Pharmacology
The First Pass Effect is
The First Pass Effect describes the initial metabolism of the drug through the GI system and the LIVER. It decreases the concentration of the drug in the body.
*How does this affect the elderly?
First pass decreases with age, so oral medication doses may need to be lower than a regular adult.
A communication disorder that results from damage to portions of the brain that are responsible for language.
Aphasia
Outward display of one’s emotional state.
Affect
Inhibit acetylcholine (ACh), which allows the SNS to dominate
Anticholinergics
Ex: atropine, diphenhydramin
What do they do?
Anticholinergic drugs block the action of a neurotransmitter called acetylcholine. This inhibits nerve impulses responsible for involuntary muscle movements and various bodily functions. These drugs can treat a variety of conditions, from overactive bladder to chronic obstructive pulmonary disease.
Can make you dizzy, drowsy (THINK BENADRYL!)
“Services that a qualified health professional is deemed competent to perform, and permitted to undertake – in keeping with the terms of their professional license.”
Scope of Practice
The presence of a drug in the bloodstream after it is administered
Bioavailability
A type of documentation often used in combination with charting by exception and is problem focused.
DAR Note
A period when many people are at the peak of productivity in love and work.
Middle Adulthood
What are standard precautions?
The minimum infection prevention practices that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in any setting where health care is delivered
Key Point of Safety Culture
Speaking up, reporting near misses
Tamulosin is an example of a _________________________antagonist and is primarly used to relax smooth muscle in the bladder.
Alpha 1 receptor agonist
The purposeful, interpersonal information transmitting process through words and behaviors based on both parties’ knowledge, attitudes, and skills, which leads to patient understanding and participation.
Therapeutic Communication
Measures to prevent the spread of infection in health care agencies.
Medical Asepsis
The response when the SNS is stimulated, causing the main effects of increased heart rate, increased blood pressure, and bronchodilation
Fight-or-Flight Response
Explain Board of Nursing
BON: The state-specific licensing and regulatory body that sets the standards for safe nursing care, decides the scope of practice for nurses within its jurisdiction, and issues licenses to qualified candidates.
Dobutamine is an example of a ______________________________ and is used to increase cardiac output in individuals experiencing shock.
Beta 1 receptor agonist
The observed outcome of critical thinking and decision-making. It is an iterative process that uses nursing knowledge to observe and access presenting situations, identify a prioritized client concern, and generate the best possible evidence-based solutions in order to deliver safe client care.
Clinical Judgment
Infection prevention and control interventions to be used in addition to standard precautions for diseases spread by airborne transmission, such as measles and tuberculosis.
Airborne precautions
A patient admitted with Clostridium Difficile would be placed on
Contact precautions
Standards that describe a competent level of behavior in the professional role of the nurse including activities related to ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence-based practice and research, quality of practice, professional practice evaluation, resource utilization, and environmental health.
ANA Standards of Professional Performance
Which of the following types of medications are commonly used for the treatment of asthma or COPD?
Beta 2 receptor agonists
“Top-down thinking” or moving from the general to the specific. Deductive reasoning relies on a general statement or hypothesis—sometimes called a premise or standard—that is held to be true. The premise is used to reach a specific, logical conclusion.
Deductive Reasoning
The Five Moments of Hand Hygiene
Hand hygiene should be performed during the five moments of patient care: immediately before touching a patient; before performing an aseptic task or handling invasive devices; before moving from a soiled body site to a clean body site on a patient; after touching a patient or their immediate environment; after contact with blood, body fluids, or contaminated surfaces (with or without glove use); and immediately after glove removal
Droplet precautions require the use of a
Mask and goggles/face shield
Legislation enacted by each state that establishes regulations for nursing practice within that state by defining the requirements for licensure as well as the scope of nursing practice.
Nursing Practice Act (NPA)