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36 Terms
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Rescue, Alarm, Contain, Extinguish
Pull, Aim, Squeeze, Sweep
Four bed rails up
Considered to be a restraint
Physical restraint
Manually holding or immobilizing the client using physical strength
Mechanical restraint
Use of materials, straps, fabric, and leather devices that can be fastened around the wrists or ankles of a client (hand mitten is the least restrictive)
Chemical restraint
involves the administration of medications to a client to reduce the clients movements or control behavior (ex. benzodiazepines, antipsychotics, and neuromuscular-blocking agents)
Barrier restraint
Entails restraining the clients movement within a setting through the use of barriers to limit movement
Seclusion restraint
involves placing the client alone in a securely locked room without their consent
Identify, Situation, Background, Assessment, Recommendation, Read back orders
Adult HR
Adult respiratory rate
12-20 breaths per minute
Adult BP
a low pitched breath sounds caused when air passes through the bronchial tubes that contain fluid/mucus
a high pitched breath sound caused if the small air sacs in the lungs fill with fluid and air movement (person has pneumonia or heart failure)
a high pitch whistling sound caused by narrowing of the bronchial tubes
a harsh vibratory sound caused by narrowing of the upper airway
HR less than 60
HR higher than 100
BP less than 90/60
BP higher than 140/90
Temperature monitoring sites
-Rectal (not someone who has low platelets) -Temporal (forehead) -Tympanic (ear) -Axillary (armpit) -Oral/Sublingual (under tongue)
Contact precaution PPE
Gown and gloves
Droplet transmission PPE
Surgical mask
Airborne transmission
N95 mask
Steps for donning
Hand hygiene Shoe covers (if applicable) Gown Mask Eye protection Gloves
Steps for taking off
Shoe covers (if applicable) Gown and gloves together Perform hand hygiene Eye protection Mask Perform hand hygiene
Transdermal patch
-Topical medication are applied directly to the area being treated -Medication is absorbed through the mucous membranes or skin in the area of application and moves into the blood through the capillaries in that area
Otic applications
applied to or in the ear to treat conditions of the external and middle ear
placed under the tongue, dissolve and activate ingredients are quickly absorbed into the bloodstream
Buccal medications
placed between gum and cheek
Medical abbreviations
PO - orally, by mouth BID - twice a day PRN - taken as needed Qd - every day Qh - every hour Qid - four times a day
Isotonic solutions
has the same salt concentration as cells and blood
Hypotonic solutions
has a lower concentration of solutes that another
Hypertonic solutions
contains more dissolved particles than is found in normal cells and blood
Subcutaneous injections
absorption slower than IM injections, loose connective tissue under the dermis, (deltoid, thighs, abdomen in the umbilical region, lower loins)
Intramuscular injections
faster absorption than subcutaneous route (deltoid, vastus lateralis, rectus femoris, ventrogluteal)