Concepts: need more work

pulse deficit

fewer pulses than heartbeats

transmission

conduction of pain sensations from injury site along nerve pathways to spinal cord

perception

sensory process that occurs when a stimulus for pain is present

modulation

sensation of pain in inhibited or modified

sympathetic pain

-inc hr, bp
-in blood sugar
- inc muscle tension
-dilation of pupils
-dec gastric motility

sharp pain

sticking in nature, intense

dull pain

not intense, annoying

diffuse pain

cover large area, not specific

shifting pain

moves from one area to another

intermittent pain

starts and stops

brief/transient pain

passes quickly

FLACC

face, legs, activity, cry, consolability

characteristics of pain

timing, location, severity

cognitive/behavioral approach to pain

relax, guided imagery, distraction, music, cold/heat therapy, herbal

NSAIDS

aspirin, ibuprofen, naproxen; reduce inflammation

restorative + continuing pain

pain clinics, palliative care, hospice

phases of wound healing

hemostasis, inflammation, proliferation, maturation

braden scale: score of ___ is high risk

12

med classification

-effect of med on body system
-symptoms it relieves
-desired effect

side effects/adverse effects

-allergic effect
-drug tolerance
-toxic effect

MAR

medication admin report

chewable med

enteric coated

capsules

capletes

liquid meds

syrups, elixirs, spirits, suspensions

otic: pull baby ear _____; pull adults ear _____

down; up

palliative care

provides relief from symptoms and stress of illness

hospice

prognosis

MOST

medical orders for scope of treatment

SPIKES

-setting
-perception
-invitation to give info
-knowledge
-explore emotions
-strategy/summary

assessment

data collection
critical thinking
subjective/objective data

diagnosis

assists in planning and implementation of pt care

SMART goals

specific
measurable
attainable
realistic
timely

Implementation

nursing interventions and actions

evolution

reassessment to see if desired outcomes have been met

heat stroke

dry; caused by body overheating

heat exhaustion

sweat a lot/tired; body overheating

hypothermia

-uncontrolled shivering
-memory loss
-dec HR, BP, resp
-cardiac dysrhythmias

hypothermia in babies and elder is

sign of infection

Korotkoff sound 1

sharp thump

korotkoff sound 2

blowing/whooshing

korotkoff sound 3

crisp, intense tapping

korotkoff sound 4

softer bowing sound; fades

hemostasis

controls blood loss
establish bacterial control
seal defect

proliferation phase

filling of wound with granulation tissue
wound contraction
wound resurfacing by epithelization

distribution factors

-circulation
-membrane permeability
-protein binding

biotransformation (metabolism)

-detoxify
-breakdown
-remove biologically active chemicals