Pharmacology
What is the serum potassium?
Memory impairment, Communication difficulties, Changes in behavior or personality, Disorientation, Impaired judgement or decision-making
What are assessment cues for the Concept of Cognition?
Diagnostic test: Ankle-Brachial Index (ABI)
What is Peripheral Arterial Disease?
The priority intervention for a patient complaining of sudden onset of substernal chest pain radiating down the left arm, scored as a "10/10"
Concern is for unstable angina or acute coronary syndrome
What is the administration of sublingual nitroglycerin, 1 tablet SL every 5 minutes x 3?
Used to calculate the Mean Arterial Blood Pressure
What is the SBP + 2(DBP) divided by 3
Improves morbidity and mortality by preventing remodeling of the Left Ventricle and blocking the effects of the RAAS.
What is an Ace-Inhibitor?
Skin color, temperature, moisture, integrity, Pressure injuries; Scored by the Braden Scale.
What are the assessment cues for the Concept of Tissue Integrity?
Subjective cues: Diffuse abdominal pain or cramping; bloating, nausea and vomiting; inability to pass flatus or stool; and loss of appetite
Objective cues: Absent or hypoactive bowel sounds, abdominal distention, mild tenderness on palpation, vomiting
Diagnostic study: KUB
What is an ileus?
The priority intervention for a patient suspected of experiencing a new onset right sided facial droop and slurred speech.
What is maintain ABC's and call a Stroke Alert?
The normal urine output (UOP)
What is 1 mL/kg/hr
This medication should be given on an empty stomach, ascorbic acid enhances absorption, and avoid giving with dairy products or antacids, calcium, or caffeine.
What are the nursing considerations for the administration of an oral preparation of Iron sucrose?
Examples would include: Fast Blood Glucose, Hgb A1C, TSH, AST, Albumin, Ammonia
What are laboratory values/cues related to the Concept of Metabolism?
Contractions occurring in the 3rd trimester that are irregular, infrequent and mild in intensity; often felt over the front of the abdomen; no dilation or effacement occurs
What are Braxton-Hicks contractions?
The interventions include frequent monitoring of vital signs and neurological status; initiate seizure precautions, administer Magnesium Sulfate and antihypertensives as ordered, continuous FHR monitoring; strict I & O, monitor labs for HELLP syndrome.
What are the interventions for a patient experiencing Pre-eclampsia?
Calculates the Cerebral Perfusion Pressure
What is the Mean Arterial Pressure (MAP) - the Intracranial Pressure (ICP)
The amount of time it takes for the concentration of a drug in the body (blood plasma) to decrease by 50%.
What is the half-life of a drug?
Examples include: Hgb, Hct, Troponin I, BNP, D-dimer, INR, Lactate,
What are the laboratory values/cues related to the Concept of Perfusion?
Subjective: Sudden onset of ear pain (otalgia), pulling at the ear, fever, irritability
Objective: Red, bulging tympanic membrane on otoscopic exam, lymphadenopathy near the ear
What is acute otitis media?
This is initiated by bystanders or medical professionals whenever a victim is found unresponsive without a pulse and/or respirations.
First day of the LMP, add 1 yr, subtract 3 months and add 7 days
What is Naegele's Rule
Examples of intravenous solutions that act as HYPOtonic in the body
What is D5W and 0.45% normal saline?
Includes the following: changes in gait or ROM; joint deformity/swelling, contractures, muscle weakness, Falls, use of assistive devices
What are the assessment cues for the Concept of Mobility?
Patient is 5 days s/p an exploratory laparotomy.
Subjective: sudden onset of pain at the incisional site; states, "I felt a tearing sensation when I was coughing"
Objective: Visible separation of wound edges
What is wound dehiscence?
Interventions aimed at preventing self harm or suicide and include: 1:1 observation, remove all hazardous objects, secure windows and monitor access to exits and a safe room design.
What are suicide precautions?
Dose = weight in kg x dose per kg
What is "weight-based" dosing