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16 Cards in this Set

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  • Back

PE of parkinsonism, general inspection

Lack of facial expression


Abscence of blinking


Flexed/stooped posture


How to do female catheterization?


Ecplain, consent, CHAPERON


1)Wear sterile gloves


2)Test balloon with included saline


3)Lubricate the end of the tube


4)Empty the iodine into cotton balls



5)Place a pre cut sheet over the vagina


6)Use left hand to spread apart the labia


7) scrub urethral orifice with cotton covered with iodine, at least 3 cotton balls should be used


, the entire catheter should be inserted and urine should be seen before inflating the balloon


8) insert the well lubricated catheter into the urethra, the entire catheter should be inserted and urine should be seen before inflating the balloon9) inflate the balloon10) pull back the catheter to the bladder neck


9) inflate the balloon


10) pull back the catheter to the bladder neck






Male urine catheter insertion

Wash hands, explain procedure, consent, chaperon



Don apron, wear gloves


Set up equipment on sterile field


Expose patient



Put clean sheet on generalia


Hold penis with left hand


Use right hand to clean penis


**Discard gloves, wash hands, wear new gloves




Insert anesthetic gel (might initially sting)



Insert catheter



Benzodiazepine of choice for alcohol withdrawal is?

Chlordiazepoxide

Difference in true leg length suggests?

Hip disease on the shorter side (or due to bone #)

Difference in apparent leg length indicates?

Tilting of pelvis, joint deformities

Shortness of breath history taking?

Onset,...


Heart, lungs, anemia, stress

TOPES questions for chest?

Travel, Occupation, Pets & carpets, Exposure to sick person, Smoking

Expalain OSA in children to parent?

When your child's breathing is partially or completely blocked repeatedly during sleep

Causes of OSA in children?

Enlarged Tonsils


Enlatged Adenoids


Obesity


Neuromuscular disorders


Craniofacial anomalies



Risk factors for OSA?

Down syndrome


Cerepral palsy


Hx of low birth weight


Family hx of OSA


Symptoms of OSA?

Snoring


Pauses in breathing


Mouth breathing


Bed wetting


Sleep terrors


Poor school performance


Hyperactivity

PE of OSA in pediatrics?

ENT


Mouth breathing? Crowded teeth?

Before offering pain killers..

Ask about allergies

Triple whammy?

drug-induced renal failure which in patients treated with ACE-inhibitors or angiotensin IIreceptor blockers, diuretics and non-steroidal anti-inflammatory drugs

Recurrent falls hx taking

Fall description (LOC, hit head)


Is it a seizure (prodromal, pistectal)


Is it a stroke (numbness, weakness, speach)


Is it related to hypotension, anemia


Is it an MI


Is it hypoglycemia