AND ANSWERS NEWLY MODIFIED GRADED
A+
factors that affect bowel elimination -- ANSWER--lifestyle nut/ fluid
intake
physical activity infant/ elder
prevention of VAP -- ANSWER--raise HOB oral care=
chlorohexidine daily sedation/ breathing assessment
Normal bowel sounds -- ANSWER--2-3 every 15 sec
10-30 every 1 min
<10= hypoactive
>30= hyperactive
meds that affect bowel functioning -- ANSWER--sedative diuretics
antihistamines
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,physiology of defaction -- ANSWER--peristalic wave moves feces>
sigmoid colon/ rectum> sensory nerves stimulated> aware of need>
feces move=anus> spincters relax> expulsion
occult blood test diet -- ANSWER--high in fiber, no red meat!
no raw turnips, broc, horseradish
Respitatory alkalosis -- ANSWER--seizures lethargy light-headness
tachycardia hyperventilation hypokalemia numbness cause=
hyperventilation
"sally likes little teeny hairy hats new"
maintaince of inner cannula -- ANSWER--1-3x daily (unless
disposable) sterile technique
1/2 strength hydrogen peroxide/ NS
impaired gas exchange causes: -- ANSWER--allergy cardiac/
pulmonary disease exposure to noxious chemical infection
inflammation smoking
respiratory acidosis -- ANSWER--hypoxia rapid shallow breaths H/A
muscle weakness cause= resp depression
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, procedure for suctioning -- ANSWER--semi- fowlers pos
hyperoxygenation before insert cath to pre-measures depth limit to
10 sec, 3 passes discontinue HR drops by 20, ^40
02= <90%
midazolam (versed) -- ANSWER--pt= procedure sedative warning:
decrease resp drive constipation drowsiness
warfarin (coumadin) -- ANSWER--anti-coagulant hold dose INR >3
use light blue tube thin blood to prevent clots
vancomycin -- ANSWER--antibitotic nephrotoxis otoxic iv orally
enema
lisinopril -- ANSWER--post MI
ace-inhibitor anti HTN develop dry cough
filgrastin (neupogen) -- ANSWER--stimulates WBC bone marrow
stimulant
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