flower

without fever

fever

diff between apical & radial pulse

BP drops 10+ when you get up

redness if skin

small purple, red spots

high pitched

blowing

low pitched

over heart and lower thorax

abnormal sounds heard over a BV as blood passes an obstruction

puncturing of chest wall to aspirate pleural fluid

reduce inflammation

intentional spread of infection

body's reaction to decrease in Blood Volume

results in muscle wasting due to cancer, anorexia, etc.

active movement, running

no change in muscle length

muscle contraction with active resistance

deficiency of blood to particular area

controlled by hypothalamus, axillary- 96.7, rectal- 99.6, oral- 98.6

dyspnea when laying down

gradual increase, followed by decrease followed by apnea.

rapid deep breathing

CNS disorder, respirations are faster and deeper than normal, interspread with abrupt pauses

normal hyperactive bowel sounds (stomach growling)

intestinal muscle paralysis, causing blockage

reduces thickness of mucus; 1. Mucomyst 2. Parvolex 3. acetadote- for Tylenol (acetaminophen) Over dose

• 1. increase contractility (inotrophic agents; Digoxin, Dopamine)
• 2. Reduce preload- Diuretics, vasodilators (Nitrates)
• 3. Reduce Afterload- vasodilators; ACE inhibitors, Calcium Channel Blockers.

activated by Pts inspiration

controlled dose of meds with each compression

disperse fine particles of meds deeper into passages of respiratory tract where absorption occurs

• anti-inflammatory
• -treats difficulty breathing, asthma
• -can cause h/a, dizziness, heartburn

• -bronchodilator
• -used to prevent asthma attacks
• -h/a, dizziness, n & v

• -bronchodilator
• - for wheezing, COPD
• -200-400 mcg q 4-6 hrs
• may cause tremors, anxiety, insomnia, tachycardia

• 1. salmenterol
• 2. formoterol
• for asthma, prevent bronchospasms
• dry powder inhaler, 1 inhalation BID

anti-hypertensives

• Vasodilation, anti-hypertensives
• 1. benazePHRIL
• 2. enanaPHRIL
• 3. captoPHRIL

antihypertensives

• antihypertensive, also treats abnormal heart rhythms.
• atenoLOL
• timoLOL
• propramoLOL

• antihypertensive
• verapamil
• diltiazem

• antihypertension
• rid body of salt and water
• bumetanide
• furosemide

• increase force of cardiac contractions
• Digoxin
• dopamine

• Bronchodilator (treats asthma)
• .65 mg per inhaltion
• may cause tremors, dizziness, weakness

• bronchodilator
• may cause N&V, tachycardia, irritability

• anti-inflammatory, treats asthma, prevents bronchospasms.
• 5 y.o + 2 oral inhalations (1.6-2 mg) QID @ 4-6 hr intervals
• may cause cough, nausea, nasal stinging.

• sedative-hypnotic
• treats insomnia
• 7.5-30 mg PO @ HS

• sedative-hypnotic
• treats insomnia
• 10 mg @ HS
• mas cause Ataxia (lack of coordination), depression, hypersenitivity

• sedative-hypnotic
• treats anxiety
• .5-2mg PO q 6-8 hrs. 1-4mg PO @ HS PRN

• sedative-hypnotic
• treats insomnia
• 15-30mg PO @ HS

• low oxygen in cells
• can cause confusion, anxiety

low oxygen in the blood

paralysis of legs

paralysis of arms and legs

paralysis of one half of the body

foul smelling gray drainage is a sign of infection

open drainage system

• wound overhydration, excessive moisture.
• when cleaning would avoid touching wound bed with forceps or gloves.

• Waking behavior during sleep
• sleep walking (somnambulism)
• enuresis (urinating)

• insomnia
• sleep apnea
• RLS (restless leg syndrome)

14-20 hrs

• 1. transition from wake to sleep
• 2. light sleep
• 3. deeper sleep
• 4. DELTA sleep (BP & pulse decrease)

Alcohol, anticonvulsants, bronchodilators, MAO inhibitors, caffiene, cocaine

macule (freckle), patch (vitiligo), papule (mole), plaque, nodule (wart), tumor, wheal (hive)

• nasal cannula (1-6 L/min)
• mask (5-8 L/min)
• Venturi mask
• parial rebreathing mask
• nonrebreathing mask
• ventilator

• re-position frequently
• SCD's
• ROM excercises

blue appeance of skin

itching

bulla (2nd degree burn), vesicle (herpes simplex), postule (acne)

• result from changes in primary lesions
• erosion- loss of superficial epi
• ulcer- loss of epi and dermis
• fissure- deep linear crack
• crust- dried residue from pus or blood
• scale- dandruff, dry skin

• apply A & D w/transparent dressing (OP site, tagaderm)
• may use hydrocolloid dressing (duoderm)
• hydrogel dressing (if low to moderate exudate)

• clean wound w/wound cleanser
• for wounds with moderate to heavy drainage apply Calcium Algenate (packed loosely)
• Debridement for necrosis- enzymatic, mechanical, autolytic
• cover w/island dressing

• reaction to meds (antibiotics, NSAIDs)
• conjunctival burning or itching, may shed much of the dermis.

age, mobility, nutrition, incontinence