Marilyn Shared "Cohort 24" - 34 Picmonics
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Cohort 24
How to Write a NANDA Nursing Diagnosis
- Nursing Diagnosis
- Nursing Diagnosis Components
- Problem Statement
- Etiology
- Defining Characteristics or Risk factors
- 4 Types of Nursing Diagnoses
- Problem-Focused
- Risk
- Health Promotion
- Syndrome
- Steps For Writing a Problem-Focused Diagnosis
- (Problem-Focused Diagnosis) related to________(Related Factors) as evidenced by _____________ (Defining Characteristics).
- Steps For Writing a Risk Diagnosis
- Risk for_____as evidenced by_____(Risk Factors).
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
I-SBAR-R
- Identify
- Situation
- Background
- Assessment
- Recommendation
- Readback
1 min
Safety and Security
- Safety and Security Needs
- Second Basic Needs
- Safety and Security Needs
- Physical Safety
- Physiological Safety
- Financial Security
2 mins
Neonatal Respiratory Distress Syndrome
- Cause/Mechanism
- Fetal Lung Immaturity
- Lack of Surfactant
- Assessment
- Respiratory Distress
- Nasal Flaring
- Retractions
- Grunting
- Interventions
- Surfactant
- Oxygen
- Mechanical Ventilation
- Considerations
- Total Parenteral Nutrition (TPN)
2 mins
Substance Use Disorder Assessment (Formerly Substance Abuse Assessment)
- Changes in Mood
- Poor Hygiene
- Odd Sleep Patterns
- Frequent Injuries
- Relationship or Job Difficulty
- Poor Performance
- Anorexia OR Weight Loss
- Social Isolation
- Financial Problems
2 mins
Ectopic Pregnancy
- Signs and Symptoms
- Lower Abdominal Pain
- Delayed Menses
- Abnormal Vaginal Bleeding
- Shock
- Referred Shoulder Pain
- Cullen Sign
- Considerations
- Methotrexate
- Surgery
- RhoGAM
2 mins
Lab and Diagnostic Tests During Pregnancy
- Complete Blood Cell Count
- Blood Typing
- Rubella Titer
- Hepatitis B
- HIV Testing
- Urinalysis
- Diabetes
- Pap Smears
2 mins
Prenatal Care
- Prenatal Visits
- Vital Signs, FHR
- Fundal Height
- Urine Dipstick
- Weight
- Prenatal Screening
- Laboratory Testing
2 mins
Induction of Labor
- Indications
- Premature Rupture of Membranes
- Danger to Fetus or Mother
- Prolonged Gestation
- Contraindications
- Placenta Abnormalities
- Transverse Fetal Position
- Prolapsed Umbilical Cord
- Active Genital Herpes Infection
- Transfundal Uterine Incision
- Hemorrhage
3 mins
Decelerations (and Accelerations) Overview
- VEAL CHOP
- Variable Deceleration
- Cord Compression
- Early Deceleration
- Head Compression
- Acceleration
- Okay
- Late Deceleration
- Placental Insufficiency
2 mins
Early Decelerations
- Cause
- Fetal Head Compression
- Occurs During
- Uterine Contractions
- Placement of Internal Mode of Monitoring
- Vaginal Examination
- Fundal Pressure
- Considerations
- Normal Pattern
1 min
Late Decelerations
- Cause
- Uteroplacental Insufficiency
- Occurs During
- Disruption of Oxygen Transfer to Fetus
- Considerations
- Abnormal Pattern
- Interventions
- Discontinue Oxytocin
- Oxygen with Non-Rebreather (8-10 L/min)
- Side-lying Position
- Elevate Legs
- Increase Rate of IV Solution
2 mins
Variable Decelerations
- Mechanism
- Umbilical Cord Compression
- Occurs During
- Abnormal Cord Position
- Considerations
- Transition Phase
- Interventions
- Oxygen with Non-Rebreather (8-10 L/min)
- Change Maternal Position
- Discontinue Oxytocin
2 mins
Postpartum Infection
- Diagnosis
- Fever > 100.4F After 24 Hours (38 C)
- Risk Factors
- Multiple Vaginal Examinations
- Vaginal Trauma
- Prolonged Rupture of Membranes
- Cesarean Birth
- Anemia of Pregnancy
- Retained Placental Fragments
- Poor Health Status
3 mins
Postpartum Hemorrhage
- Mechanism
- Uterine Atony
- Lacerations
- Retained Placenta
- Signs and Symptoms
- Bleeding
- Hypotension
- Boggy Uterus
- Considerations
- Oxytocin
- Bimanual Compression of Uterus
- Surgery
- Blood Transfusion
2 mins
Postpartum Blues
- Symptoms
- Depressed Affect
- Tearfulness
- Fatigue
- Resolves in 2 Weeks
- Treatment
- Supportive Care
2 mins
APGAR Score
- 1 and 5 Minutes
- Appearance
- Pulse
- Grimace
- Activity and Muscle Tone
- Respiration
- Total Scores
- Gentle Stimulation
- Oxygen
2 mins
Newborn Assessment
- APGAR
- Umbilical Cord
- 2 Arteries 1 Vein
- Eye Prophylaxis
- Fontanels
- Vitamin K Injection (Phytonadione)
- Gestational Age Assessment (GAA)
- Measurements
- Birth Weight
- Head Circumference
- Length
- Considerations
- Keep Warm
- ID Bands
3 mins
Newborn Phototherapy
- phototherapy
- Phototherapy
- Incubator
- Protect Eyes
- Skin Irritation
- Fluid Volume
- Monitor Temperature
- Neurologic Symptoms
- Adequate Nutrition
- Parental Anxiety
- Congenital Porphyria
- Photosensitizing drugs
3 mins
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