Infection
What is a HAI?
What is an infection that occurs in a healthcare setting?
Examples...
What are examples of medications that can not be crushed and why?
What are medications that are ER, XL, EC because the client would get the entire dose at one time and/ or potentially damage their stomach?
What is the proper order to collect abdominal data?
What is inspect, auscultate, percuss, palpate?
When would a nurse do this? Complaints of stomach pain, N/V?
What are some factors that increase the risk of client's getting sick?
What is age, medications, comorbidities, nutrition (BMI), environment, occupation.....
What is Naloxone?
How is a PCA used?
What is an opioid that is programmed per md order with minimal risk of overdose? The client pushes a button to allow for pain medication delivery and is instructed to do so before the pain becomes intolerable to help with client controlled pain management. Also cuts down on wait times as the patient should not need to call for the nurse for pain meds.
What are manifestations of infection in a client?
What is change in mental status (LOC), vital signs, low output/ dark urine, adventitious lung sounds, infected wounds (edema, pain, discoloration, purulent discharge), elevated WBCS...
What are nonopioids? Examples
What are NSAIDS, Tylenol?
NSAIDS- celecoxib /Celebrex, ibuprofen/Advil, naproxen/Aleve, diclofenac/ Voltaren, Meloxicam/Mobic, Aspirin....
What are manifestations of pain?
What is hypertension, tachycardia, tachypnea, muscle tension?
What cleaning methods kill spores - like C-diff?
What is UV rays, prolonged high temperatures (autoclaves), bleach?
Please remember no hand sanitizer only hadnwashing!
What is Diclofenac sodium 1% gel? What client education should be included in the use of it as pain management?
It is a topical gel NSAID often used in the treatment of arthritis. Clients should be mindful of additional NSAID use (PO) to reduce risks of GI bleeding and renal impairment. There is a dosing card that comes with the gel and needs to be used to ensure the correct dosage of medication is being applied.
What are side effects of opioids?
What is reduce pain and anxiety, constipation, CNS depressant - drowsiness, orthostatic hypotension, MONITOR for bradypnea (respiratory depression), N/V?
First line of preventing constipation- increase fluids/ fiber/ activity. Next line medications (stool softener/laxatives)
What do the following effects mean when discussing medications, synergistic - teratogenic- antagonistic- cumulative?
What is synergistic- enhances absorption (VitC/Iron), teratogenic harmful to fetal development (alcohol), antagonistic blocks effects (narcan), cumulative (meperidine causing seizures)?