Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
40 Cards in this Set
- Front
- Back
|
Itchy skin is aka...
|
pruitis
|
|
|
What is the most common type of skin cancer?
|
basal cell
|
|
|
What is the most serious type of skin cancer?
|
squamous cell
|
|
|
Melanoma is rising in people over 60. This cancer is very _________ and _______________ rapidly.
|
malignant
metastasizing |
|
|
What is the best indicator of nutritional problems (malnutrition)?
|
albumin level
|
|
|
What is normal albumin level and what is a bad albumin level indicative of malnutrition?
|
Normal Albumin 3.5-5.0
Less than 3.0 |
|
|
What is total protein normal level?
|
6-8
|
|
|
What is normal blood gluocse?
What can you expect in elderly patient? |
70-110
slight increase to 130 |
|
|
Normal hematocrit is....
What can you expect in elderly patient? |
Males 40-54%
Females 36-46% In elderly there is a slight decrease |
|
|
What is a low hematocrit according to Ms. Shimm?
|
30 or under
|
|
|
What is normal Hgb?
|
Males 13-17
Females 12-15 |
|
|
When do you give blood transfusion for low Hgb?
|
Below 8
|
|
|
What is normal percentage of RBC?
|
Males 4.6-6.0%
Females 4-5% |
|
|
What is normal range for Fe?
What can you expect in elderly? |
50-150
significant decrease in elderly population: iron deficiency anemia |
|
|
What is normal WBC?
|
4500-10000
Never Let Monkeys Eat Bananas |
|
|
What is normal calcium?
what can you expect in elderly population? |
9-11
slight decrease |
|
|
What is normal Na?
|
135-145
|
|
|
What is normal Cl?
|
95-105
|
|
|
What is normal K?
|
3.5-5.3
|
|
|
High potassium predisposes one to...
|
digtoxicity
|
|
|
What is treatment for hyperkalcemia?
|
kayexalate (PO, Rectal)
|
|
|
What are the screening tools for a nutritional assessment?
|
No golden standard screening tool.
RN can use MDS Dietician can do a mini nutritional assessment (MNA) |
|
|
On an MDS, the RN must have these two things to conclude a nutritional problem.
These are predictive of malnutrition. |
Weight loss and leaves 25% or less of meals uneaten.
(This might not be right. It might be 25% or more.....look it up.) |
|
|
What percentage of weight loss should signal further investigation?
|
5% in a month
10% in the last 6 months |
|
|
What are the main things to assess when looking at fluid balance?
|
volume
electrolytes pH of urine specific gravity |
|
|
What is normal specific gravity of urine?
|
1.010-1.030
higher means dehydrated lower means fluid overload |
|
|
What are the caloric needs of elderly men and women?
|
Decreased caloric intake needs at 70 years old
Females 1600 Males 2000 |
|
|
What is suggested fluid intake amount for elderly?
|
2000 ml per day
|
|
|
Remember, nutrient needs _______ change as calorie needs _______.
|
Remember, nutrient needs do not change as calorie needs drop.
|
|
|
What types of foods are suggested in elderly?
|
complex carbs, fiber, proteins
not just an increase in carbs |
|
|
What percentage of elderly are at risk for imbalanced nutrition?
|
greater than 65%
|
|
|
Impaired Oral Mucuous Membranes is under this diagnostic division.
|
Food and Fluid
|
|
|
Inflammation around mouth & gums (red and painful). Happens with chemo patients.
|
Stomatitis
(impaired oral mm) |
|
|
Precancerous lesion, white patches in mouth. Usually under the tongue and on the cheeks.
|
Leukoplakia
(impaired oral mm) |
|
|
Impaired Skin Integrity is under this diagnostic division.
|
Safety
|
|
|
What is most common skin integrity issue with elderly?
|
dry skin
|
|
|
Where do you check skin turgor? Where do you NOT on elderly?
|
below clavical
NOT on hand |
|
|
When assessing patient for risk for aspiration, how often do you assess s/s of aspiration (rhonchi, cough, hoarseness, or gurgling)?
|
q 2 hours (even) and PRN
|
|
|
When patient has risk for aspiration, what types of foods/liquids do you avoid?
|
thin liquids and pureed foods
|
|
|
What types of size of meals do you provide with a patient at risk for aspiration?
|
small frequent meals...helps with GERD, which would increase risk for aspiration
|
