Samantha Shared "Medical-Surgical Nursing, 10th Ed., Ignatavicius & Workman, 2020" - 628 Picmonics
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Medical-Surgical Nursing, 10th Ed., Ignatavicius & Workman, 2020
5 Rights of Delegation
- Right Task
- Right Circumstance
- Right Person
- Right Direction/Communication
- Right Supervision/Evaluation
1 min
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
Assessment
- Health History
- Objective Data
- Subjective Data
- TEST-TAKING STRATEGY: KEY WORDS
- Identify
- Determine
- Obtain Information
- CONSIDERATIONS
- Assessment Always Done Before Treatments
3 mins
Diagnosis
- A COMPARISON
- Medical Diagnosis
- Nursing Diagnosis
- Collaborative Problem
- Data Interpretation and Analysis
- Significant Data
- Patterns or Clusters
- Parts of Nursing Diagnosis Statement
- Problem
- Etiology
- Defining Characteristics
- TEST-TAKING STRATEGY: KEY WORDS
- Maslow’s Pyramid
- Patient’s Concerns
2 mins
Planning
- Nursing Care Plan
- Tailored to Patient
- Short-and-Long-Term Goals
- SMART GOALS
- Specific
- Measurable
- Attainable
- Realistic
- Time-Oriented
2 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
Evaluation
- Consider the Effectiveness of Care
- Reassess
- Make Necessary Modifications
- Continuously Ensure Favorable Patient Outcome
- TEST-TAKING STRATEGY: KEY WORDS
- Evaluate
- Outcome
- Consider the Degree of Effectiveness
2 mins
Registered Nurse Roles
- Nursing Roles in All Settings
- Caregiver
- Counselor
- Educator/Teacher
- Communicator
- Advocate
- Leader
- Researcher
- Collaborator
2 mins
Interprofessional Team Member Roles
- Roles of Members of the Health Care Team
- Physician
- Advanced Practice Registered Nurse
- Nurse
- Unlicensed Assistive Personnel
- Physical Therapist
- Occupational Therapist
- Respiratory Therapist
- Social Worker
- Pharmacist
- Dietitian
4 mins
Blood Acid-Base Control
- Characteristics
- In a State of Acidemia
- Medullary Chemoreceptors Control Ventilation Rate
- Expulsion of CO2 through Lungs Increases pH
- Bicarbonate Reabsorption from the Kidney Increases pH
- Kidney Excretion of H+ Increases pH
2 mins
pH - Blood and Urine Lab Value
- Blood
- 7.35 - 7.45
- Urine
- 4.0 - 8.0
1 min
Clotting Overview
- Characteristics
- Endothelial Cells are Damaged
- Platelets Respond to Exposed Collagen and Stick
- Platelets Release Recruiting Factors
- More Platelets are Attracted
- Soluble Fibrinogen Turns to Insoluble Fibrin
- Fibrin Seals the Clot
- Clot Dissolves
- Liver Produces Clotting Factors
2 mins
PT/PTT Lab Values
- Prothrombin Time (PT)
- 10-14 seconds
- Activated Partial Thromboplastin Time (PTT or aPTT)
- 25-35 seconds
1 min
INR Lab Value
- 0.8-1.2 Normal Range
- Warfarin
- 2.0-3.0
1 min
Respiratory Acidosis Assessment
- Assessment
- Decreased pH < 7.35
- Increased PaCO2 > 45
- Reduced Respirations
- Anxiety
- Change in LOC
- Tachycardia
- Cyanosis
- Increased Electrolytes
- ECG Changes
- Muscle Weakness
- Hyporeflexia
2 mins
Delirium
- Mechanism
- Rapid Onset
- Reversible
- Assessment
- Hallucinations
- Decline in Cognition
- Short Attention Span
- Rapid Speech
- Change in Activity Level
- Mood Swings
2 mins
5 A's of Alzheimer's Disease
- Agnosia
- Anomia
- Aphasia
- Apraxia
- Amnesia
1 min
Magnetic Resonance Imaging (MRI)
- Procedure
- Internal Body Images
- Detects Variations of Soft Tissues
- Considerations
- No Metal Objects
- No Pacemakers
- Contrast is Non-Iodine
- Safe During Pregnancy
- Long Procedure
- Antianxiety Medications
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
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