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258-exam-study-summary-of-topics.pdf

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Exam of 58 pages for the course Nursing at Unisa

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258 STUDY LIST


WEEK 1 - PERIOP AND LEGAL ISSUES - was hinted to revise CONSENT

Learning outcomes:

• Identify some different surgical settings & who is involved e.g. the
multidisciplinary team
• Discuss the scope of acute care nursing
• Review the Clinical Decision Making Framework and its application
• Identify some of the needs of a person undergoing admission, surgery and
discharge from hospital
• Recognise the responsibilities of the nurse caring for patients in acute care from
admission to discharge
Part 1:
- Steps of the clinical reasoning cycle
- General overview of what perioperative means
- Pre-operative risk factors
- Perioperative medications
- Post operative care
- Post - anaesthetic observations
- Post operative complications
- Pain assessment (PCA)
- Transfer of care
- Assess, educate and provide
Part 2:
- Legal issues related to surgery/nursing
- Consent
- Age of consent and emergency situations
- Negligence & breaching duty of care
- Power of attorney

WEEK 2 - PART ONE - PHYSIOLOGY OF INFLAMMATION AND PAIN

Learning outcomes:

• Review human defence mechanisms
• Identify the steps in and causes of inflammation
• Distinguish between acute and chronic inflammation
• Review mechanisms of heat loss and gain
• Discuss alterations in body temperature

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• Discuss the transmission of pain
• Distinguish between acute and chronic pain.




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• What is the difference between innate (non-specific) and adaptive (specific)
immunity.
• The role of antibodies in immunity
• What is the inflammatory response?
o Signs
o Purpose
o Phases
o Chemicals
o Cells
o Phagocytosis
o prostaglandins
• Chronic inflammation
• Pathogenesis of fever
o Risks and benefits of fever
o Thermoregulation – how do we do it
• Hyperthermia
• Hypothermia
• Pain
o What is pain threshold and tolerance?
o Perception and transmission of pain
o Referred pain
o Dermatomes
o Acute pain – productive
o chronic pain – disease state

WEEK 2 - PART TWO - PHARMACOLOGY OF ANTIPYRETICS AND ANALGESICS

Learning outcomes:

• Differentiate between pharmacodynamics and pharmacokinetics
• Describe the main actions, side effects / adverse reactions and
contraindications of selected drugs in the following groups:
i. Antipyretics
ii. Non-opioid analgesics
iii. Opioid analgesics
• Identify the role of the WHO analgesic ladder in pain management
• Recognise the knowledge of drugs nurses need to be safe practitioners in
administration of medicine.

• What are analgesics and antipyretics
• Recap pharmacokinetics, pharmacodynamics, agonist, antagonist
• Antipyretic / non-opioid analgesics
o Paracetamol (non-NSAID)
o NSAID
• Paracetamol (acetaminophen)




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o Actions
o Use
o Dynamics
o Kinetics
o Contraindications
o Adverse effects
o Interactions
• NSAIDs (ibuprofen, diclofenac, celecoxib, caproxin)
o Actions
o Dynamics
o Kinetics
o Blocking prostaglandins
o Adverse reactions
o Interactions (WITH EVERYTHING!)
• Aspirin (acetylsalicylic acid)
o Action
o Kinetics
o Adverse drug interactions
• ibuprofen
o action
o kinetics
o adverse drug reaction
o precaution
o contraindication
• opioids
o dynamics
o receptors
o kinetics
• morphine – (opioid analgesics)
o agonist
o adverse effects
o interactions / contraindications
• buprenorphine – opioid analgesic
• codeine
o dynamics
o kinetics
o effects
• fentanyl
o dynamics
o kinetics
o effects
o adverse effects
• Tramadol
o Dynamics
o Kinetics




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Document information

Uploaded on
April 26, 2022
Number of pages
58
Written in
2021/2022
Type
Exam (elaborations)
Contains
Questions & answers
R175,00

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