ALL FOR NURSING

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

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...

Physical Assessment Handouts View more documents from Mark Fredderick Abejo .

Nursing Process Handouts View more documents from Mark Fredderick Abejo

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 ...

ASSESSMENT PHASE Data Collection Organize Data Validate Data Document Data Subjective Data   also referred to as symptoms or covert data Objective Data also referred to as signs or overt data, are detectable by an observer Primary source is the client Secondary source is family or anyone else that is not the client Methods of Data Collection Observing To observe is to gather data by using the sense. Interviewing Is a planned communication or a conversation with purpose Examining Is a systematic data-collection method that uses observation (i.e., the senses of sight, hearing, smell, and touch) to detect health problems. DIAGNOSIS PHASE Analyze Data Identify Health Problem Formulate Diagnostic Statements Diagnostic Statements Problem (P) : statement of the client’s response. Etiology (E) : factors contributing Signs and Symptoms (S) : defining characteristics manifested by the...