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31 Cards in this Set
- Front
- Back
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what is better about a 5-10 cc syrninge than a vacutainer
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easier to see flashback of blood
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what are benefits of butterfly needles
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Smaller and less painful
Easy to hold Tubing attached to vacutainer holder decreases needle movement when vacutainers are inserted |
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what vein do you use most with venipuncture
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median cubital
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in venipuncture what hand to you use to apply traction below the vessel
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non dom hand- also keep vein from moving and needle insertion easier
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what angle do you insert needle at for venipuncture
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15-30
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when do you release the tourniquet
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bf removing needle
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what is the main complication of IV cath
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infiltration of fluid into sq
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how soon before a IV insertion do u put on local anestetic
what about injectable anesthetic |
30-60 min
5-10 min before |
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what are steps to supply assembly for IV
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gath, connect tube, fluid run.clamp, tape, select vein (basilic or cephalic on dorsal forearm),
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what do you do for pt that can not lie flat for ecg
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note what angle they are at on the ekg machine
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how do you remember where to put the limb leads
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white=right and smoke over fire
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where does v1 go
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- 4th intercostal space at the right sternal border
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where does v2 go
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4th intercostal space at the left sternal border (tricuspid)
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where does v4 go
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- 5th intercostal space at the midclavicular line (mitral)
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where does v3 go
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Halfway between V2 and V4
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where does v5 go
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Anterior axillary line at the same level as V4
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where does v6 go
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Midaxillary line at the same level as V4 and V5
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pt bio-psycho social well being
(1) A powerful but imprecise construct (2) An aggregate with fluid components (3) A relative and context-dependent measurement (4) A changing condition within every life (5) A subjective perception with objective, quantifiable aspects |
quality of life
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with quality of life what trumps what
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Experience trumps existence.
Organic life may become futile. |
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in sanctity of life what trumps what
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Existence trumps experience.
Organic life is always meaningful. |
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what is the goal of medicine
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improve quality of life
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what is the principle that undergirds clinical ethics
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pt autonomy
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what is needed for surrogate decision makers to make the best decisions
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a guide to help them understand and act in the best interest for the pt
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normal GFR (greater than 90 mL/min per 1.73 m2) and persistent albuminuria (1.8 percent of the total United States population)
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stage 1
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GFR between 60 to 89 mL/min per 1.73 m2 and persistent albuminuria (3.2 percent)
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stage2
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GFR between 30 and 59 mL/min per 1.73 m2 (7.7 percent)
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stage 3
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GFR between 15 and 29 mL/min per 1.73 m2 (0.21 percent)
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stage 4
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GFR of less than 15 mL/min per 1.73 m2 or end-stage renal disease (2.4 percent for stages 5)
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stage 5 renal failure
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Estimate by Abbreviated MDRD Study Equation
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gfr
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the physiologic process that leads to a decrease in nephrons and function. There are several known causes. Usually detected by imaging studies and blood and urine analysis. A glomerular filtration rate (GFR) of <60 mL/min for 3+ months
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chronic renal failure
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the irreversible loss of kidney function such that the patient is permanently dependant on renal replacement therapy (dialysis or transplantation). A GFR <15mL/min.
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end stage renal failure
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