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5 Cards in this Set
- Front
- Back
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OXYGEN MANAGEMENT
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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 |
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NEURO ASSESS
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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)= |
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RESP ASSESSMENT
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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 |
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DRAINAGE/SPECIMEN
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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 |
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WOUND
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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 |
