Student Nurse Laura

Orem – "creative effort of one human being to help another human being."

Archive for September, 2009

SNAC 2011

Posted by Laura on September 30, 2009

SNAC 2011

clockwise top left: Sheri Wiles-ICC Rep, Kendra Mason-VP, Vickie Halstead-Treasurer, Lisa Gallardo-ICC Rep, Jennifer Marsh-Secretary, Laura Barron-President

Posted in Day-to-Day, Images | Comments Off on SNAC 2011

Module 5 drugs

Posted by Laura on September 30, 2009

Drug Dosage Action Side effects
Thiazide diuretic          antihypertensives, diuretic (management of mild to moderate hypertension/edema/renal dysfunction
Hydrochlorothiazide PO Blocks Na reabsorption in DGT were only 5-10% is usually reabsorbed. Pres for mild-mod Hypervolemia. Lowers BP Hypokalemia (nursing intervention for hypokalemia is to get prescribed potassium supplements.)
Loop Diuretics (indications: edema due to heart failure, hepatic impairment or renal disease. Hypertension)
Furosemide(Lasix) PO-edema, IM IV Block Na reabsorption in the Asced. – Loop Henle where 20-30% of filtered Na is normally reabsorbed. Prescribed for severe Hypervolemia. F and E: dehydration, , hypochloremia, hypokalemia, hypomagnesemia, hyponatremia, hypovolemia, metabolic alkalosis. Hemat: APLASTIC ANEMIA, AGRANULOCYTOSIS,Geri: Diuretic use is associated w/ increase risk for falls in older adults.
Bumetanide(bumex) Similar to above. No Life threatening.
Potassium sparing diuretics (indications: counteract K loss, treatment edema or hypertension) weak diuretic
Spironolactone – Aldactone PO edema Weak diuretic inhibit Na reabsorption. Saving Potassium Hyperkalemia (main difference in diuretics)Salt substitutes include potassium and should be used with caution.
Supplements
Potassium Prescribed to avoid the precaution of hypokalemia from Thiazide and loop diuretics
Magnesium Prescribed due to decreased magnesium levels with loop and Thiazide diuretics due to decreased reabsorption and excretion by kidneys.
Where sodium goes, water flows…..Azotemia (increased nitrogen levels in the blood) – can occur with FVE (fluid volume excess) Hypervolemia

Acute weight gain = 2.2 lb ( 1 kg) = 1 Liter of fluid

Severe edema-ANASARCA

Print a copy here

Posted in Day-to-Day, Drugs, NS111 - Fundamentals, Resources | Comments Off on Module 5 drugs

Hematocrit

Posted by Laura on September 30, 2009

hematocrit (Large)

Posted in Concepts, Day-to-Day, Physiologically | Comments Off on Hematocrit

Osmolarity vs. Osmolality

Posted by Laura on September 30, 2009

Measurement of concentration of solution can be measured in milliosmoles per liter or per kilogram in blood and urine.  Osmolality is used more often in clinical practice. Normal serum Osmolality is 275 to 300 mOsm/kg. Hydrometer

Osmolarityis the number of osmoles of solute per literof solution (osmol/L).

Osmolalityis a measure of the osmoles of solute per kilogramof solvent (osmol/kg)

Normal urine osmolality is 250 to 900 mOsm/kg. Sodium in our ECF osmolaity holds water. (where ever sodium goes/water flows)

Water specific gravity is ???? 1

Urine specific gravity is ????1.010 to 1.025

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Flash Cards!

Posted by Laura on September 30, 2009

Want to study the 90+ Section II NS111 Vocabulary?

Select Flash Cards on the right of this page or go to:

http://www.flashcardexchange.com/

At the top right insert AVC or studentnurselaura to see a list of flashcards available for easy reviewing. You don’t need to be a member or pay to study on these flashcards. You can use the navigator when doing the flashcards to reverse the cards to definitions first. Play around with it.

Home Directory New Flashcards Register Log In My Stuff  
  Use classic search
 
Related Tags: 1
  • avc – Card Sets: 15

Start some yourself and share with us. Put AVC in your key tags so we can find them!

Posted in Day-to-Day, Resources | Comments Off on Flash Cards!

Journal Analysis

Posted by Laura on September 30, 2009

Do you know about SMARTHINKING? It is a free paper review/content source available on our avc.edu. You can find it under myavc/courses. You upload your paper, somewhere in the world – someone reviews it – it is returned before 24hrs!

Posted in Day-to-Day, NS110 - Professional I, Resources | Comments Off on Journal Analysis

Missed the lecture – want to hear it again?

Posted by Laura on September 29, 2009

Audio for lectures is now being available on your AVC site under My Courses/Links

 

Course Links  –  Fundamentals of Nursing Sci

September 29, 2009
Your Location: Course Homepage / Course Links

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Fundamentals of Nursing Sci

Module 5 part 1    (Posted on September 28, 2009 by Victoria Beatty.)
First part of lecture in room 115. 

Posted in Day-to-Day | Comments Off on Missed the lecture – want to hear it again?

Section II Vocabulary Words

Posted by Laura on September 27, 2009

NS 111 Vocabulary Section II

Spelling errors: immunocompromised, paralytic ileus

Updated 9/29/09

Posted in Day-to-Day, NS110 - Professional I, NS111 - Fundamentals | Comments Off on Section II Vocabulary Words

Serum Levels

Posted by Laura on September 26, 2009

I saw this 3 times in our PowerPoint.

Did someone say we needed to know these?

Plasma Levels                                                                                                                               

Download a printable copy here   8×5 .doc   

Posted in Concepts, Day-to-Day, NS111 - Fundamentals, Physiologically | 1 Comment »

Mod#5 – NS 110 Articles

Posted by Laura on September 26, 2009

Articles – Mod 5

These are always locked due to Copyright privileges. Email me for password.

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Week 6 Readings – RM 114

Posted by Laura on September 26, 2009

Updated per Professor Beatty 092809

To download a printable 8×5 card click  Week 6 Reading rm 114.doc    

Most of these pages we have already read for Week 5!!!

Week 6 Reading

NS 111 – Mod #5 Fluid & Electrolytes
Book

Chapters

Pages

# pages

Min

completed

F. of  N.

46

Fluid Electrolyte

1669-1704

35

 

 

Med.Surg

14

300-334

34

 

 

Lab T&D

 

311-314, 364-365, 491-492, 752-754, 872-874, 887-888, 1008-1010

12

 

Can  ignore, per Beatty 092809

Articles

Restoring Electrolyte Balance

34-39

 

 

Audio Visual

Pre-op : #111, 112

Fluid& Elec: #27

 

 

 

 

Week 6 Reading

NS 110 – Mod # 5 Legal Ethical
Book

Chapters

Pages

# pages

Min

completed

F. of  N.

6

95-118

23

 

 

 

7

119-150

31

 

 

Articles Saying the right thing when things go  wrong

59-63

   
 

Nurses, Negligence, and Malpractice

54-63

 

 

Audio Visual

How to reduce your risk of being sued

#60

 

 

 

Week 6 Quiz/Exam/Other
Clinical Pre-clinical Written & Practicum
NS110  Journal Analysis
Week 7 Quiz/Exam/Other
NS111 Exam 2
  Mod  #7 Pain
NS110 Mod #7 Safety Mod #8 Abuse

Posted in Day-to-Day, NS110 - Professional I, NS111 - Fundamentals, Reading Schedule RM 114 | Comments Off on Week 6 Readings – RM 114

SNAC 2011

Posted by Laura on September 26, 2009

Subject SNAC Election results

Posted in Day-to-Day | 1 Comment »

Wise words

Posted by Laura on September 22, 2009

A word to the wise, from the un-wise. By placing my understandings of concepts in a visual manner, I hope to see where it makes sense and doesn’t. I know when I look back at these with a greater knowledge, I will see the errors of my thinking. Please view them with doubtful eyes and bring forth your vision the next time we meet. Thanks!

Posted in Concepts | Comments Off on Wise words

Dunn’s High Level Wellness mixed with Health-Illness Continuum

Posted by Laura on September 22, 2009

laura's Health n' Illness

 

 

Dunn’s High-Level Wellness defines the difference between wellness and good health, using 4 processes: Being, Belonging, Becoming, and Befitting.

The Health-Illness Continum is a measure of a person’s level of health. This circle of being is a continuously changing state.  

 

 

 

Other Models of Health and Illness 

Agent-Host-Environment Model –balance=health, imbalance=risk of disease

Health Belief Model -perception of susceptibility to disease, seriousness of a disease, benefits of action (educative)

Health Promotion Model– Self-esteem from environmental interaction

Posted in Concepts, NS110 - Professional I | Comments Off on Dunn’s High Level Wellness mixed with Health-Illness Continuum

Who is Dorothea E. Orem?

Posted by Laura on September 21, 2009

Find out more about Dorothea Orem at:    http://www.orem-society.com/

oremUsing the theory of Orem, I follow the idea that people want and are, uniquely responsible for taking care of their health. We all have requirements. Most are general and apply to all; some are more specific depending on our unique selves. These requirements are called ‘Requisites’. How we practice activities to meet the needs of our behalf for wellness is considered ‘Self-Care’ (the ‘agency’ is the ability part). Using the requirements to meet the needs for our wellness is called ‘Self-care Requisites’.

What makes up those requisites you ask?  They are no other than:

Universal Self-Care Req.  Developmental Self-Care Req.

Health Deviation Self–Care Deficits

After you have identified these requisites, you can then make them more unique by the Basic Conditioning Factors. These are the items which are general groupings (age, gender, etc). From here we would now know what was needed universally, developmentally, and our health deviations, but are also influenced by Basic Conditioning Factors.bowl of cherries - pits

Pulling in the Power Components (which is a lot like a focused Health Deviation Self-Care Deficits to me) help maintain our life, health and well being, and are strongly influenced by the Basic Conditioning Factors. Such as the ‘ability to control movement’ – PC. This could be influenced by ‘Age’ or ‘Available Resources’ (no wheel chair) – BCF.

USCR + DSCR + HDSCD filtered by BCF and PC= TSCD

We now know the total of actions needed to meet our original requirements. This is considered the Therapeutic Self-Care demands.

So if the Self Agency (our ability) is less than our Therapeutic Self-Care Demand (USCR/ DSCR/ HDSCD filtered by BCF/PC), which cannot provide the necessary requirements, then we have a Self-Care Deficit.

SCA < TSCD = SCD

Any Self-Care Deficit shows a need for nursing. The Nursing Agency, or our ability to provide nursing care, is utilized through a Nursing Process of our beloved ADPIE. (Assessment, Diagnosis, Planning, Implementation, Evaluation)

The Nursing System of care, be it wholly or partially compensatory, or supportive education will involve 5 points:

1.       acting for the patient

2.       teaching

3.       guiding

4.       supporting

5.       providing a developmental environment

Posted in Concepts, Day-to-Day, NS110 - Professional I | Tagged: , , , | 1 Comment »

Module 3 Drugs – A work in progress

Posted by Laura on September 20, 2009

Click here for Drugs NS111 Mod 3 Anti-infectives

Still not complete, but close. Please give feedback if you have some more data. Thanks.

Posted in Day-to-Day, Drugs, NS111 - Fundamentals, Resources | Comments Off on Module 3 Drugs – A work in progress

Student Nurse Flo

Posted by Laura on September 20, 2009

Return to Home page

SNF 05

Posted in Day-to-Day, Student Nurse Flo | Tagged: , , , | 4 Comments »

Protected: Articles

Posted by Laura on September 19, 2009

This content is password protected. To view it please enter your password below:

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Week 5 Reading – Rm 114

Posted by Laura on September 19, 2009

092809 Beatty’s Updates to Reading list 

Please read the following also for Module 11:   McKenry/Salerno.  Pharmacology in Nursing,  22nd Edition, Chapter 14, Pages 243-267; Chapter 15 Pages 288-302, Chapter 16, Page 322-323; Chapter 21, Pages 436,438; Chapter 40, Pages 758-763.

To download a printable 8×5 card click here  Week 5 Reading rm 114

Week 5 Reading

NS 111 – Mod #11 Surgical Patient & Mod #5 Fluid & Electrolytes
Book

Chapters

Pages

# pages

Min.

completed

F. of  N.

30

Peri-op. Nursing

871-922

51

 

 

 

46

Fluid & Elec

1669-1704

35

 

 

Med.Surg

14

300-334

34

 

 

Lab T&D

 

311-314, 364-365, 491-492, 752-754, 872-874, 887-888, 1008-1010

12

 

No longer needed, per Beatty 092809

Articles

Reducing post-procedure emesis

Pg 28

 

 

 

Restoring Electrolyte Balance

34-39

 

 

Audio Visual

Pre-op : #111, 112

Fluid& Elec: #27

 

 

 

 

Week 5 Reading

NS 110 – Mod #6 Patient Rights
Book

Chapters

Pages

# pages

Min.

completed

F. of  N.

6

102-105

3

 

 

 

7

129-130

1

 

 

 

9

174-175

1

 

 

 

17

355-357

2

 

 

 

21

486-487

1

 

 

Articles Finding HIPAA in your soup 660-672    
Audio Visual

Patient Rights: #74, 89

 

 

 

 

Week 5 Quiz/Exam/Other
Clinical Pre-clinical Written & Practicum
NS110  Exam – Mini Care Plan
Week 6 Quiz/Exam/Other
NS110 Journal Analysis & Mini Care Plans
NS110 Mod # 5 Legal /Ethical
NS111 Mod  #5 Fluid & Electrolytes

Posted in Day-to-Day, NS110 - Professional I, NS111 - Fundamentals, Reading Schedule RM 114 | 1 Comment »

Mod 4 Drugs

Posted by Laura on September 15, 2009

Drug Chart for objectives Module 4 Elimination, Click here

Guedel’s Stages of Anesthesia

Stage Alternative Nomenclature Key Features Nursing Management
Stage 1: Analgesia (administration to LOC) Induction Analgesia/numbness

Loss of senses

Auditory/visual hallucinations

Maintain tranquil environment
Stage 2: Excitement

(Vary depending on: type/amount premedication. Anesthetic agent used. Degree of external stimuli)

Exaggerated reflexes

Client may struggle

Periods of apnea

Vomiting or incontinence may occur

Reduced with use of balanced anesthesia

Maintain airway

Protect against aspiration

Stage 3: Surgical Anesthesia Plane 1 Eye movement stops Maintain airway

Protect against aspiration

Plane 2 Partial intercostals paralysis

Divergent pupil dilation

Plane 3 Complete intercostals paralysis
Plane 4 Diaphragmatic paralysis
Stage 4: Medullary Paralysis Toxicity Respiratory arrest

Vasomotor collapse

Resuscitation

(Most surgical procedures happen here)

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