Tamara Shared "Pharmacology for Nurses - A Pathophysiologic Approach, 6th Ed., Adams, Holland & Urban." - 303 Picmonics
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Pharmacology for Nurses - A Pathophysiologic Approach, 6th Ed., Adams, Holland & Urban.
Anaphylaxis Intervention
- Intervention
- Assess Airway and Oxygen Needs
- Reassure Patient with Anxiety
- Supine Position
- Methylprednisolone (Solu-medrol)
- Epinephrine
- Diphenhydramine (Benadryl)
- Medical Alert Bracelet
2 mins
6 Rights of Medication Administration
- Right Patient
- Right Medication
- Right Dose
- Right Time
- Right Route
- Right Documentation
- Nursing Considerations
- Three Checks
- Check for Allergies
- Assess the Patient
- Education
2 mins
Routes of Administration Part One
- Enteral Administration
- Oral
- Sublingual
- Buccal
- Rectal
- Tubes
- Topical or Mucous Membrane Administration
- Transdermal
- Drops/Spray
- Vaginal
- Inhalation Administration
- Inhalation
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
Eye Medication Administration
- Procedure
- Supine with Neck Hyperextended
- Wash Away Crusts
- Cotton Ball on Cheekbone
- For Ophthalmic Drops
- Instill Drops into Conjunctival Sac
- Repeat if Missed or Patient Blinks
- 5 Minutes Before 2nd Medication
- For Ophthalmic Ointment
- Thin Stream Along Inner Edge
- Inner Canthus to Outer Canthus
2 mins
Ear Drops Medication Administration
- Indications
- Earwax Buildup
- Ear Infections
- Pulling The Pinna
- Child - Back and Downward
- Adult - Back and Upward
- Procedure
- Side-Lying with Ear Up
- Instill Medication
- Stay for 2-3 Minutes
- Nursing Considerations
- Room Temperature
- May Massage Tragus
- Perforated Eardrum
2 mins
Routes of Administration Part Two (Parenteral)
- Parenteral Administration
- Intradermal
- Subcutaneous
- Intramuscular (IM)
- Intravenous
- Epidural
- Intrathecal
- Intraosseous
- Intraperitoneal
2 mins
Needle Sizes and Uses
- Adjust Size Based on Height/Weight
- Subcutaneous Injections
- 3/8 or 5/8 inch
- Intramuscular (IM)
- 1-1.5 inches
1 min
Intramuscular Medication (IM) Administration
- Risks
- Injury to Nerves, Bone, and Blood Vessels
- Sites
- Deltoid
- Vastus Lateralis
- Ventrogluteal
- Nursing Considerations
- Selection of Needle Length
- Aseptic Technique for Drawing Up
- Z-Track
- 90 Degree Angle
- Max Amount (2-5 mL Adult, 1 mL Child)
- Techniques to Reduce Pain
2 mins
Total Parenteral Nutrition (TPN)
- Mechanism
- Nutrition Given Outside GI
- Side Effects
- Hyperglycemia
- Hyperlipidemia
- Refeeding Syndrome
- Nausea and Vomiting
- Considerations
- Slow IV Infusion
- Use Large Central Vein
- No Added Meds to TPN Line
2 mins
Peak and Trough
- Peak
- Highest Concentration
- Trough
- Lowest Level of Therapeutic Range
- Obtain Before Next Dose
- Half-Life
2 mins
Beta-2 Receptor
- Characteristics
- Gs Protein Class
- Cardiopulmonary
- Increased Heart Rate
- Increased Contractility
- Bronchodilation
- Metabolic
- Increased Lipolysis
- Increased Insulin
- Increased Glycogenolysis
- Increased Cellular Potassium Uptake
- Considerations
- Increased Aqueous Humor Production
- Vasodilation
- Decrease Uterine Tone
2 mins
Beta-1 Receptor
- Characteristics
- Gs Protein Class
- Increased Heart Rate
- Increased Contractility
- Increase Renin Release
- Increased Lipolysis
44 secs
The Nursing Process
- ADPIE
- Assessment
- Diagnosis
- Planning
- Implementation
- Evaluation
2 mins
Religion and Dietary Preferences Overview
- Buddhism
- Natural Foods of Earth
- Hinduism
- Cow is Sacred
- Islam (Muslim)
- Halal Foods
- No Alcohol
- Judaism
- Kosher Meals
- No Pork or Shellfish
- Mormonism (Latter Day Saints)
- The Word of Wisdom
1 min
Native American Culture
- No Direct Eye Contact
- No Organ Donation
- No Blood Donation
- Strong Handshakes Offensive
- Tribal Shaman
- Navajo Mother Massage Newborn
2 mins
Arab American Culture
- Touch Only When Same Gender
- May Request Same Gender Healthcare Provider
- Females Avoid Eye Contact with Males
- Males Often Make Decisions
- Muslims
- Infertility Grounds for Divorce
- No Organ Donation
2 mins
Asian American Culture
- Avoids Direct Eye Contact
- Conflict Avoidance
- Soft Voice Tone
- Males Make Most Decisions
- Feet Considered Dirty
- Hot-Cold Theory of Illness
- Soups and Rice After Birth
2 mins
Mexican American Culture
- May Avoid Eye Contact with Authoritative Figures
- Family Involved in Decisions
- Emotional Bereavement
- No Organ Donation
- Curandero (Curandera)
- Hot-Cold Theory of Illness
- Abdominal Binder after Pregnancy
2 mins
Bacillus Anthracis (Anthrax) Characteristics
- Characteristics
- Gram-Positive
- Spore-Forming
- D-glutamate Polypeptide Capsule
- Protective Antigen
- Lethal Toxin
- Edema Factor
- Increased cAMP
1 min
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