drug admin
advantages of drug admin
fast drug action, better absorbed
three types of IV fluids
hypotonic, isotonic, hypertonic
sutures
deep wounds with lots of tension in areas that needs precision (face, hands)
4 pillars
autonomy: free will
beneficence: best (quality of life)
non-maleficence: do no harm
justice: priorities
fluid balance (want...)
more out then in = -, more in than out = + (WANT THEM TO BE EQUAL)
subq
45°, stomach, 25G, insulin
what does hypotonic mean
more water is going into cell via osmosis to expand/swell cells, NS (0.45%/0.25%)
absorbable vs. nonabsorbable sutures
absorbable: dissolve (monocryl, vicryl), internal wounds
nonabsorbable: permanent (nylon, prolene), external wounds
confidentiality
disclose all the risks, informed consent, respect privacy
what's piggybacking for an IV mean
admin a med in a mini IV bag higher than a regular IV bag via gravity
disadvantages of drug admin
blood infections, can’t be undone, need to be trained to admin, painful, expensive
what does isotonic fluids mean
equally osmosis-ed between cells and fluid, NaCl (0.9%), ringer’s lactate
staples vs. steri-strips
staples: large wounds, less pretty , great for high-tension wounds
steri-strips: for small wounds, non-invasive, for minor cuts
transplant
surgical removal of an organ or tissue from a donor and given to a recipient to replace a damaged organ or tissue
impacts of improper disposal of medical waste
sharps injuries, toxins in environment, air pollution
how to draw up a medication
gather supplies, wash hands, clean top of vial with alcohol, attach needle, get right amount of air, stick needle in the vial, flip upside-down, push air into vial, remove bubbles
what does hypertonic fluids mean
more water is going into the fluid via osmosis so cells shrink, dextrose in water (10%)/D10W
complications
infection, scarring, allergies, wound re-opening
catholic church view of euthanasia vs. organ donation
euthanasia: NOPE
organ donation: okay if death is called after 10 mins
how do you prime an IV line
wash hands, remove stuff from plastic, check tubing and IV bag (colour, clarity, expiration, leaks), place roller clamp 2-5cm below drip chamber and roll to a closed position, remove blue cover on bag IV port, uncover tubing spike, insert spike into IV bag
im
90°, deltoid, 23G, vaccines
complications
air embolism, collapsed vein, fluid overload, hematoma, infiltration, phlebitis
process of suturing
prep (clean, anesthetic)
suturing (chose right type, close wound)
aftercare (bandage, educate)
5 types of biomedical waste
infectious (blood soaked dressings)
sharps (needles, scalpels)
pharmaceutical (expired/un-used medications)
chemical (disinfectants)
pathological (organs, tissues)
genotoxic (carcinogenic substances)
barriers/why organs can't be used
donor has cancer, HIV, too much damage, not died in the proper way, tissue/blood type match, organs die while transporting, too far away