Whitney Shared "Karch’s Focus on Nursing Pharmacology, 9th Ed., Tucker" - 406 Picmonics
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Karch’s Focus on Nursing Pharmacology, 9th Ed., Tucker
Small Intestine Absorption
- Characteristics
- Carbohydrates Undergo Active Transport
- Amino Acids Undergo Active Transport
- Small Lipids Undergo Passive Diffusion
- Epithelial Cells
- Intestinal Capillaries
- Hepatic Portal Transports Nutrients
- Liver
- Large Lipids Transported as Chylomicrons
- Lacteals Transport Chylomicrons
2 mins
Peak and Trough
- Peak
- Highest Concentration
- Trough
- Lowest Level of Therapeutic Range
- Obtain Before Next Dose
- Half-Life
2 mins
Transdermal Medication Administration
- Application
- Patch or Disc
- Directly on Skin of Arms, Chest, Upper Back
- Benefits
- Avoids First Pass Metabolism
- Sustained Administration of Medication
- Nursing Considerations
- Clean Skin After Removal
- Rotate Sites of Patches
- Apply to Dry Skin
- Avoid Shaved Skin
- Avoid Heat
- Nitro Effects Lost After 24 Hours
2 mins
Liver Enzyme Tests: AST and ALT
- AST/ALT Ratio
- AST: 8-20 U/L
- ALT: 8-20 U/L
1 min
Hypoglycemia Assessment
- Mechanism
- Too much insulin
- Decreased glucose
- Assessment
- < 70 mg/dL
- Change in LOC
- Lethargic
- Confusion and Irritability
- Tremors
- Diaphoresis
- Tachycardia
- Vision Changes
- Weakness
- Seizures
2 mins
Hypokalemia
- Assessment
- < 3.5 mEq/L
- Muscle Weakness
- Arrhythmia
- U Wave
- Ileus
- Hyporeflexia
- Interventions
- IV K+ Infusion at 5-10 mEq/hr
- Give Orally with Food
- Nursing Considerations
- Monitor Respiratory Status
3 mins
Hyperkalemia
- Assessment
- > 5.0 mEq/L K+
- Abdominal Cramps
- Muscle Weakness
- Diarrhea
- Arrhythmia
- Tall, Peaked T Waves
- Interventions
- IV Calcium
- Infusion of Glucose and Insulin
- Loop or Thiazide Diuretics
- Kayexalate
- Dialysis
- Prevention Education
2 mins
Neuroleptic Malignant Syndrome
- FEVER Acronym
- Fever
- Encephalopathy
- Vital Signs Unstable
- Elevated Enzymes
- Rigidity of Muscles
- Reversal Agent
- D2 Agonists
- Bromocriptine
- Dantrolene
2 mins
The Nursing Process
- ADPIE
- Assessment
- Diagnosis
- Planning
- Implementation
- Evaluation
2 mins
Patient’s Rights
- Patient’s Rights When Hospitalized
- Respectful Care
- Information
- Consent or Refuse Treatment
- Continuity of Care
- Privacy and Confidentiality
- Medical Record Review
- Consent or Refuse Part in Research
- Health Alternatives
- Explanation of Charges and Bills
3 mins
Nursing Delivery Systems
- TYPES OF DELIVERY SYSTEMS
- Functional Nursing
- Team Nursing
- Primary Nursing
- Total Patient Care
2 mins
Informed Consent
- Key Elements
- Names and Qualifications of People Involved
- Explanation of the Procedure
- Information on Harm that Can Result
- Alternative Therapies
- Right to Refuse
- Nurses and Consent
- Nurses May Witness Consent
- Student Nurses Do Not Witness Consent
- Emergency
- Consent from Legally Authorized Person
- Life Saving Procedure Without Consent
- Special Considerations
- Deaf, Illiterate, Speaks a Foreign Language
4 mins
Implementation
- Types of Nursing Interventions
- Direct Care Interventions
- Indirect Care Interventions
- A Community (Public Health) Intervention
- Implementing the Care Plan
- Partnership with the Patient/Family
- Performing the Nursing Action
- Documenting Nursing Care
- Delegating Nursing Care
- TEST-TAKING STRATEGY: KEY WORDS
- Intervene
- Priority Action
3 mins
Patient Needs
- Latex Allergy Risk Factors
- Allergy to Banana, Papaya, Chestnuts and Kiwi
- Asthma
- Spina Bifida
- History of Multiple Surgical Procedures
- Fall Prevention
- Call Light within Reach
- Eliminate Physical Hazards
- Leave Items within Reach
- Bed in Low Position
- Side Rails Up
- Test-Taking Strategies
- Patient Safety
- Health Promotion and Maintenance
- Psychosocial Integrity
3 mins
Principles of Delegation
- Delegation
- Assigning Responsibility
- Unlicensed Assistive Personnel (UAP)
- Noninvasive Procedures
- Licensed Practical Nurse (LPN)
- Stable Patients with Predictable Outcome
- Dressing Changes
- Catheterization
- Select Med Administration
- Registered Nursing (RN)
- Unstable Patients
- Parenteral Therapy
- Discharge Planning & Health Education
3 mins
IV Solutions
- Hypotonic (< 280 mOsm/L)
- 1/4 Normal Saline (0.225% NaCl)
- 1/2 Normal Saline (0.45% NaCl)
- Isotonic (280-300 mOsm)
- Normal Saline (0.9% NaCl)
- Lactated Ringer's (LR)
- Dextrose 5% in Water (D5W)
- Hypertonic (> 300 mOsm)
- 3% or 5% NaCl
- Dextrose 5% in 0.45% NaCl
- Dextrose 10% in Water (D10W)
3 mins
IV Calculation Formulas
- IV TUBING
- Drop Factor
- Macrodrip
- Microdrip
- FLOW RATES
- Total Volume to Infuse (mL) X Drop Factor/ Time in Minutes = Drops/Minute (gtt/min)
- INFUSION TIME
- Total Volume to Infuse / mL per Hour Being Infused = Infusion Time
- Number of mL/Hr
- Total Volume in mL / Time in Hours = Number of mL per Hour
3 mins
Infusions Prescribed by Unit Dosage per Hour
- Step 1
- Determine Amount of Medication per 1mL
- Known Amount of Medication in Solution/Total Volume of Diluent = Amount of Medication per Milliliter
- Step 2
- Calculate mL per Hour
- Dose per Hour Desired/Concentration per Milliliter = Infusion Rate (mL/hour)
2 mins
Conversions: Temperature
- 0° C = 32° F
- How to Convert Celsius to Fahrenheit
- °C x 1.8 + 32 = °F
1 min
Conversions: Weight
- 1000 mcg = 1 mg
- 1000 mg = 1 g
- 1000 g = 1 kg
- 2.2 lb = 1 kg
1 min
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