Nurse Study Guide

Chest Tubes
-continuous bubbling= air leak
-bubbling with inspiration= okay
-continuous bubbling in suction chamber= okay
-up and down in water seal= okay
Types of Insulin
-Rapid Acting (lispro, humalog)
-Onset= 5 minutes
-Peak= 30 minutes
-Short Acting (novolog, regular)
-Onset= 30 minutes
-Peak= 2 hours
-Intermediate Acting (NPH)
-Onset= 1 hour
-Peak= 6-12 hours
-Long Acting (Humulin)
-Onset= 4 hours
-Peak= 16-18 hours
-Maslows= PhysiologicSafetyLove & BelongingEsteem & RecognitionSelf Actualization
-Piaget= Sensorimotor (birth-2)Preoperational(2-7)Concrete operational(7-11)Formal operations(11-death)
-Eriksons=Trust vs. Mistrust(birth-1)Autonomy vs. shame and doubt(1-3)Initiative vs. guilt(3-6)Industry vs. inferiority(6-12)Identity vs. role confusion(12-18)Intimacy vs. isolation(early adulthood)Genrativity vs. stagnation(middle adult)Ego integrity vs. despair(older adult)
AIRBORNE PRECAUTION (SARS is airborne/contact)
My - Measles
Chicken - Chickenpox
Hez - Herpes Zoster (Disseminated)
TB - TB
-Private room
-Negative pressure with 6-12 air exchanges per hour
-UV
-Mask, standard precautions (gown,gloves)
-N95 Mask for TB
-put own eyewear-->mask-->gown-->gloves and take off in opposite order (this applies to all infection control)

DROPLET PRECAUTION think of SPIDERMAN!
S - Sepsis
S - Scarlet fever
S - Streptococcal pharyngitis
P - Parvovirus B19
P - Pertussis
P - Pneumonia
I - Influenza
D - Diptheria (Pharyngeal)
E - Epiglottitis
R - Rubella
M - Mumps
M - Meningitis
M - Mycoplasma or meningeal pneumonia
An - Adenovirus
-Private room
-Mask and standard precautions

CONTACT PRECAUTION- standard precautions
MRS.WEE
M - Multidrug resistant organism
R - Respiratory infection - RSV
S - Skin infections
W - Wound infections
E - Enteric infections - clostridium defficile
E - Eye infections

Skin Infections private room, gloves, gown
V - Varicella zoster
C - Cutaneous