Athabasca University (AU ) • Nursing

BMI and obesity - BMI >30 = obese - as BMI inc, so does risk for adverse side effects s/s of hyperthyroidism - HIGH everything; increase hr, bp, weight loss, irritable/nervous, diarrhea, heat intolerance, enlarged neck (goiter), exophthalmos, irregular menses, SOB - Grave's Disease - thyrotoxicosis (thyroid storm) - low TSH levels - levothyroxine s/s of hypothyroidism - LOW everything = dry itchy skin, slow pulse, fluid retention and edema, sluggishness, decreased b/p, slowed he...

Facilitate delivery of nutrients and clearance of waste Intravascular volume balance Tissue Perfusion maintenance Promote oxygen delivery Augment cardiac output Correct/maintain electrolytes What are primary goals of intraoperative fluid management? (Think FIT-PAC) 60% Water constitutes what percent of lean body mass in an average adult? 75% Muscle is consider to be how much water? 10% Adipose tissue is considered to be how much water? 1/3 The extracellular fluid volume (ECF) const...

1 During initial rounds on the shift, the nurse finds that a patient's TPN solution has been infusing at a slower rate than ordered. It is now 2 hours behind. What should the nurse do? Notify the physician to receive new infusion orders 2 List the 5 rights of med administration: Patient, med, dose, route, time 3 Calculate the drip rate: Order 1000 mL of D5W to infuse 130 mL/hr. Drip factor of tubing is 20 gtts/mL. 130x20/60 = 43 gtt/min 4 When a patient is admitted with acute ...

Know labs discussed in class and meaning Anticoagulants: PT (Prothrombin Time), INR (International Normalized Ratio), aPTT (Activated Partial Thromboplastin Time) Diuretics: Electrolytes (Sodium, Potassium, Chloride), BUN (Blood Urea Nitrogen), Creatinine Anti-infectives: WBC (White Blood Cell count), Culture and Sensitivity tests Antidote examples 1. Vitamin K for warfarin overdose 2. Protamine sulfate for heparin overdose 3. Naloxone for opioid overdose General nursing considerations f...

pulse oximetry measures oxygen level in the blood (arterial) pulse oximetry normal range 95-100 change pulse oximetry COPD, H and H, temperature, circulation urgent interventions raising head of bed ensure patency oxygen suctioning albuterol/other meds advanced ventilation nonurgent interventions education incentive spirometry nebulizer treatments turn/cough/deep breath factors that affect pulse oximetry poor circulation, skin pigment, skin thickness, temperature, nail polish ...

_____________ body largest organ and protects us from infection Skin is Must maintain integrity of ________________. skin and tissue (such as mucous membranes) Debridement Remove dead tissue Elasticity Ability of skin to stretch and relax. Skin without elasticity is more vulnerable to injury. Excision Removal by cutting Friction Injury Injury produces when 2 surfaces rub again each other Lesions Unexpected break/mark on skin. Many descriptors that include hives, rashes, papules (sol...

diuretics - MoA: blocks sodium and chloride reabsorption - promotes urine excretion - interferes with normal kidney function - ADVERSE: hypovolemia (excessive fluid loss), acid-base imbalance, altered electrolyte levels furosemide MoA & classification - loop diuretic; most effective, most urine output - effective even when glomerular filteration is low - blocks sodium and chloride reabsorption in Henle loop diuretics indications used alone or in combo to treat hypertension or edema f...

pulse oximetry measures oxygen level in the blood Pulse oximetry normal range 95-100 factors that affect pulse oximetry - poor circulation, skin pigment, skin thickness, temperature pulse oximeter sites Figner, toe, earlobe, bridge of nose, and forehead Respiratory Inspection looking for cyanosis; a bluish discoloration of the skin as a result of poor circulation Respiratory palpation Checks the trachea with fingers; should enter at the middle of the suprasternal notch Chest symmetry...

What are morals? private, personal, or group standards of right and wrong Moral behavior reflects personal moral beliefs What are beliefs? -something that one accepts as true -not always based on fact What are ethics? -systematic study of right and wrong conduct -formal process for making consistent moral decisions What are values? deeply held belief about the worth of something What are attitudes? -feelings toward person, object, idea -includes thinking and feeling component -wha...

Pain is a ___ experience subjective Nurses are legally and ethically responsible for assessing and managing pain What is pain? -unpleasant sensory/emotional experience -can warn of potential injury -multidimensional experience What destructive effects can pain cause? -sleep loss -irritability -cognitive impairment -functional impairment -immobility Pain causes the release of what vasoactive and pro-nociceptive mediators? -prostaglandins -bradykinin -substance P -histamine What...