Record all of above
NEURO ASSESS
LOGIC

Loc (ppt) person,place,time
Observe perrl(dim lights)
Get spch resp,& grsp my fng
have pt sqz = strength
Inspct fntnel/intro noxi stim
Calc strgth hnds&ft plntr or
dorsiflexion (twrd body)=
RESP ASSESSMENT
AOIR SPLAM O

Always posit upright/listen
Observe resp
Instruct to brth x2 each plc
Record SPLAM
Symetry
Pattern of respirations, RRD
rate Norm/BtM,ryth reg/ireg
depth norm/deep/shallow
Lung sounds clr,abnorm,absent
Acessory muscles used
Movement discomf with actity
O2 if asigned
DRAINAGE/SPECIMEN
SPECIAL D

Specimen collected
Place tube correctly
Examine COCA (color,odor,
consistency, amount)
Clean surounding skin
Intake if irrig & oput if DC
Assess condition of site
Label and send in biohzd bag
Document all of above
WOUND
WOUND

Wound drainage doc what U see
Observe 4 things Site,locatn,
type and condition
Unique irrig, topical,& clean
Need sterile field prn & chg
dresng like bef(ask nrse)
Document init,time,dt, and
Pt response