Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/22

Click to flip

22 Cards in this Set

  • Front
  • Back
Resp assess
AIR SPLAM 0

Always position upright /listen side to side
Instruct to breath x2 each steth placement
Record splam
s symmetry
p pattern of breathing
l lung sounds
a acessory muslces used
m movement
o2 if assinged
abm assess
ps bellys

pee first
suction off
bend knees keep flat
examine abm. (flat, round,distention scars)
listen x4 uads
lightly palpate
you mesure girth is assigned
suction on
end things
baash

bed low postion
assist with call light
assess comfort
siderails up
hands wash
20 min. checks
wigaas

wah hands
intro self and ce and Id pt
gloves
assess iv site record rate/advise I&O
ask about pain comfort, air
saftey and save tray
muscul mang.
joint P

joint flexibity bilat
observe strenght bilat(squeeze and flex)
Implement ROM x3
note assistive devices
treatment , traciton cas and hose
pt response
personal cleanines
clean

change linen
lotion and skin prep
examin and priviacy
always chane wate x1
need oral care
mobility
team BR

transfers
extranous movement
alignment/ aassistive devices
movement
balance
response
pain mang.
pain

pain acale
assess location
intervention x1 or med if assigned
need to reassess
o2 mang.
smoker

should be fowlers
monitor (set) skin, equip, tubing
observe 3r's rate, route, refill
keep track pt response
examine hazards
record
fluid mang.
Heparin

hydration status (tmf) turgor, membranes, fontaneal
enteral feeding (kind)
parental ( check and record)
adjust flow rate
rate of drops
insertin site and I&O
number on ICD
Resp mangt
AIR SPLAM O AIR P

Always position upright /listen side to side
Instruct to breath x2 each steth placement
Record splam
s symmetry
p pattern of breathing
l lung sounds
a acessory muslces used
m movement
o2 if assinged

APPLY RESP hygiene ( gtr)
gloves.tissue receptable

include reassessment
record date in comparsion to first splam

pt response
Periph vascu assess
pulses bilat
examine crest
c color
r refill
e edema
s swelling
t temp
response to tiactile stimuli ( u touch pt eyes closed)

movement wiggle toes and fingers
meds
wow gipsis

Wash hands
Obtain meds 5rights (tramp) 3 checks (sor) selecting, opening, returning
Wash hands in room

gloves
Id pt x 2 forms
prechecks
site clean
Id ptx2 , inject or give meds
sign mars and wash hands
Neuro assess
loc (ppt) person place time
observe perrl (dim lites)
get speech response
inspect fontneal or into noxious stimuli
calculat strength of hands and feet(bilat)
skin assess
A time CB

assess skin
temp
integrity
moisture
edema
color
braden scale
Vitals
7

temp
bp
pulse
resp
o2
weight (use barriers)
pain
comfort mang.
APRR

Assess comfort level
provide 3 measures
reassess comfort level
record response
pt teaching
RIPPA

Ready to learn
information pt knows
pt teach
pt response
assess learning
enteral feeding
feeding

feding type
examine type/strength
expiration date and temp
don forgt hob 30
inspect placement and sie
need rate recorded
give feeding and burp babies
wound mang
wound

wound drainage
observe site, loction, type and condition

unique irrigatin, topical and clean
need sterile field prn and change drsg like before
document initial , time and date pt response
Irrigation
IRRG

inspect tue placment
right supplies, loution and temp
right position and flow rate
get receptacle
Drainage/ specimen
speical D

specimen collected
place tube corectly
examine coca ( color, odor, consistency amount)

I&O
Assess condition of site
lael and send
document all above