ALL MY DRUGS
ALL THINGS DRUGS
PLEASE MOVE ME OR ISOLATE ME
WHATS THE INTERVENTION
MY SKIN
THE AIR I BREATHE
CAN I GET SOME WATER
100
I AM AN UNINTENDED BUT PREDICTABLE EFFECT OF A DRUG, BUT THE PATIENT MAY STILL CONTINUE TAKING ME
SIDE EFFECT
WHAT ARE THE EXPECTED SIDE AFFECTS WE HAVE TO TEACH OUT PATIENTS ABOUT
100
YOU BETTER CHECK MY APICAL FOR ONE FULL MINUTE BEFORE GIVING THIS CARDIAC GLYCOSIDE
DIGOXIN
100
ROM PERFORMED BY THE PATIENT
ACTIVE ROM
100
EARLY AMBULATION
ANTIEMBOLI STOCKINGS
FOOT PUMPS & LEG EXERCISES
COMPRESSION DEVICE
INTERVENTIONS PROMOTING VENOUS RETURN & PREVENTING DVT SURGICAL COMPLICATION
100
WHAT TYPE OF WOUND HEALING IS A WELL APPROXIMATED SURGICAL WOUND
PRIMARY INTENTION
100
NASAL FLARING, INTERCOSTAL RETRACTIONS, ORTHOPNEA, RESP. RATE 32, INSPIRATORY RALES IN ALL LUNG FIELDS, CYANOSIS
WHAT ARE
SIGNS & SYMPTOMS OF RESPIRATORY DISTRESS
100
INADEQUATE FLUID INTAKE, ACTIVE FLUID LOSS, INCREASED METABOLIC RATE FROM FEVER & INFECTION
WHAT ARE CAUSES OF HYPOVOLEMIA
200
I AM AN IMMUNE SYSTEM REACTION TO A MEDICATION THAT MAY CAUSE HIVES, ITCHING, EDEMA
ALLERGIC REACTION
200
AS A VASODILATOR MY SIDE EFFECTS ARE HEADACHE & HYPOTENSION.
I MUST BE SEATED TO RECEIVE THIS MEDICATION AND INSTRUCTED TO RISE SLOWLY TO AVOID ORTHOSTATIC HYPOTENSION.
NITROGLYCERIN
200
ROM PERFORMED BY ANOTHER PERSON
PASSIVE ROM
200
INCENTIVE SPIROMETER, DEEP BREATHING & COUGH, EARLY AMBULATION.
POST OP INTERVENTIONS TO PREVENT ATELECTASIS WHICH CAN LEAD TO PNEUMONIA
200
INTERVENTIONS FOR DEHISCENCE
SEPARATION OF ONE OR MORE LAYERS OF SURGICAL WOUND
MAINTAIN BEDREST WITH KNEES BENT & HOB AT 20 DEGREES TO PREVENT STRAIN
APPLY BINDER TO PREVENT EVISCERATION
NOTIFY PROVIDER OF EVENT
200
HYPERCARBIA, BARREL CHEST, GRUNTING ON EXPIRATION (DUE TO TRAPPED AIR), DIGITAL CLUBBING (FROM CHRONIC HYPOXIA), CONVERSATIONAL DYSPNEA, TRIPOD POSITIONING
WHAT ARE S/S OF COPD FROM EMPHYSEMA
200
WEIGHT GAIN, SPECIFIC GRAVITY 1.001, HYPONATREMIA, BOUNDING PULSES, JVD, TACHYPNEA, HYPERTENSION, LOW HEMATOCRIT
SIGNS & SYMPTOMS OF HYPERVOLEMIA
300
WHEN GIVING AN OPIOID WHAT IS THE NURSES PRIORITY ASSESSMENT BEFORE & AFTER ADMINISTRATION
ASSESS RESPIRATORY RATE
300
AN ACE INHIBITOR & ANTIHYPERTENSIVE
MY SIDE EFFECTS ARE HYPOTENSION, DIZZINESS, & DRY COUGH
ENALAPRIL
300
CONSTIPATION, ATELECTASIS, PNEUMONIA, PRESSURE ULCERS, URINARY RETENTION, DVT, CONTRACTURE'S
WHAT ARE COMPLICATION OF IMMOBILITY
300
THIS INTERVENTION PREVENTS CONTRACTURE'S, IMPROVES JOINT MOBILITY, INCREASES CIRCULATION, AND HELPS MAINTAIN FUNCTION
RANGE OF MOTION EXERCISES
300
BROWN/RED DISCOLORATION IN LOWER LEGS, EDEMA IN LOWER LEGS, VARICOSE VEINS, INCOMPETENT VALVES IN VEINS, ULCERS ON LOWER EXTREMITIES
WHICH VASCULAR DISEASE DO I HAVE
PVD
300
STIMULUS TO BREATHE IS LOW OXYGEN
HYPOXIC DRIVE
REFERS TO PATIENTS WITH COPD
REMEMBER TOO MUCH 02 CAN HARM THEM, THATS WHY OBTAINING A PT HISTORY IS CRITICAL
300
EXCESSIVE SODIUM INTAKE, EXCESSIVE FLUID INTAKE, DECREASED CARDIAC OUTPUT CONDITIONS (CHF), RENAL FAILURE, LIVER FAILURE.
CAUSES OF HYPERVOLEMIA/FLUID VOLUME EXCESS
400
I AM A ANTICHOLINERGIC AND A CARDIAC AGENT.
I CAN BE USED INTRA-OP TO DRY SECRETIONS OR
BE GIVEN TO RAISE YOUR HEART RATE
ATROPINE SULFATE
400
AS A BETA BLOCKER I CAN MANAGE HYPERTENSION, ANGINA, AND PREVENT A MYOCARDIAL INFARCTION, BUT YOU MUST MONITOR MY EKG, PULSE, & BP
ATENOLOL
400
INFLUENZA, SARS, STREP THROAT. TRANSMITTED VIA LARGE PARTICLES THAT TRAVEL 3-6 FEET. I BETTER WEAR A SURGICAL MASK, STAY 3-6 FEET AWAY, & USE GOOD HAND HYGIENE
WHAT PRECAUTIONS WILL I BE PLACED ON?
DROPLET PRECAUTIONS
400
T & P EVERY 2 HOURS, KEEPING PATIENT DRY, BARRIER CREAM, MAINTAIN WRINKLE FREE SHEETS, PERFORM BRADEN ASSESSMENT QSHIFT, INCREASE PROTEIN & WATER INTAKE, FLOAT HEELS OFF BED, REDUCE FRICTION & SHEER.
INTERVENTIONS TO PREVENT SKIN BREAKDOWN & PRESSURE ULCERS
400
You walk in your post op patients room and find evisceration, his intestines sticking out of his incision. What do you do?
COVER WOUND WITH STERILE TOWELS SOAKED WITH STERILE SALINE
TELL HIM TO KEEP KNEES BENT & HOB AT 20 DEGREES TO PREVENT STRAIN
CALL SURGEON & GET PT READY FOR SURGERY
400
PATIENT PRESENTS WITH RESTLESSNESS, ANXIETY, AGITATION, CONFUSION, TACHYPNEA, TACHYCARDIA IS DEMONSTRATING?
SIGNS & SYMPTOMS OF EARLY HYPOXIA
WHAT DO YOU DO? SLIDE 86
HOB 90 DEGREES
CHECK PULSE OXY
IF LESS THAN 90% GIVE 2L O2 -
CONTINUE ASSESSMENT - V/S - LUNG SOUNDS - CALL MD - ANTICIPATE CXRAY - ABG - NEBULIZERS - MEDS - ETC..
400
1. IV FLUID THAT INCREASES INTRAVASCULAR VOLUME
2. IV FLUID THAT MOVES FLUID FROM INTRAVASCULAR AND INTERSTITIAL SPACE INTO THE CELL
3. IV FLUID THAT PULLS FLUID OUT OF THE INTRACELLULAR SPACE INTO THE EXTRACELLULAR SPACE
1. ISOTONIC
2. HYPOTONIC
3. HYPERTONIC
500
I AM THE ANTIEMETIC USED FOR NAUSEA & VOMITING.
ODANSETRON
500
A PATIENT WANTS TO SELF ADMINISTER THEIR INSULIN IN THEIR ABDOMEN. HOW FAR FROM THE BELLY BUTTON MUST YOU INSTRUCT THEM TO INJECT?
2 INCHES AWAY
500
I AM THE INFECTION THAT REQUIRES CONTACT ISOLATION AND I MUST WASH MY HANDS WITH SOAP & WATER AFTER EVERY PATIENT INTERACTION
C-DIFF
500
KEEP LEGS DOWN TO PROMOTE BLOOD FLOW TO LOWER LEGS, IF PAIN SIT & REST, FOOT CARE, WT LOSS, ELIMINATE MODIFIABLE RISK FACTORS, REDUCE STRESS, REGULAR EXERCISE
INTERVENTIONS FOR PAD
500
STAGE IV
FULL THICKNESS
WHAT WILL YOU SEE?
MUSCLE, TENDON, LIGAMENT, CARTILAGE, BONE
500
MY CHRONIC INFLAMMATORY DISEASE CAUSES HYPERSECRETION OF THICK MUCUS IN MY BRONCHI & BRONCHIOLES. I HAVE A CHRONIC PRODUCTIVE COUGH, RHONCHI, HYPOXEMIA, AND CYANOSIS
COPD FROM CHRONIC BRONCHITIS
500
HYPOTENSION, TACHYCARDIA, TACHYPNEA, WEAK THREADY PULSE, HYPERNATREMIA, HIGH HEMATOCRIT, SPECIFIC GRAVITY 1.040, WEIGHT LOSS
SIGNS & SYMPTOMS OF HYPOVOLEMIA/DEHYDRATION
600
MY MEDICATION CLASSIFICATION CAN CAUSE C-DIFF WHEN TAKEN FOR LONG PERIODS
ANTI-INFECTIVES - ANTIBIOTICS
PENICILLIN (AMPICILLIN)
AZITHROMYCIN
GENTAMYCIN
600
AFTER ASSESSING PAIN SCALE AND RESPIRATORY RATE WHAT DOES THE NURSE NEED TO DETERMINE PRIOR TO ADMINISTERING HYDOMORPHONE?
THE FREQUENCY ORDERED AND WHEN IT WAS LAST GIVEN TO THE PATIENT.
600
THE NURSE WEARS A N95, THE PATIENT & FAMILY WEARS A SURGICAL MASK.
WHAT ISOLATION PRECAUTION AM I
AIRBORNE
REMEMBER THE PT AND FAMILY ARE NOT FIT TESTED, YOU ARE.
600
ENCOURAGE AMBULATION, WHEN SITTING KEEP LEGS UP, ENCOURAGE ANKLE & LEG EXERCISES IF UNABLE TO WALK, WEAR COMPRESSION STOCKINGS
INTERVENTIONS FOR PVD
600
CYANOSIS IN LOWER LEGS & FEET, WEAK OR ABSENT PEDAL PULSES, SKIN IN LOWER EXTREMITIES COOL TO TOUCH, C/O INTERMITTENT CLAUDICATION (PAIN WHEN WALKING).
WHAT VASCULAR DISEASE DO I HAVE?
PERIPHERAL ARTERY DISEASE
600
PATIENT PRESENTS WITH COUGH, SOB, WHEEZING, CRACKLES, PINK FROTHY SPUTUM, DYSPNEA.
WHAT HEART FAILURE DOES THIS REPRESENT
LEFT SIDED HEART FAILURE
600
ID & TREAT UNDERLYING CAUSE, MONITOR V/S, DAILY WEIGHTS, MONITOR I&O, MONITOR SERUM ELECTROLYTES, MONITOR MENTAL STATUS/LOC
NURSING INTERVENTIONS FOR HYPER & HYPO VOLEMIA