Clinical exam

Enoxaparin/Lovenox

· route - subq-abdomen-90o

· no labs associated

Peak of Novalog 75/25

2-12 hours

tko rate

25-50 ml/hr

How often do you take post op vitals

every 15 minutes for 1 hour, every 30 minutes for 2 hours and then, every 4 hours for 24 hours

bladder irrigation

a medical procedure that flushes the bladder with sterile liquid

normal platelets

150,000-450,000

normal BUN

7-20

Normal WBC

4\.5-11

1 tbsp =

3 tsp

1 oz =

2 tbsp

1 cup =

8 oz

1 tsp =

5 ml

1 tbsp =

15 ml

1 oz =

30 ml

1 cup =

250 ml

1 L =

1000 ml

IM injection gauge size

20-22

subcut injection gauge size

24-29

Intradermal injection gauge size

25-30

IM injection needle length

1-2 inches

subcut injection needle length

3/8 inch-7/8 inch

Intradermal injection needle length

1/4 inch-5/8 inch

IM injection angle

90 degrees

subcut injection angle

45 or 90 degrees

Intradermal injection angle

15 degrees

Amount of solution injection for IM

2-3 ml

1 ml for deltoid

Amount of solution injection for subcut

1-2 ml max

Amount of solution injection for intradermal

IM injection sites

various muscles

subcut injection sites

Thighs, abdomen, and upper arms

intradermal injection sites

arms and upper back

Infant IM injection gauge

23-27

Infant IM injection length

5/8 inch

Child IM injection length

5/8-1 inch

Child IM injection gauge

22-25 gauge

7 rights of medication administration

right patient

right drug

right dose

right time

right route

right reason

right documentation

5 reasons activity is important

Manage weight

reduce risk of other health complications

strengthen bones and muscles

improve ability to perform ADLs

Manage chronic health conditions

5 dangers of bedrest

pressure injuries

immobility

constipation

muscle loss

pneumonia

3 routes fluids can be administered

Oral

Intravenously

tube feeding

4 types of measurable fluid loss

Urine

feces

drains

bleeding

Normal 24 hour intake and output

1500-2500

Normal hemoglobin

14-18 male

12-16 female

Normal hematocrit

41-50 male

36-48 female

Normal RBCs

4-5.9 male

3\.8-5.2 female

normal fasting blood glucose

normal creatinine

0\.7-1.3 male

0\.6-1.1 female

normal PT

11-13.5

normal thromboplastin time

25-25

normal APTT

21-35

normal potassium

3\.5-5.2

normal sodium

135-145

methods to take a temperature

Rectal

Oral

Axillary

Tympanic

Temporal

Length of time to take an oral temp

3 minutes

Length of time to take a rectal temp

10 seconds

Length of time to take an axillary temp

4 minutes

Length of time to take a tympanic temp

3 seconds

Length of time to take a temporal temp

5 seconds

normal range for rectal temp

96\.8-100.3

normal range for oral temp

95\.9-99.5

normal range for axillary temp

94\.5-99.1

normal range for tympanic temp

96\.4-100.4

normal range for temporal temp

97\.1-100.1

reason to use a rectal temperature

very accurate and gives a quick reading

reason to use an oral temperature

accurate and non-invasive

reason to use an axillary temperature

convenient for pediatric patients

reason to use a tympanic temperature

Gives results quickly

reason to use a temporal temperature

results are given quickly. good at monitoring for fever

Straight catheterization

only used one time and then thrown away.

Foley catheterization

 left in place for extended periods of time.

residual urine

the amount of urine left in the bladder at the end of micturition

coude catheter

catheter is specifically designed to maneuver around obstructions or blockages in the urethra

3 methods to get a patient to void

encourage fluids

ambulation

pouring water over perineum

bladder instillation

a treatment that involves filling the bladder with a solution, leaving it place for a short period of time, and then draining the solution with a catheter

how much can safely be removed from the bladder at one time

no more than 1 L to prevent bladder spasms

Solution used for catheter irrigation

normal saline

solution used for NG tube irrigation

saline

does catheter irrigation fluid need to be sterile

yes it must be sterile

does NG tube irrigation need to be sterile

no it does not need to be sterile

amount of solution used for catheter irrigation

30-60 mls

amount of solution for NG tube irrigation

30 mls

purpose TWE

stimulate BM

purpose of SSE

flush unpassed stool in colon

purpose of fleet enema

clean out bowels

purpose of oil retention enema

soften stool

purpose of suppository enema

produce BM in a short amount of time

Patient position for TWE

left sims

patient position for SSE

left lateral, knees to chest

patient position for fleet enema

left lateral, one knee bent

patient position for oil retention enema

left lateral, knees to chest

amount of solution for TWE

500-1000 ml

amount of solution for SSE

500-1000 ml, 4-8 tbsp soap

amount of solution for fleet enema

120 ml

amount of solution for oil retention enema

90-120 ml

How far is a TWE inserted

3-4 inches

how far is a SSE inserted

4 inches

how far is a fleet enema inserted

3 inches

how far is an oil retention enema inserted

3 cm

how far is a suppository enema inserted

4 inches

How high is a TWE held

12-18 inches

How high is a SSE held

12-18 inches