Whitney Shared "Wellness Exam 3" - 33 Picmonics
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Wellness Exam 3
Severe Sepsis and Septic Shock Assessment
- Microthrombi
- DIC
- Decreased Oxygen Saturation
- Decreased WBC
- Oliguria
- High Output Heart Failure
- Multiple Organ Failure
2 mins
Impetigo
- Pathophysiology
- Transmission
- Incubation
- Signs & Symptoms
- Non-Bullous
- Bullous
- Diagnosis
- Clinical Presentation
- Treatment
- Antibiotics
- Prevention
- Hygiene
- Return to Work or School
- Complications
- Post-streptococcal Glomerulonephritis
- Rheumatic Fever
- Staphylococcal Scalded Skin Syndrome
2 mins
Herpes Simplex Virus (HSV)
- Characteristics
- Enveloped
- Double Stranded DNA
- Linear
- Signs and Symptoms
- Type 1 HSV
- Gingivostomatitis
- Keratoconjunctivitis
- Encephalitis of Temporal Lobes
- Latent in Trigeminal Ganglia
- Type 2 HSV
- Genital Vesicles
- Neonatal Herpes
- TORCHES
- Latent in Sacral Ganglia
- Diagnosis
- Tzanck Test
- Multinucleated Giant Cells
- Cowdry A Inclusions
- Treatment
- Acyclovir
2 mins
6 Rights of Medication Administration
- Right Patient
- Right Medication
- Right Dose
- Right Time
- Right Route
- Right Documentation
- Nursing Considerations
- Three Checks
- Check for Allergies
- Assess the Patient
- Education
2 mins
Needle Sizes and Uses
- Adjust Size Based on Height/Weight
- Subcutaneous Injections
- 3/8 or 5/8 inch
- Intramuscular (IM)
- 1-1.5 inches
1 min
Routes of Administration Part One
- Enteral Administration
- Oral
- Sublingual
- Buccal
- Rectal
- Tubes
- Topical or Mucous Membrane Administration
- Transdermal
- Drops/Spray
- Vaginal
- Inhalation Administration
- Inhalation
2 mins
Routes of Administration Part Two (Parenteral)
- Parenteral Administration
- Intradermal
- Subcutaneous
- Intramuscular (IM)
- Intravenous
- Epidural
- Intrathecal
- Intraosseous
- Intraperitoneal
2 mins
Parenteral Medications
- Intravenous (IV)
- Fast-Acting
- Greatest Risk
- Intramuscular (IM)
- Common Injections Sites: Deltoid, Vastus Lateralis, Ventrogluteal, and Dorsogluteal Muscles
- Absorbed Fast
- Vaccines and Epinephrine
- 3 mL Limit
- Subcutaneous (SC)
- Common Injections Sites: Abdomen, Arm, and Thigh
- Absorbed Slower
- Insulin and Hormones
- Small Volumes
- Intradermal (ID)
- Common Injection Sites: Back of Forearm and Upper Back
- Longest to Absorb
- Tuberculosis and Allergy Testing
- Under 0.5 mL
5 mins
Total Parenteral Nutrition (TPN)
- Mechanism
- Nutrition Given Outside GI
- Side Effects
- Hyperglycemia
- Hyperlipidemia
- Refeeding Syndrome
- Nausea and Vomiting
- Considerations
- Slow IV Infusion
- Use Large Central Vein
- No Added Meds to TPN Line
2 mins
Intramuscular Medication (IM) Administration
- Risks
- Injury to Nerves, Bone, and Blood Vessels
- Sites
- Deltoid
- Vastus Lateralis
- Ventrogluteal
- Nursing Considerations
- Selection of Needle Length
- Aseptic Technique for Drawing Up
- Z-Track
- 90 Degree Angle
- Max Amount (2-5 mL Adult, 1 mL Child)
- Techniques to Reduce Pain
2 mins
Intradermal Medication Administration
- SKIN TESTING
- Tuberculin Screening
- Allergy Testing
- INTRADERMAL SITES
- Dermis
- Inner Forearm or Upper Back
- INTRADERMAL Injection
- 1mL Syringe (26 or 27 Gauge Needle)
- 5 to 15 Degrees
- Small Bleb
2 mins
Ear Drops Medication Administration
- Indications
- Earwax Buildup
- Ear Infections
- Pulling The Pinna
- Child - Back and Downward
- Adult - Back and Upward
- Procedure
- Side-Lying with Ear Up
- Instill Medication
- Stay for 2-3 Minutes
- Nursing Considerations
- Room Temperature
- May Massage Tragus
- Perforated Eardrum
2 mins
Eye Medication Administration
- Procedure
- Supine with Neck Hyperextended
- Wash Away Crusts
- Cotton Ball on Cheekbone
- For Ophthalmic Drops
- Instill Drops into Conjunctival Sac
- Repeat if Missed or Patient Blinks
- 5 Minutes Before 2nd Medication
- For Ophthalmic Ointment
- Thin Stream Along Inner Edge
- Inner Canthus to Outer Canthus
2 mins
Patient Position Overview
- Position Techniques
- Trochanter Roll
- Trapeze Bar
- Ankle-Foot Orthotic (AFO) Devices
- Positions
- Fowlers Position
- Supine Position
- Trendelenburg
- Side-Lying Position
- Prone Position
- Sims' Position
- Nursing Considerations
- Reposition q2 Hours/Prevent Skin Breakdown
- Confirm Body Alignment
2 mins
Prevention of Falls
- Risk Factors
- Physical Aging
- Polypharmacy
- Environmental
- Hospital / Facility Prevention
- Call Light within Reach
- Assistive Devices Available
- Bed Alarms
- Home Prevention
- Improve Lighting
- Remove Home Hazards
- Priority Nursing Interventions
- Promote Exercise
- Fall Risk Assessment
2 mins
Immobility
- Assessment
- Mobility Continuum
- Complications
- Cardiovascular
- Respiratory
- Musculoskeletal
- Integumentary
- Gastrointestinal
- Urinary
- Considerations
- Turn, Cough, Deep Breathe (TCDB)
- Range of Motion (ROM)
- Skin Care
- Fluids
- Balanced Diet
2 mins
Interventions for Impaired Skin Integrity
- Assessment
- Signs of Skin Breakdown
- Pain
- Redness
- Decreased Skin Turgor
- Bleeding
- Bony Prominences
- Intervention
- Reposition Q2H
- Pressure Relief
- Maintain Clean and Dry Skin
- Adequate Nutrition and Hydration
2 mins
Pressure Ulcers
- Risk Factors
- Prolonged Immobilization
- Neurologic Disease
- Decreased Level of Consciousness
- Classification
- Stage 1: Intact Skin with Non-blanchable Erythema
- Stage 2: Partial Thickness Skin Loss
- Stage 3: Full-thickness Skin Loss without Fascial Involvement
- Stage 4: Full-thickness Skin Loss with Fascial Involvement
- Management
- Wound Care
- Surgery
- Considerations
- Septicemia
- Osteomyelitis
- Prevention
3 mins
Amputation
- Indications
- Trauma
- Peripheral Vascular Disease
- Diabetes Complications
- Considerations
- Gentle Handling
- Surgical Tourniquet at Bedside
- Prevent Contractures
- Frequent Inspection
- Compression Bandages
- Phantom Pain
- Mirror Therapy
2 mins
Cane
- COAL
- Sizing a Cane
- Quad Cane
- Rubber Tips for Safety
1 min
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