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35 Cards in this Set
- Front
- Back
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A patient that has the right to be advised in nonclinical terms of information needed to make knowledgeable decisions to constent or refuse tx.
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Informed consent
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The word that means - custom or practice; a set of rules or a body of principles
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Ethics
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Sensory Dysfunciont, to include hearing and speech impairments, and vision
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Physiological Barriers
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elements of the enviroment, such as noise
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Physical Barriers
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one's inaccurate perception of self or others
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psychological Barriers
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Consists of observations, Patient verbally gives these to you
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S-Subjective
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Observations that are made by you, symptoms
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O-Objective
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the diagnosis of patient's condition
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A-Assessment
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May include labs or rad tests, meds, consults, patient disposition
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P-Plan
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Is pt short, tall thin, well-groomed, in apparent pain,
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General appearance
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appears worried, nervous, excited, depressed, refuse to talk, sleep well, lisp, stutter, sullen, bored
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Behavior
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remain in one position in bed, difficulty breathing,
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Position
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Flushed, pale, cyanotic, hot, moist, clammy, cool, dry, redness, bruised, scarred, laccerated, scratched, perspiring profusely, infested with lice
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Skin
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Pt must be in the best possible Psychological , spriitual, and phsysical condition
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Pre op phase
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Begins moment patient is taken into operating room
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Operative phase
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position used for vaginal hysterectomy
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Lithotomy
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used for heriorrhaphy
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Dorsal Recumbent
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Types of Regional Anesthesia
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Topical, Local, Nerve, Spinal, Epidural, Saddle, Cuadal
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Spinal Anesthesia is injected where
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subarachnoid space of the spinal canal between the 3rd and 4th lumbar space (or between the 5th lumbar and 1st sacral space.
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What type of block is injected into the dural sac at the 3rd and 4th lumbar space and what does it block
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Saddle block to the perineal area of body
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What type of block is injected into the sacral canal and what does it block?
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Cuadal block, and the umbilicus to the toes
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What stage of anesthesia is referred to as the stage of induciton or analgesia?
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Stage 1
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What stage is the stage of excitement, to include muscular activity and delirium, vital signs show stimulation, pt may respond violently
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Stage 2
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What stage is the operative stage, to include the anesthesiologist to determine what planes that fits the procedure
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Stage 3
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What are the vital signs for 1st Induction phase of consciousness?
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Usual size pupil and Reactive to light, pulse irregular, BP normal
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What are the vitial signs for the 2nd Excitement phase
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pinpoint to light, pulse irregular and fast, BP high
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What are v.s. for 3rd operative phase?
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pupils beginning to dilate, pulse steady and slow, BP normal
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What stage of anestheisa is the toxic or danger stage?
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4th stage
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How is a short arm cast applied?
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3 layers of webril, make sure each layer overlaps, Dip plaster of paris into water for 5 seconds, Wrap plaster in spiral motion, overlapping by 1/3 Repeat until thick enough to provide support(4-5 layers)
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What are the procedures for a long arm cast?
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Elbow maintained in a 90 degree position and same as short arm cast
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How long does a leg cast typically take to dry
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24-48 hrs
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what are 2 ways to remove a cast
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soaking in warm vinegar and water or cutting
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5 stages of death
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denial, anger, bargaining, depression, and acceptance
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What happens during bargaining
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people revert to a culturally reinforced concept that good behavior is rewarded, "I'd do anything if I could just turn this around"
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what happens during depression
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Not only are patients upset of their own personal loss but start to get affairs in order for family
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