31340642
Description
Flashcards by Tafe Teachers SB, updated more than 1 year ago
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Created by Tafe Teachers SB
almost 3 years ago
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| Question | Answer |
| What is the acronym used for verbal handover? | ISBAR |
| Normal BP range? | Systolic 100-140mmHg Diastolic 60-90mmHg |
| Normal RR range? | 12-20/min |
| Normal HR range? | 60-100bpm |
| Normal temp range? | 36.1-37.4 degrees celcius |
| Normal SpO2 range? | 95-100% |
| Acceptable SpO2 range for most COPD patient's? | 88-92% but still score on QADDs unless Doctor has prescribed QADDs modifications |
| What are the rights and checks of drug administration? | Patient Drug Dose Route Time Reason Refuse Response Check expiry, allergies and documentation |
| What is the meaning of Stat? | Immediately |
| What is the meaning of XR? | Extended release |
| What is the meaning of Neb? | Nebuliser |
| What is the meaning of QID? | 4 times a day |
| What is the meaning of 6/24? | every 6 hours |
| What is the meaning of OD? | Once daily |
| What is the meaning of 1/24? | every 1 hour |
| What is the meaning of TDS? | 3 times a day |
| What is the meaning of Q12h? | 12 hourly |
| Subcutaneous injection: needle colour size angle site | orange 25g 27g (insulin needle) 45 or 90 degrees subcutaneous tissue - abdomen, thigh (there are other areas but try these first) |
| Intramuscular injection: needle colour size angle site | blue or green blue - 23g, green 21g 90 degrees deltoid (up to 1.5mL) or vastus lateralis |
| Drawing up needle: needle colour size angle site | pink 18g sharp to pierce vial blunt for non-vial use |
| What is one thing we do for IMI that we do not do for subcut and why? | Aspirate and swab Fat is less vascular than muscle so even less chance of hitting blood vessel Change of infection less likely (note - do not inject into visibly soiled area) Aspirate and/or swab if the facility policy states to do so |
| How would you perform a pain assessment on an unconscious patient or a patient with dementia? | Abbey pain scale Wong-baker faces |
| Where would you find medications if they are not in the patient's draw? | Medication room / pharmacy |
| 2 signs and symptoms a patient might show if suffering from chest pain | Chest pain - could be localised or radiating Pain radiating down arm, to jaw, retrosternal Heavy and/or sharp pain Diaphoresis Vomiting |
| What 2 things must you check before giving GTN? | Pain assessment Blood pressure (must be above 100mmHg) Medication rights and checks |
| 2 signs and symptoms of a patient experiencing acute respiratory distress and what medication you would administer | Increased work of breathing Increased respiratory rate Decreased SpO2 Nasal flaring Pallor Cyanosis Change to breathing sound eg. wheezing, stridor, crackles Medication - salbutamol and/or oxygen but check with RN and/or Doctor FIRST |
| 5 nursing actions if a patient has a reaction (rash) to an IV antibiotic | Stop the infusion Staff assist or if safe to leave, get RN Primary survey (DRSABCDE) - this includes assessing the rash, you could also mark the rash with a surgical marker Secondary survey (includes vitals) |
| 2 indicators that make it appropriate for a MET call / code? | Non-responsive Threatened airway Respiratory rate < 8 / min Seizure > 2 min Chest pain patient with systolic BP <100mmHg and/or still with chest pain after 3 rounds GTN |
| Identify 2 signs and symptoms of fluid overload and what medication you would administer | Increased work of breathing Increased respiratory rate Decreased SpO2 Pallor Cyanosis Change to breathing sound eg. crackles (audible or with stethoscope) Medication - frusemide and/or oxygen but check with RN and/or Doctor FIRST |
| List 3 things you would check when observing an IVC site | Pain Redness/erythema Swelling Palpable venous cord Pyrexia Infiltration Extravasation Dressing intact |
| Your patient's IV pump alarms saying occlusion downstream. What is the possible cause? | Anything that has occluded the IV line - Kink in the line Clamp on Patient bending (kinking site) |
| Normal BGL range? | 4-8mmol/L |
| 3 components of neurological assessment? | GCS Motor strength PUPIL response Fontanelles (but only in infants / children up to approximately 18 months) |
| 3 components of neurovascular assessment? | Pain Colour Warmth Movement Sensation Pulse |
| What would you do if BGL 3.5mmol/L | Staff assist > notify RN and Doctor Follow hypoglycaemia algorhythm (back of BGL monitoring and subcutaneous insulin documentation) Hypo kit / IM glucose or IV glucose but order per RN / Doctor FIRST |
| 2 signs and symptoms of a narcotised patient? | Drowsiness Confusion Decreased level of consciousness Decreased respiratory rate Respiratory arrest |
| What drug will be administered for opioid overdose (narcotised patient)? | Naloxone |
| Define CVA | . |
| Define CAD | . |
| Define angina | . |
| Define angioplaty | . |
| Define bowel resection | . |
| Define COPD | . |
| Define epilepsy | . |
| Define hemiplegia | . |
| Define dysphagia | . |
| Define hypercholesterolemia | . |
| Define HTN | . |
| Define type 2 diabetes mellitus (T2DM) | . |
| Define glaucoma | . |
| Define fluid overload | . |
| Define abbreviation N/S | Normal saline Unacceptable abbreviation - should be 0.9% sodium chloride |
| Define abbreviation: IVC PIVC | Intravenous cannula Peripheral intravenous cannula ^ (same thing) |
| Define abbreviation BGL's | Blood glucose level/s |
| Define abbreviation HR | Hear rate |
| Define abbreviation #NOF | Fractured neck of femur |
| Define abbreviation NP | Nasal prongs |
| Define abbreviation SOB | Shortness of breath |
| Define abbreviation HTN | Hypertension |
| Define abbreviation CAD | Coronary artery disease |
| Define abbreviation PCA | Patient-controlled analgesia |
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