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NUR 176 WK 8 PCA: PERFUSION | HONDROS COLLEGE

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NUR 176 WK 8 PCA: PERFUSION | HONDROS COLLEGE

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1 ;Week 8: Perfusion
Weekly Reading: Giddens: Chapter 18; Linton & Matteson: $18-520, $68-574, 621624, 628629,
654-656, 702-710; Silvestri: 293,385-388; 558-559; 668; 718-722; Willihnganz'Clayton: 417422, 424-
426,427-429, 4314535

Lecture 1
o Recall the definmtion of perfusion in the Giddens' text: "Tissue perfusion refers (o the flow of blood
through arteries and capillaries delivering nutrition and oxygen to cells and removing cellular
waste products”. Perfusion refers to the "flow of bleod”.
o Perfusion is necessary for the concept of gas exchange 10 be normal. The defimtion of gas exchange
(from Giddens) is: "the process by which oxygen is transported to cells and carbon dioxide 15
transported from cells”.

As you can se¢ - these two concepts are closely related -~ if you don't have one, it is difficult for the
other to have done its "job".

What is the definition of anemia?
| A0 % LA S ¢ _in_hemealobin,
If there isn't enough hemoglobin delivered, what effect dots that have on pcrtusnon"
| eay al maa,lchm
What effect does that have on gas exchange?
n + wa o \ted or%ma&

Compare three types of anemias: pernicious anemia, iron deficiency and sickle cell anemia.
B Type of Anemia
Y

What is the cause What are the clinical What nursing
| i
[}

(pathophysiology)? manifestations and the interventions will you
assessment data you will plan?
|l collect?
'Pernicious anemia mwmnc@ Stomacin “ad l\.’}h"\lmw cadnte im v Joum A

OY auiDWipiL + vonr t 2h
Din4 needle Senation 'C«
% Candiiion $08 | foas.
g Sickle cell anemia | uied Ajsorder | Pon 0 fonds « N_st ManAAt paan
! 9-%(4, SWAL cetd M “fl*%&.. r, SO8 Hflcrn + NQAORL
| - + Bl pwod flow | Juumdace ' enges ., fmh ot nfectiiin
;::v:::fmency V0w et 6(4] hzu} Tekiue 1 WewraSter o
| in the oo Mrw "N linthaded | SWereoments
‘ O mlhk(ld\\). e Aok feed
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© Hondros College of Nursing FALL2S Initials and Due%_u_‘w_ s___

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120




Medicafl()m

W WOy B o e

Trade name- PR
e e dess’iaf'cr&:l'u%al?e. -yitemin
Action (how does the medication work):
Indication (what i;:;,‘i;‘ ni?ieauon =t Werve tunctioring, metabditsm
or): B4z, A e il Mormad grewth development, &
i vgy 1o G, ploduetiin - ———
of BBCe
¢VOlabeopp
Ya4 .[‘ r‘,L?/é"“;o'Wée « 1eral; FContraindications: ;
Route of administration; U, pdeionany edena v phed A
VOO, Lelers ArSCaE P
Vr}' \M' ‘J‘vl'-tf)g , N 1'1’14 ' v
Nursing Considerations: Common side effects: | ;o datlae |
educate nacd adherengs
adrmun daatrhea , nansea , M2z
‘M "fl LQ3 s € be J ”-Vbl‘O r< t clrings ingeetion te reaetion ("%’Iol)
‘&' ’._a’f'q/‘



Patient teaching: educate B2 purpostin el piodixe *h'On/ V\wfl“\'
Zited Aieteny needs, + 4dlow wpt PRV,


Generic name: hydromorphone D

a4
ClaSS 4

opioid
B
wnaleg e%t
-~




Action (how does the medication work):
Trade name: Dilaudid
Znds +0 opiad receptarS (n CNS
used
indication (what is this medication sltered reactiyy; +0€ e,
Lverne€ parn, AL
for): rMOA=
oV ehoorc posn Contraindications: Atuie atffuva atfae
mpersonsitivity, harrerPhing
-




;
Route of administration Severe Tespiroite "y Az presiye ¥,
50, (v, WA W&, rectal,
Parodyte ¢f LS.
epidwyal
ions‘é akng stk Common side effects:
m—Considerat
c'he, res dbu\j_ omstipation
N55C5S5 ba.eél dvg mowh '
‘j\é an:fb'r BP,
admirte W <lot {;\'Uca.'{ l"\? [ "b&P



M(d’\C’/CNS C‘APMS:C}'\
ng: .
¢ AA.L MQ AD243 'LW {fi\/“p
patient teachi po wNot Wd(‘{'-j_ e el d.aygv' :
A< gaovi
Agpe
I
—— i e




¢ H o n d r o s C ollege of N
ursing FALL25 Initials and Dage;s;.2

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