572864
Beschreibung
Karteikarten von claire.m.sm, aktualisiert more than 1 year ago
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Erstellt von claire.m.sm
vor fast 11 Jahre
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| Frage | Antworten |
| Ataxia | Loss of muscle control; drunken walk |
| 2 pt discrimination | ability to determine between 2 stimuli on the skib |
| Dysphagia | trouble swallowing, gluglug |
| Dysphasia | difficulty with motor speech |
| graphesthesia | inability to recognize #/letter drawn on hand |
| stereognosis | inability to recognize object placed in hand |
| tinnitus | ringing in ear |
| vertigo | room is spinning |
| Interview Process | 1) Bio Date 2) Chief Complaint 3) HPI 4) Allergies and Meds 5) Past History 6) Family History 7) ROS 8) Functional asessment of ADL |
| For children what is their subjective data? | The same as adult + Developmental Status Nutritional Status |
| Psychosocial Interview for Adolescents | Home Education Eating Activities Drugs Sexuality Suicide and Depression Safety |
| ADPIE | nursing process Assessment Diagnosis Planning Intervention Evaluation |
| Assessment | Collection of data |
| Diagnosis | Problem NANDA approved r/t Etiology AEB Sx/S ( could be at actual, at risk or wellness) |
| Nursing Care Plan | 1) Identify most important problem 2)Goals (nurse's approach to problem) 3) Outcomes (pt centered) 4) Evaluate pt's response to care plan |
| BMI | weight (kg)/ height (m^2) |
| BMI interpretation | <18.5 underweight 18.5- 25 healthy 25-30 overweight 30-39.9 obesity >40 extreme obesity |
| MAP | Diastolic + 1/3 PP PP= systolic-diastolic |
| Physical Examination Techniques | 1) Inspect 2) Palpate 3)Percussion 4) Ausculate |
| Inspect | Look |
| Palpate | Touch feel for temperature or abnormalities |
| Percussion | Tap to hear for abnormalities 1)Lungs- resonant 2) Spleen/liver-thud 3) |
| Ausculation | Listen 1) Bell=low sounds 2) diaphragm= high sounds |
| Normal Blood Pressure | 120/80 |
| Pre hypertension | 120-139 8-89 |
| Hypertension | 140-159 90-99 |
| Stage 2 Hypertension | Above 160 Above 100 |
| Componnts of Mental Status Exam | Appearance behavior Cognition Thought process |
| Appearance | Dress Body movement Hygiene |
| Behavior | Level of Conciousness Facial Expression Speech Mood and Affect |
| Cognition | Orientation (person, place, time) Attention span Recent Memory Remote memory New learning Judgment Higher Intellectual Fx |
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