Khristin Shared "Exam 2 playlist" - 22 Picmonics
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Exam 2 playlist
Types of Wound Healing
- Types of Wounds
- Acute
- Chronic
- Healing Process
- Primary Intention
- Approximated Edges
- Secondary Intention
- Edges Not Approximated
- Tertiary Intention
- Delayed Closure due to Infection and Necrosis
2 mins
Wound Drainage Types and Devices
- Drainage Types
- Serous
- Serosanguineous
- Sanguineous
- Purulent
- Drainage Devices
- T-tube
- Penrose
- Jackson-Pratt (JP)
- Hemovac
- Considerations
- Record Drainage Amounts
- Check Device Function
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
Prenatal Nutrition
- Prenatal Vitamins
- Iron Supplement 30 mg Daily
- Folate/Folic Acid 400 mcg Daily
- Appropriate Weight Gain Recommendations
- 340 Calorie Increase
- 25 gram Protein Increase
- Foods and Substances to Avoid
- Coffee, Alcohol, Tobacco
- Fish Containing High Mercury Levels
3 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
Braden Scale
- Characteristics
- Sensory Perception
- Moisture
- Activity
- Mobility
- Nutrition
- Friction and Shear
2 mins
Enema Administration
- Types
- Tap Water/Soapsuds
- Normal Saline
- Hypertonic Solution
- Medication
- Oil Retention
- Administration
- Procedure Education
- Wear PPE
- Put Patient in Sims Position
- Insert Tip
- Start Flow Slowly
- Stop With Discomfort
- Potential for Vagus Response
2 mins
Diet Progression
- Types of Diets
- Clear Liquid
- Full Liquid
- Pureed
- Mechanical Soft
- Low Residue (Fiber)
- High Fiber
- Regular
1 min
Skin Assessment
- Inspect the skin
- Observe for Abnormal Skin Pigmentation
- Inspect for Cyanosis
- Observe Skin for Pallor
- Observe for Jaundice
- Inspect for Erythema
- Palpate the Skin
- Check the Temperature
- Observe the Skin for Moisture
- Inspect for Diaphoresis or Dehydration
- Check skin for edema
- Imprint Thumb Firmly for 3 to 4 Seconds
- Look for lesions
- Note the Characteristics
- Palpate Lesion
4 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
Clostridioides difficile (Clostridium difficile)
- Characteristics
- Gram-Positive
- Bacillus
- Anaerobe
- Clindamycin and Ampicillin
- Toxin A Enterotoxin
- Damages Brush Border of Gut
- Toxin B Cytotoxin
- Damages Cytoskeletal Structure
- Signs and Symptoms
- Diarrhea
- Pseudomembranous Colitis
- Toxic Megacolon
- Diagnosis
- Detect Toxins in Stool
- Treatment
- Metronidazole
- Vancomycin
3 mins
Osmotic Laxatives
- Mechanism of Action
- Increases Osmotic Load
- Indications
- Hepatic Encephalopathy
- Constipation
- Drugs
- Magnesium Hydroxide
- Magnesium Citrate
- Polyethylene Glycol
- Sorbitol
- Lactulose
- Side Effects
- Diarrhea
- Dehydration
- Considerations
- Misused in Bulimia Nervosa
2 mins
Stimulant Laxatives
- Irritants to increase peristalsis
- Within a few hours
- High dependency risk
- Fast-acting, effective, inexpensive
- Abdominal cramps, dependency, bowel urgency
1 min
Bulk-forming laxatives
- Indications
- Constipation (small, hard stools (C))
- Drug Names
- Psyllium
- Methylcellulose
- Mechanism of Action
- Soluble fibers
- Draws water into gut lumen
- Forms a viscous liquid that promotes peristalsis
- Side Effects
- Bloating
Laxatives Phil BI
- Bulk Forming: Psyllium = Meta Mucil. Give w H20 to avoid excessive bulking = constipation
- Emollient = make MOLLE = Stool Softener = Docusate = Dulcolax
- Enteric nerve Stimulant = Senna = Bisacodyl
- Osmotic Action: Mg2+, PEG, Lactulose
Docusate (Emoillent) and Senna (Stimulants)
- Laxative for constipation
- Irritate lumen of the colon (C)
- Peristaltic contractions (C)
- Diarrhea (SE)
- Docusate information
- Osmotic draw into lumen increases water absorption by stool
- Senna information
- Enteric nerve stimulation leads to colonic contraction
- Melanosis coli
- Other drugs (C)
- Castor oil (C)
- Cascara sagrada (C)
- Bisacodyl (C)
- Phenolphthalein (C)
Abdomen Assessment
- Inspect the Abdomen
- 4 Quadrants
- Contour, Shape, Symmetry
- Umbilicus
- Auscultate
- Bowel Stethoscope
- Vascular Sounds
- Percussion
- Percuss 4 Quadrants
- Tympany or Dullness
- Palpate
- Light Palpation
- Deep Palpation
- Rebound Tenderness
5 mins
Urinary Tract Infection Symptoms
- More Common in Elderly
- Most Common in Females and Babies
- Change in LOC
- Dehydration
- Fever
- Urgency
- Urethral Infection
- Burning
- Smelly Urine
- Dark Cloudy Urine
- Frequency of Urination
2 mins
Benign Prostatic Hyperplasia (BPH) Assessment
- Assessment
- Men Over 50
- Enlarged Prostate Gland
- Urinary Retention
- Weak Urine Stream
- Frequency
- Urgency
- Nocturia
1 min
Renal Calculi Assessment
- Cause/Mechanism
- Hypercalcemia (Most Commonly)
- Signs and Symptoms
- Flank Pain
- Radiates Toward Bladder
- Renal Colic
- Urinary Tract Infection
- Urinary Retention
- Hematuria
- Considerations
- Stone Recurrence
2 mins
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