height & weight mod e: ch. 21. height admission baseline recorded in feet (‘) and inches (“)...
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Height & WeightMod E: Ch. 21
Height
• Admission baseline
• Recorded in feet (‘) and inches (“) or centimeters (cm), 1 inch = 2.54 cm
• Changes over time:
• Children grow taller
• Adults “shrink” due to decreased cartilage in spine, bone loss, diseases, limb loss etc.
• May use ruler attached to upright scale: p. 342
• pt stands with back to scale part, heels back, straight
• Measuring bar needs to be level with top of pt head
• Read movable point of ruler
• May use tape measure to measure pt in bed
• P. 344 a patient who is able to lay straight
• P. 343 a patient who is unable to lay straight (in sections)
Weight p. 339
• Admission baseline
• Measured in pounds (lb) or kilograms (kg); 2.2 lbs = 1 kg
• Indication of nutritional status
• Frequently (often daily) measured when pt is on diuretics
• BEST way to determine fluid accumulation in patient ex. Weight gain of more than 1-2 lbs/day or 5 lbs/week
• Report any such drastic changes to nurse right away!!
Different scales• Upright scale: for ambulatory pt only; can’t hold or support
pt!
• Chair scale: for pt to sit in while being weighed
• Wheelchair scale: pt is wheeled on in wheelchair (needs to be zeroed with wheelchair weight first!)
• Sling scale: pt sits/lays in sling while being weighed
• Mechanical lift scale: pt can’t stand or sit
See pictures on p. 340
Obtaining accurate weight p. 341
• Always balance scale before using it (zeroing it)
• Have pt empty bladder; empty urinary catheter drainage bag
• If pt wears brief, make sure it’s dry
• Weigh at same time, same scale, same method
• Pt should wear same type of garments
• Bar scale: lower bar in 50 lbs increments, upper bar in ¼ lbs increments, must add both up.
Important abbreviations:
• a.c. – before meals
• ad lib – freely, as desired
• a.m. - morning
b.i.d. – twice a day
• h.s. – at bedtime
• p.c. or p.p. – after meals
• p.m. – afternoon
• p.r.n. – as needed
q.d. – daily
q.i.d. – 4 times a day
t.i.d – 3 times a day
24 Hour clock!• When documenting, always use 24 hour clock =
military time!
• Ex. 12.10 a.m.= 0010; 1 a.m. = 0100; 7.15 a.m. = 0715; 2.24 p.m. = 1424
Fill in the right time:
5.20 a.m. - _________ __________ - 0725
3.56 p.m. - __________ __________- 2045
11.58 p.m. - __________ ___________ - 1736
2.17 a.m. - ____________ __________ - 1502
12.10 a.m. - __________ __________ - 1359
Homework:
Read Unit 21 in Textbook: p. 339-345
Workbook p. 134-139: read Unit Summary, Nursing Assistant alert
do: Completion questions, all Reading weights and heights, all True/false