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;
27 Cards in this Set
- Front
- Back
|
What is it a nurse needs to know about therapeutic use of heat & cold?
|
normal response to it
variations to response need to assess area |
|
|
you include the patient in the assessment thing by asking ...
|
questions like How does it feel?
you need to assess the equipment too. make sure materials management resets temps on eq. BUT the temp on the patient is MY responsiblity |
|
|
what would have a bad reaction to heat or cold therapy?
|
a decreased circulatory system so a nurse might have to question a doctor's orders for a cold pack!
|
|
|
there is sytemic response to hear and cold. like what?
|
heat would have sweating and vasodialation
cold would have piloerection, vasoconstriction, shivering |
|
|
whats wrong with shivering?
|
you make a guy shiver using cold technique, which is to cool him down, shivering produces heat so the guy starts to warm up again
|
|
|
what happens when you use heat on someone?
|
vasodialation
reduced blood vicosity reduced muscle tension increased capillary permeability |
|
|
what happens when you use cold on someone?
|
vasoconstriction
reduces pain slows metabolism increases blood viscosity decreased muscle tension |
|
|
what does a sitz bath do?
|
warm water so increases viscosity, soak that butt after prostate surgery or women w/ problems
|
|
|
whats the big problem with using heat on someone?
|
drops the blood pressure so they could go into shock.
|
|
|
would you use a hot pack on a tooth ache?
|
hell no. it would spread the infection by vasodialation
|
|
|
you got to assess for tolerence. what ya do?
|
look at level of consciouness
cognitive status? confused? alterations in skin check vital signs are they nausia? head swimming? seniors have decreased tactile (feelings) they could burn easy |
|
|
what risks with all this?
|
old people have thin skin, decreased tactile skin
can't tell their cooking in there peripheral vascular disease confussion spinal cord injury abcessed tooth |
|
|
lets talk about moist heat
good and bad. whats the good? |
reduces drying of skin
moistens exudate compress conforms to body moist heat penetrates promotes sweating and fluid loss |
|
|
so now whats the down to heating with moist heat?
|
maceration w/ long exposure (prunning I think)
greater risk to burns moisture conducts heat |
|
|
hot moist compress
what can it do? |
improve circulation
relieve edema pulls up pus and drainage |
|
|
what does a warm soak do?
|
promotes circulation
lessens edema relaxes muscles dedrides wounds |
|
|
why do we use ice packs?
|
muscle sprain
hematoma dental surgery cover it w/ flannel cover, reapply after an hour controls bleeding! kills the pain in the area! |
|
|
what happens when you use heat on someone?
|
vasodialation
reduced blood vicosity reduced muscle tension increased capillary permeability |
|
|
what happens when you use cold on someone?
|
vasoconstriction
reduces pain slows metabolism increases blood viscosity decreased muscle tension |
|
|
what does a sitz bath do?
|
warm water so increases viscosity, soak that butt after prostate surgery or women w/ problems
|
|
|
whats the big problem with using heat on someone?
|
drops the blood pressure so they could go into shock.
|
|
|
would you use a hot pack on a tooth ache?
|
hell no. it would spread the infection by vasodialation
|
|
|
what happens when you use heat on someone?
|
vasodialation
reduced blood vicosity reduced muscle tension increased capillary permeability |
|
|
what happens when you use cold on someone?
|
vasoconstriction
reduces pain slows metabolism increases blood viscosity decreased muscle tension |
|
|
what does a sitz bath do?
|
warm water so increases viscosity, soak that butt after prostate surgery or women w/ problems
|
|
|
whats the big problem with using heat on someone?
|
drops the blood pressure so they could go into shock.
|
|
|
would you use a hot pack on a tooth ache?
|
hell no. it would spread the infection by vasodialation
|
