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34 Cards in this Set
- Front
- Back
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Pressure dressing
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control bleeding redused edema hold graft tissue
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4 steps to control bleeding
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1 stay c pt call for help
2 locate bleeding site apply pressure ask for vital sighs |
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wet to dry dressing
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remove debris from a wound promots healing
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steps 1-2
orders and supply |
1 red dr orders type of solution needed
2 gather supply scissors,forceps gause steril drape and other materials |
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step 3-4
pt & possition |
explain possition to pt
position materials close door for privacy |
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steps 5&6
staret of prosidure |
wash hands gloves remove old bandange dressing asses drainage discar material
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sterol f/ preparation
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sterol supplay inspect wound clean wound place dampene gauze over wound press into wound firmly cover all areas cover strip and dry fine mesh
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final
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dressing mesh gauze dry between changes (no heavy or tick close wound dispose materials
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removing sutures
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Dr. orders
gets supply scissors sterol strips forcept antiseptic gauze gloves |
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sutures procidures
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clean wound c antisected inspect wound use sterol instruments use sterol gloves
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STAPLES
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plassing stractor on the center of staplal close extraxtor handle
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INTERMITEN SUTURES
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grasp one end of the suture cut and pull in one stroke
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CONTINUE SUTURES
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snip 1rst sutre c smood gently stroke place butterfy in any sepation clean and live the area open to air discard material clean hands and document condicion and procedures
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HEAT THERAPY
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improve blood flow by basodilatetion
reduse venus congestion dicrease pain remove cellular waste by increasing circulation |
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COLD THERAPY
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decrease circulation,edema by basocontriction ,pain ,sornes by pressure in the end nerve
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STEPS OF COLD AND HOT
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Dr. orders heat pad, bath compreses or lamp. ice compresses cover area before applaing stay c pt during treatment record time instruct pt to call for healp document
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TABLE OF HIT
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V HOT 105-115 COOL 65-80
HOT 98-105 COLD 50-65 WORM 93-98 TEPID 80-93 |
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LAMP HIT
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drying draining, weeping wound to increse circulation (dry heat do not injury tissue because there is not penetration to dip
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STEPS IN LAMP THERAPY
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1 Dr. orders 2 inspect injury for depth,stares pressure ulcers 3 explain to pt and position pt expose injury site asses for sensibility, pain,temp use touch, prick, pin
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CONTRAINDICATIONS
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insencibility incorrect distance more then 20mm can injury pt. no infrared laight
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TO PREVENT INJURY
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should be 40-60 -75 watts distance 30" or 76cm time 20mm document
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type of surgery
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elective, (hernia rerequired,emergency, palliative,diagnostic,curative,
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funtion
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elctive hernia repair
required cataract extraction emergency gunshot curative eliminate disease |
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suffixts
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ectomy removal
lysis detachment of orrhaphy repair oscopy inspection ostomy creatin permanent opening wethween two hollow organs |
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Admision lab req
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f glucose,blood uria,nitrogen,creatine levels
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pre op data
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medical condition health probles. purpose of surg past surg and complications medication and dosages over the caun and presc habits, taboaco alcohol and other drogs
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cardio
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mycardial infarction hbp bleeding, uri, renal disease u/a infection liver, neubrologic, vascular problems lemvoz trombi, alergies asthma mobility, motion, and cardination vital signs general apearence, vision hearing and nutriciaonal status psycalogical, family and social status,financial forms and concents sign
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Teaching explain pt necesaries steps
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intructions before surgery fluids and food restriction, hygine skin preparetion not permited objectos, creams contac lenses, prostetic
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inform patient
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anesthesiologo will visit special instructions pre operative meds instruct pt of the need of iv, nasal gastro tube cather
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cardio
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mycardial infarction hbp bleeding, uri, renal disease u/a infection liver, neubrologic, vascular problems lemvoz trombi, alergies asthma mobility, motion, and cardination vital signs general apearence, vision hearing and nutriciaonal status psycalogical, family and social status,financial forms and concents sign
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Teaching explain pt necesaries steps
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intructions before surgery fluids and food restriction, hygine skin preparetion not permited objectos, creams contac lenses, prostetic
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inform patient
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anesthesiologo will visit special instructions pre operative meds instruct pt of the need of iv, nasal gastro tube cather
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special pre operative teaching
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how long in w. room,in operation room,recovery room
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nurse united
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how to do deep breathing exarcises, legs and foot use the trapete get out of bed properly pain management use caight security fluids, intac and out put expain prosidures
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