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Head to toe assessment


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Kelly Wright


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[Front]


Calculating cardiac output
[Back]


Stroke volume times heart rate

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Head to toe assessment - Marcador

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Head to toe assessment - Detalles

Niveles:

Preguntas:

94 preguntas
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Right upper quadrant
Pylorus, duodenum, liver, right kidney and adrenal, hepatic colon, head of pancreas,
Left upper quadrant
Stomach, spleen, left kidney and adrenal, body of pancreas, splenic colon
Right lower quadrant
Cecum, appendix, right ureter and lower kidney pole, right reproductive structures
Left lower quadrant
Sigmoid colon, left ureter and kidney part, left reproductive organs
Pyrexia
An increase above normal body temp
Noisy strenuous respirations
Sertorous breathing
Normal Core body temp
97.0-99.5 F or 36-37.5 C
Fatal core temperature
Above 108 F or below 93.2
Remitent fever
Several degrees above normal and returns to normal or near normal
Intermittent fever
Frequent cycles between normal or subnormal temps and spikes of fever
Pulse rhythm
Apical radial pulse
Relapsing fever
Fever that returns after a day or so of being absent
Trans fats increase the risk for
Coronary heart disease
Helps determine muscle mass
Mid-arm circumference
Estimates subcutaneous fat
Triceps skin fold measurement (multiply by .314)
Optimal ldl level
Less than 100 mg/dl
Optimal hdl level
Less than 60 mg/dl
Optimal triglyceride level
Less than 150 mg/dl
How to calculate cardiac risk
Divide total cholesterol by hdl level. Should be less than 6
Iron products
Liver, oysters, clams, egg yolks, soybeans, tofu, red meat, swiss chard, spinach
Potassium products
Bananas, oranges, potatoes
Magnesium products
Protein, milk, and meat
Zinc products
Seafood, liver
Lab tests that measure protein levels
Serum albumin, transferrin levels, glucose
Obesity
BMI equal to or greater than 30 or triceps skinfold greater than 15 mm
Anorexia
20-25% weight loss from previously stable state
Daily servings
2 cups fruit; 2.5 cups veggies; 6 ounces grains; 5.5 ounces proteins; 3 cups low fat milk products
Emaciation
BMI less than 16
LCTA
Lungs Clear to Auscultation
Inspect for....
Size, shape, color, position, symmetry, abnormality
PMI
Point of maximal impulse
Abdomen assessment
Inspect, auscaltate, palpate
Bowel sound frequency
5-10 per minute/ more is hyperactive, less is hypoactive, none is absent (must listen for 2 minutes if none)
Neuro assessment
LOC, Awake/Alert/Oriented x3-4, PERRLA, mucus membranes, hand grips
Chest assessment
Heart and lung sounds, peripheral pulses, cap refill
Trends in health care
Active consumers, nursing shortage, increasing complexity of care, technology increase, increasing costs
Nursing roles in healthcare
Collect data, diagnose human response, plan and provide care, evaluate outcomes, education
Capitation
A preset fee per member is paid to a provider or hospital system regardless of whether the member requires services.
Most accurate sites for core body temps
Brain, esophagus, bladder, heart
Mildly hypothermic
95-93.2 F (35-34 C)
Moderately hypothermic
93-86 (33.8-30 degrees celcius)
Severely hypothermic
Below 86 or 30 degrees celsius
Applying tepid water to a skin as in a sponge bath helps with......
Heat loss via convection and evaporation and helps alter set point of hypothalamus following antipyretics
Disperses boody heat via air currents
Convection, such with the use of room ventilation (electric or mechanical fannining)
Cooling the skin lowers temp by
Conduction as warmer blood flows near the skin
Graphic vital sign records provide
Large amounts of promptly documented vital signs
Pyrexia
100.4 F or 38 C
Farenheight =
(9/5 C X degree celcius) + 32
Celsius =
5/9 ( F-32)
37.5 C =
99.5 F
34 C =
93.2 F
41 C =
105.8 F
43 C =
109.4 F
36 C =
97.0