Student Nurse Laura

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

Archive for the ‘NS111 – Fundamentals’ Category

Mod 12 Drugs – Worksheet

Posted by Laura on October 31, 2009

Worksheet

After I have filled this, I’ll post my info, but this may help you get going!

Prescription_Drug_Narcotic_Pills Prescription_Drug_Sedative_Pills prescription_drug_Stimulant_card_master

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Week 11 Reading, Rm 114

Posted by Laura on October 30, 2009

download 8×5 .doc      .pdf

Week 11 Reading
NS 111 – Mod #13 Nutrition– Part 2, Mod #12  Normalacy
Book Chapters Pages # pages Min complete
F. of  N.(mod #12) 42 1442-1482 40   week 10
12 443-468 26    
Nut. & Diet(mod #13)

(mod #12) 

1618 387-409431-459 50    
13 324-345 21    
Mosby(mod#13) 

 

 

 

(mod#12) 

69 1255-1261 6    
819

28

33

40

42

49

68

140-148386-388,392

577-587

657-661

669-670

772-778

793-798

863-885

1236-1241

56    
Med Surg 536 77-871193-1202 19    
Articles Assessment of infection in older adults
Caring for Hospitalized older adults at risk for delirium
9 myths of incontinence in older adults
Audio Visuals
Mod #13 Management of Total Parental Nutrition,Parts 1 & 2 #53, 54  Lipid Management #114
Mod #12 Aging – the natural processGerontology: meeting mental health needs #33

Normal Aging #34 Successful aging, Part 1 & 2 #34 & 35

Medications used by the elderly

Tonight’s the night #59

Assessment of the older Patient Tape 1&2 #61& 62

One is one 2 many #117,  See me #116

Week 11 Quiz/Exam/Other 
Clinical Math Test, Med Test, Glucose Monitoring, Injection Check off
Week 12 Quiz/Exam/Other 
NS111 Research Paper

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Pain – Acute/Chronic

Posted by Laura on October 27, 2009

Difference between Acute and Chronic Pain

Type Acute Pain Chronic Pain  
Definition Generally rapid in onset, varies in intensity from mild to severeProtective in nature Pain that may be limited, intermittent, or persistent but lasts beyond the normal healing period
Length < 6 months > 3-6 months or longer +++
Intensity Usually Sharp, may radiate Poorly localized, dull, aching
Intensity Mild to severeSubsides as healing takes place Mild to severe
ANS response? present may be absent
Patient expectations Relief of pain Reduce pain, but expects continuation
Subdivided no Malignant / Nonmalignant

Posted in Concepts, NS111 - Fundamentals, Physiologically | Tagged: , , , , | 1 Comment »

Module 7 Meds

Posted by Laura on October 25, 2009

Mod 7 drug cards

You can print them out on cards. Check alignment first.

Question: which one is the non-NSAID?

(tylenol)

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Week 10 Reading – Rm 114

Posted by Laura on October 24, 2009

 

Click to download an 8×5 doc           pdf

Week 10 Reading

NS 111 – Mod #13 Maintenance of sufficient intake of food – Part I
Book

Chapters

Pages

# pages

Min

complete

F. of  N.

42

1442-1482

40

 

 

W.E. Nut. & Diet

1-10

4-262

258

 

 

Mosby

67

1206-1229

23

 

 

Articles

How does a peg tube sty in?

Pg 21

 

 

 

Taking blue dye out of tube feeding

Pg 14-22

 

 

 

Audio Visuals

 

 
   none for this week  
   
   
Web  http://www.dsf.health.state.pa.us/health/cwp/view.asp?a=186&q=237135&healthRNavrad93276=/   
   

 

Week 10 Quiz/Exam/Other 
Clinical Mini Care Plan
NS111 EXAM IV
Wednesday – Hospital     Thursday – Clinic class AVC
Week 11 Quiz/Exam/Other 
NS111 Mod #13 Part II, Mod #12
Clinical  Math Test, Med Test, Glucose Monitoring, Injection Check off

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Section IV Bingo Questions

Posted by Laura on October 24, 2009

Thank you Lisa for the Bingo List! I have loaded those questions under Flashcardexchange.  Section IV. They usually take half a day to show up on the site.

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Tell me about your pain

Posted by Laura on October 20, 2009

Tell me about your pain

Is your pain neuropathic.man in pain

does it burn or stab,

coming from the PNS or CNS

Or is it just plain bad?

 

Is your pain being transducted,

all the nociceptors activated,

chemical, mechanical, thermal and electric

your PNS is now stimulated.

 

Perhaps your neurotransmittees –  Prostaglandin and Substance P,

Are now working with bradykinin and triggered histamine.

 

Those triggered nerve cells, red and swollen,

transmitting their stimuli up the A and C -fiber,

on their way to tell the CNS, you need to do something now!

 

Let the gate be closed to your pain

don’t let your perception brew,

Let there be modulation,

where we know dynophin or enkephalin, our endorphins, will be true.

Posted in Concepts, NS111 - Fundamentals, Physiologically | 2 Comments »

Week 9 Readings – Rm 114

Posted by Laura on October 17, 2009

Download 8×5   .pdf     .doc 

Week 9 Reading

NS 111 – Mod #8 Solitude & Social Int. Mod #10 Sexuality
Book

Chapters

Pages

# pages

Min

complete

F. of  N.

2

27-39

12

 

 

 

18

391-407

16

 

 

 

21

469-501

32

 

 

 

22

503-530

27

 

 

 

35

Sexuality

1045-1089

44

 

 

Articles Mod 8

Finding the words

Pg 34-38

 

 

 

Audio Visuals

Week 9

complete 
Videos, Mod 8 S&S #43 Developing a helping relationship  
#63 Crossing the Line  
#113 The Art of Eff. Comm.  
VideosMod 10Sexuality       Human Sex. And Nursing Practice  
     #55 Sex: a Nursing Concern  
     #59 Tonight’s the Night  
     #56 When the Topic is Sex  
CDsMod 8S&S  Comm. Skills – Build. Rapport and Trust  
Concept Media: Tech of Therap. Comm.Blocks to Therap. Comm.  

 

Week 9 Quiz/Exam/Other 
Clinical Med Surg Care Plan
Learning Center Math Class 10/20/09  @ 1-2pm 
Week 10 Quiz/Exam/Other 
NS111 Exam III
NS111 Nutrition Mod #13
Clinical(may change) Math Test, Med Test, Glucose Monitoring, Injection Check off

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Pain Relief

Posted by Laura on October 13, 2009

return to home page

painrelief 

 

Posted in Concepts, NS111 - Fundamentals, Physiologically | Tagged: , , , | 1 Comment »

Week 8 Readings – Rm 114

Posted by Laura on October 11, 2009

 To download Week 8 Reading rm 114 for .doc, Week 8 Reading rm 114 for .pdf

Week 8 Reading

NS 111 – Mod #6 Chemical Hazards
Book

Chapters

Pages

# pages

Min

complete

F. of  N.

29

Medications

767-842

864-866

77

 

 

Mosby’s

1

1-11

10

 

 

2

12-31

19

 

 

3

32-57

25

 

 

4

59-66

7

 

 

5

67-101

34

 

 

Articles

The state of science on safe med admin symposium

Pg 73-79

 

 

Medication Reconciliation

78-85

 

 

Internet

How medications are born

http://www.advanceweb.com/

ISMP List of Error-Prone Abbreviations & Symbols

http://www.ismp.org/

http://www.ismp.org/Tools/errorproneabbreviations.pdf

 

 

Audio Visuals:
Videos

#44 Safe Medication Administration

#45 Non Parenteral Medications

#46 Injections

Medication Station System Training – PYXIS

CDs

#3Taylor: Oral and Topical Medications

#4 Taylor: Injectable Medications

 

Week 8 Quiz/Exam/Other
Clinical Med Surg Care Plan
NS111 Mod 6
NS110 Final Exam
Week 9 Quiz/Exam/Other
NS111 Mod 8, 10
Clinical Care Plan #2
Learning Center Math Class 10/20/09  @ 1-2pm

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Module 11 Drugs

Posted by Laura on October 6, 2009

Download a copy of drugs here

(what a pain – needed a little local anesthetic here)

Posted in Day-to-Day, Drugs, NS111 - Fundamentals | Comments Off on Module 11 Drugs

Week 7 Readings – Rm 114

Posted by Laura on October 3, 2009

Select to download a printable 8.5 card .doc     8.5 card .pdf

Week 7 Reading

NS 111 – Mod #7 Pain
Book

Chapters

Pages

# pages

Min

completed

F. of  N.

28-Comp & Alt Therapies

745-765

 

25

 

 

 

41-Comfort

1365-1407

42

 

 

Mosby’s

14-Analgesics

243-284

41

 

 

Articles

Pain Control

3 (52-55)

 

 

 

Relax & Pain Mgt

7 (75-82)

 

 

Audio Visual

#52,53,54

 

 

 

 

Week 7 Reading

NS 110 – Mod # 7 Safety      Mod #8 Abuse
Book

Chapters

Pages

# pages

Min

completed

F. of  N.

19   #7

409-442

33

 

 

 

19   #8

(418)

 

 

 

20   #8

460-462

2

 

 

 

26   #7

657-698

41

 

 

 

26   #8

(675-676)

 

 

 

35   #8

1082

1

 

 

Articles SBAR: A Shared Mental …

7 (167-174)

   
Audio Visual

#17, 118

 

 

 

 

Week 7 Quiz/Exam/Other 
NS 111 Exam 2
NS 111 Hospital / Mini Care Plan #1
NS110  
Week 8 Quiz/Exam/Other 
NS 111 Mod #6 Chemical Hazards
NS 111 Med/Surg Care Plan 1
NS110  Final Exam

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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

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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

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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 »

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

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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.

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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)

Posted in Drugs, NS111 - Fundamentals, Resources | Comments Off on Mod 4 Drugs

Week 4 Reading – RM 114

Posted by Laura on September 12, 2009

To download a printable 8×5 card click here  Week 4 Reading rm 114

Week 4 Reading

NS 111 – Mod #3 Biological Hazards  Medical  & Surgical
Book

Chapters

Pages

# pages

 X min per pg

completed

F. of N.

 

1190-1193

3

 

 

 

 

1204

1

 

 

 

 

1208-1212

4

 

 

 

 

1222-1254

32

 

 

Chernecky

 

207-208, 410-411

2

 

 

Mosby’s

57

995-1009

14

 

 

 

58

1011-1051

40

 

 

 

 

 

 

 

Articles

FAQ File: Infection Control

29-32

 

 

 

Time heals all wounds

36-42

 

 

 

How to help wounds heal

26-31

 

 

 

The role of bacterial toxins in wounds

68

 

 

 

Is your patient taking the right antimicrobial

49-65

 

 

 

The growing threat of cephalosporin resistance.

9-12

 

 

 

Week 4 Reading

NS 110 – Mod #1 Nursing Profession
Book

Chapters

Pages

# pages

 X min per pg

completed

F. of N.

1

5-24

21

 

 

 

6

105-107

2

 

 

 

7

123-128

5

 

 

Ess. Of N L & M

 

268-289

20

 

 

Audio Visual

Sentimental Women Need not apply

 

 

 

 

Week 4 Quiz/Exam/Other
Clinical

Assessments, Baths

Week 5 Quiz/Exam/Other
NS111 lecture Mod 5, Mod 11
NS110 Mod 1 Nursing Profession
Clinical Pre-clinical Written & Practicum

Posted in NS110 - Professional I, NS111 - Fundamentals, Reading Schedule RM 114, Resources | 2 Comments »