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what does an occult test specifically test
blood
first thing to do when you walk into patients room
LOOK AT THEM. Are there signs of oxygen problems
tracheal deviation means…
collapsed lung
what is atelectasis
collapse of alveoli sacs in your lungs
who most likely for atelectasis
post-op pt.
pneumonia pt.
low oxygen pt.
rib fractures pt.
mouth breathers who need oxygen therapy
face mask instead of nasal
simple face mask oxygen delivery
5-10L/min
35%-60% FiO2
REQUIRES SPONTANEOUS RESPIRATIONS
nonrebreather mask oxygen delivery
12-15L/min
80%-100% FiO2
oxygen needs to be in the bag!! before you put it on them
when to use nonrebreathers
severe hypoxia
carbon monoxide poisoning
resp. failure
major trauma or shock
venturi mask oxygen delivery
4-15L/min
24%-60% FiO2
bag valve mask oxygen delivery
for clients with NO SPONTANEOUS RESPIRATION
10-15L/min
sublingual meds
under the tongue
fast acting
transdermal meds
patches (hormones, pain meds, nicotine patches)
do not touch med side (wear gloves)
eye drops
used for glaucoma typically in older women
clean the eyes first
don’t touch cap or tip
ear drops
for adults: pull ear back and UP
for children (under 3): pull ear back and DOWN
press on tragus after
resp. meds
metered dose inhaler: aerosol spray/mist
dry powder inhaler: powder form (should rinse mouth after to avoid thrush)
nebulizer: liquid medication
vaginal creams
for itching, dryness, infection
ask patient if they need to pee first
lubricate applicator
rectal suppository
for laxatives, fecal softeners, NPO
enemas
small volume: insert 3-4 inches, squeeze bottle,
large volume: warm solution, elevate bag no more than 18 inches above level of anus