Week 3 LOs: Nursing process, med admin, patient teaching

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xiongav
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283848
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Week 3 LOs: Nursing process, med admin, patient teaching
Updated:
2014-09-23 09:00:13
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Nursing process Med admin. Pt teaching (Week 3)
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  1. LO1: What are the routes for administering meds?

    (3)
    • Enterel: PO
    • Topical: skin
    • Parenteral: injection, IV, subq. (surpasses GI)
  2. Enteral route (oral)

    What system does it use for ingestion&absorption of drugs?

    What must you assess before admin. of oral route?

    How should the Pt be positioned?
    GI system.

    Inspect skin condition and swallow reflex.

    Pt should be positioned sitting up.
  3. Topicals (skin)

    What is it applied to? (2)

    What must you look for before applying?
    Applied to SKIN and MUCUS MEMBRANES.

    The GI system is NOT involved.

    Inspect SKIN INTEGRITY before applying.
  4. What route of admin. does NOT involve absorption?

    What route of admin. does NOT involve both distribution or absorption?
    Topical Meds. do not involve GI system absorption.

    Parenterals do NOT involve dist&absorp.
  5. Parenterals (IV, injection, subq)

    Which sites for Parenterals? (4)

    What should you consider regarding the muscle?
    • 1) Ventrogluteal
    • 2) Vastus lateralis/rectus femoris
    • 3) Deltoid 
    • 4) Dorsogluteal - buttocks

    Consider muscle SIZE.
  6. Parenteral (subq)

    Sites? (5)
    • 1) abdomen
    • 2) mid-anterior thigh
    • 3) lateral-posterior upper arm
    • 4) scapula
    • 5) upper back (above waist)
  7. Parenteral (intradermal)

    What to assess?

    Sites? (2)
    Assess firmness during palpations

    • Sites:
    • 1) forearm
    • 2) upper back over scapula
  8. Parenteral (intravenous, IV)

    Where is med. directly admin. to?

    What are advantages? (4)

    What to assess?

    Sites? (2)
    Directly to BLOODSTREAM.

    • 1) fast acting
    • 2) less irritation
    • 3) big volumes
    • 4) avoids problems w/ impaired peripheral circ.

    Assess REDNESS, WARMTH, EDEMA, PUFFY

    Sites: Peripheral and Central.
  9. Pediatric (IV sites)

    Sites? (5)
    • 1) peripheral
    • 2) umbilical
    • 3) central
    • 4) intraosseus
    • 5) saphenous cutdown
  10. Assessment
    Diagnosis
    Plan
    Implement
    Evaluate

    Apply to Pt & family educ. related to meds.
    • Assessment: monitor physical response to treatment or disease.
    • *Pt hist. and current problem
  11. Assessment (history)
    Diagnosis
    Plan
    Implement
    Evaluate

    Apply to Pt & family educ. related to meds.

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