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58 Cards in this Set

  • Front
  • Back

Core body temperature is maintained in the

Hypothalamus

Primary source of heat is

Metabolism

Main site of heat loss in the

Skin

Diffusion of heat by electromagnetic waves

Radiation (not wearing mittens, suns rays to earth)

Transfer of heat through currents of air or water

Convection (hand in a stream, fan blowing on body)

Transfer of heat to another object during direct contact

Conduction (Ice or heating pack)

Factors that affect body temperature (5)

Circadian rhythms, age/gender, stress, exercise, environment

Pyrexia and Hyperpyrexia

Pyrexia: 100-104 F or 38-40 C


Hyperpyrexia: >105.8 or 41 C

Hypothermia

Less than 95 F or 35 C

Normal heart rate

60-100 BPM

Assessing the pulse (4)

Rate, Amplitude, Quality, Rhythm

Respirations are controlled by the

Medulla and pons

Voluntary control of breaking (ex: singing)

Cerebral Cortex

Sense CO2 and O2 by blood flow to the heart

Chemoreceptors

Normal rate/breathing pattern

Eupnea

Normal respirations per minute

12-20

Tachypnea & Bradypnea ranges

Tachy: > 24


Brady: <10

Painful/difficult breathing. SOB

Dyspnea

How to find cardiac output (CO)

HR x SV

Pressure in artery with contractions

Systolic BP

Pressure in artery at rest

Diastolic BP

Mean arterial pressure should be greater than __ Hg

60mm

What senses arterial stretch?

Baroreceptors

A change of ___-___ mmHg is considered significant

20-30

Sizing of a BP cuff should be ____ of upper arm and ___% circumference of the arm

2/3, 40%

In a BP taken from the popliteal artery, SBP would be 20-30 mmHg _______ than brachial, and DBP would...?

Higher, DBP stays the same

C to F, F to C

F= 1.8C + 32


C= F-32/1.8

Order of writing a proper nursing diagnosis

Nursing diagnosis, medical diagnosis, signs and symptoms

Goal = ________ driven


Implementation= __________ driven

Patient, health care

Difference between consultation and delegation

Consultation= any other specialists invited to help treat


Delegation= Passing responsibility

Each health care group keeps data on its own separate form

Source-Oriented Systems

Organized around patient problems

Problem oriented systems

Organized around patient problems

Problem oriented systems

Charting only abnormal findings, highlights of your pt

Charting by exception system

Organized around patient problems

Problem oriented systems

Charting only abnormal findings, highlights of your pt

Charting by exception system

Entered via computer

EHR systems

Organized around patient problems

Problem oriented systems

Charting only abnormal findings, highlights of your pt

Charting by exception system

Entered via computer

EHR systems

SOAPIER

Subjective, Objective, Assessment, Plan, Interventions, Evaluation, Revision

Organized around patient problems

Problem oriented systems

Charting only abnormal findings, highlights of your pt

Charting by exception system

Entered via computer

EHR systems

SOAPIER

Subjective, Objective, Assessment, Plan, Interventions, Evaluation, Revision

Focusing on the pt strengths. Positive perspective

Focus

Organized around patient problems

Problem oriented systems

Charting only abnormal findings, highlights of your pt

Charting by exception system

Entered via computer

EHR systems

SOAPIER

Subjective, Objective, Assessment, Plan, Interventions, Evaluation, Revision

Focusing on the pt strengths. Positive perspective

Focus

Brief summary that communicates the plan of nursing care for each patient

Kardex

Serves as baseline to identify changes while monitoring the patients condition

Nursing Admission Form

When does discharge planning begin?

On admission

SBAR

Situation, Background, Assessment, Recommendations

SBAR

Situation, Background, Assessment, Recommendations

Intrapersonal vs interpersonal

Intra: self talk


Inter: patient/nurse, etc

Denotative vs connotative meaning

Den: dictionary


Conn: implied