Unit 3

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Author:
jessprather
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234773
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Unit 3
Updated:
2013-09-15 11:45:02
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Chpt 34 35
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nursing
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  1. Diagnostic Pretest
    Focus of the pretest phase is client preparation
  2. Diagnostic Intratest
    Focuses on specimen collection and preforming or assisting with certain testing
  3. Diagnostic Post-test
    Focus on nursing care of the client and follow up activities and observations
  4. venipuncture
    puncture of a vein for collection of CBC
  5. phlebotomist
    a person who performs venipuncture
  6. CBC
    specimens of venous blood, includes hemoglobin, hematocrit, erythrocyte, leukocyte, RBC's & white cell count.
  7. Hemoglobin
    the main intracellular protein of erythrocytes
  8. hematocrit
    measure RBC's in total blood volume
  9. polycythemia
    higher that normal RBC count
  10. RBC count normal findings
    • men 4.6-6.0
    • women 4.0-5.0
  11. Hgb normal findings
    • men 13.5-18
    • women 12-15
  12. Hct normal findings
    • men 40-54%
    • women 36-46%
  13. WBC count normal findings
    4,500-11,000 mm3
  14. Platelet count normal findings
    150,000-350,000 mm3
  15. Sodium values
    135-145 mEq/L
  16. Potassium values
    3.5-5.3 mEq/L
  17. BUN value
    10-31mg
  18. creatinine
    no levels
  19. electrolytes
    135-145 mEq/L
  20. glucose
    • fasting < 110
    • 111-125
    • random < 200
  21. Pt
    effectiveness of cumtain 11-13 seconds
  22. Ptt
    heparin effectiveness 25-39 seconds
  23. Inr
    less than 2 seconds
  24. Calcium
    8.5 - 10.5 mg/dl
  25. Blood pH
    7.35 - 7.45
  26. therapeutic/desired effect
    primary effect intended, the reason the drug is prescribed
  27. side effect
    secondary effect, unintended; usually predictable, harmless or potentially harmful
  28. adverse effects
    reactions that may justify the discontinuation of drug
  29. drug toxicity
    results from overdosage, ingestion of a drug intended for external use or buildup of the drug in the blood
  30. palliative
    relieves symptoms but does not affect disease
  31. curative
    cures a disease or condition
  32. supportive
    supports body function until other treatments or the bodys response can take over
  33. substitutive
    replaces body fluids or substances
  34. chemotherapeutic
    destroys malignant cells
  35. restorative
    returns the body to health
  36. drug allergy
    immunologic reaction to a drug
  37. anaphylactic reaction
    severe allergic reaction usually occurs immediately
  38. drug tolerance
    low physiological response to a drug and requires increase in dosage
  39. idiosyncratic effect
    unexpected and may be individual to a client; under response or over response; completely different effect from the normal one
  40. drug interaction
    admin of one drug before, at the same time or after another drug alters effect of one or both drugs
  41. potentiating effect
    increased effect
  42. inhibiting effect
    decreased
  43. synergistic
    2 different drugs increase the action of one or another drug
  44. latrogenic disease
    disease caused unintentionally by medical therapy due to drug therapy
  45. pruritus
    itching of the skin with or without a rash
  46. angioedema
    edema due to increased permeability of the blood
  47. rhinitis
    water discharge from the nose
  48. lacrimal tearing
    excessive tearing
  49. drug abuse
    inappropriate intake of a substance
  50. drug dependence
    persons reliance on or need to take a drug or substance
  51. physiological dependence
    due to biochemical changes in body tissues, tissues require substance for normal functioning
  52. psychological dependence
    emotional reliance on a drug to maintain a sense of well being, cravings for the drug
  53. drug habituation
    denotes a mild form of psychological dependence; habituated
  54. illicit drugs
    street drugs
  55. pharmacodynamics
    mechanism of drug action and relationships between drug concentration and the bodys responses
  56. receptor
    drugs specific target
  57. agonist
    when a drug produces the same type of response as the physiological or endogenous substance
  58. antagonist
    a drug that inhibits cell function
  59. pharmacokinetics
    study of the absorption, distribution, biotransformation and excretion of drugs
  60. Route of choice for rapid action?
    intravenously
  61. Most biotransformation takes place in the?
    Kidneys
  62. Drug excretion occurs mainly thorough the?
    kidneys into the urine
  63. ■ To treat the ethmoid and sphenoid sinuses,
    instruct the client to lie back with the head over the edge of the bed or a pillow under the shoulders so that the head is tipped backward
  64. To treat the maxillary and frontal sinuses,
    instruct the client to assume the same back-lying position, with the head turned toward the side to be treated; The client should also be instructed to (a) breathe through the mouth to prevent aspiration of medication into the trachea and bronchi, (b) remain in a back-lying position for at least 1 minute so that the solution will come into contact with the entire nasal surface, and (c) avoid blowing the nose for several minutes.
  65. pharmacopoeia
    book containing a list of products used in medicine
  66. pharmacology
    the study of the effect of drugs on living organisms

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