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FON: Standard Precautions

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Standard Precautions: Tier 1 Perform hand hygiene before and after care and when soiled; most important way to prevent infection Use personal protective equipment (PPE) if touching, spilling, or splashing of blood or body fluids is likely; use gloves, gowns, mask, goggles, shields, aprons, head and foot protection Discard disposable items in fluid-impermeable bag and contaminated Do not recap used needles; dispose in sharps container  Hold linen away from body; place in impermeable bag in a covered hamper; do not let hampers overflow Place lab specimens in a leak-proof transport bag without contaminating the outside; label with biohazard sticker and patient information Institute procedure for accidental exposure: Wash area, report to supervisor, receive emergency care, seek referral for follow-up Receive hepatitis B vaccine Assign patient to private room if hygiene practices are unacceptable Avoid eating, drinking, touching eyes, apply...

Medical and Surgical Nursing Review Bullets

Medical and Surgical Nursing Review Bullets View more documents from Mark Fredderick Abejo

Common Cardiac Drugs

Common Cardiac Drugs Drugs Main effects Mechanism Sites of action abciximab anticoagulant stops platelet activation monoclonal antibody to fibrinogen receptors platelets amiloride (combination with frusemide is frumil ) potassium sparing diuretic plasmalemma sodium & chloride channels kidney (distal tubules) amiodarone class III anti-arrhythmic prolongs action potential duration myocardium aspirin anticoagulant stops platelet activation COX inhibitor, blocks TXA 2 synthesis platelets atropine (sometimes used to stop vagus bradycardia) parasympatholytic, increases heart rate blocks muscarinic AcCh receptors pacemaker cells (sino-atrial node) captopril reduces arterial blood pressure ACE inhibitor relaxes vascular smooth muscle clopidogrel anticoagulant stops platelet activation blocks ADP...

Lecture Notes: Physical Assessment

Physical Assessment Handouts View more documents from Mark Fredderick Abejo .

Lecture Notes: Nursing Process

Nursing Process Handouts View more documents from Mark Fredderick Abejo

Nursing Review: Vital Signs

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Vital Signs  Ø   Temperature (NV 36 – 37.5 C) ü   Elderly people are at risk of hypothermia ü   Hard work or strenuous exercise can increase body temperature ü   Oral: most accessible 2-3 mins. * 15 minutes interval after ingestion of hot or cold drinks ü   Rectal: most accurate 2-3 mins. ü   Axillary: most safest 6-9 mins. Ø   Pulse (NV 60-100 bpm)    ü   Wave of blood created by contraction of the left ventricle of the heart    ü   Radial: best site for adult    ü   Brachial: best site for children    ü   Apical: best site for 3 years old below Ø   Respiration (NV 12/16-20) Normal Breath Sound Vesicular Soft, low pitch Lung periphery Broncho-vesicular Medium pitch Larger airway blowing Bronchial Loud, high pitch Trachea Abnormal Breath Sound Crackles Dependent lobes ...