Medication
Administration
Administration
At the pyxis, in the med room, at the bedside
What are the three places to do medication checks
What is a gait belt
Movement in and out of the alveoli
What is ventilation
A medication to treat anxiety has the opposite impact and causes anxiety instead
What is a paradoxical effect
Remove old one and clean site. Clean and dry new site and place medication.
What is how to place a transdermal patch
The nurse stands here when ambulating a patient with left-sided weakness
What is on the left side
Movement of air into the lungs
What is inhalation
Physiological response to a medication decreases over time, due to repeated use of the medication
What is drug tolerance
Pulls down lower eyelid, holds bottle close to eye, dispense drops, applies pressure on inner canthus
What is how to instill eye drops
HOB ↑ 45-60o
What is Fowlers position
Used to prevent atelectasis
What is incentive spirometry
Avoid getting wet, remove batteries when not in use, f/u with audiologist per recommendations
What are instructions for patients with hearing aids
During med administration, a pill falls on bed, table, or ground
What is discard and get new one from pyxis/med room
Gets assistance, places pillow at head of bed, uses draw sheet, makes sure head of bed is flat, works as a team
What are steps to pulling a patient up in bed
Productive cough, SOB, ↑ RR, fever, body aches, fatigue
What are S and S of pneumonia
Describe the problem. Provide relevant context. State your analysis. Outline what action do you recommend.
What is SBAR
Positions patient appropriately, straightens auditory canal by pulling pinna up and back, instills drops into canal, instructs patient to stay in place for 5 minutes
What is how to administer ear drops
↑ HOB to fowlers or high fowlers, check pulse-ox and place on oxygen, auscultate lung sounds
What is what to do if a patient is experiencing SOB
Seals lips around mouthpiece, slow deep breath until predetermined volume met, holds 2-6 seconds, exhales
What are steps to using incentive spirometry
Dry skin and mucous membranes, concentrated urine, extreme thirst, poor skin turgor, weak pulse, confusion/agitation
What are clinical signs of dehydration