Exam #4 part 2 Flashcards
Can patients refuse meds?
yes
what are the patient’s rights involving medications?
Right medication for the patient
Right client
RIght Dosage
Right route
Right time
Right assessment data
Right documentation
Right Response
Right to refuse
Right Reason
Right Education
what are the three parts of oxygenation?
ventilation….respiration….perfusion
what is ventilation?
moving air in and out of the lungs
what is harder breathing in or out?
in
what is respiration?
alveolar gas exchange….diffusoin of 02 and c02
what happens to alveoli if breaths are not taken deep for an extended period of time?
the sticky insides will stick together
what should be inside alveoli?
only oxygen
what is perfusion?
movement of o2 and co2 between tissues
what are the factors influencing oxygenation?
obesity…..
muscle mass or lack of muscle mass age…medications…smoking/vaping/drinking…social determinants of health…psychological
what is pneumonia?
fluid in alveolar sacs
what is COPD?
chronic airway limiation
what is asthma?
sudden reactive airway
what should you assess for oxygenation?
history of symptoms, family, meds
vital signs
systemic assessment of lungs
what is the ideal range for o2 levels?
95 to 100
what non pharmacological interventions can a nurse do to help oxygenation?
sit the patient up….ambulate…cough…hydrate..incentive spirometry…
what pharmacological interventions can be done to help with oxygenate?
giving oxygen and bronchodialators
what are the bronchodialotrs?
albuterol…updraft…rescue in haler
what is the flow rate for nasal canula?
1-6
what is the FiO2 rate for nasal canula?
24-44
what is the flow rate for a simple mask?
5-8
what is the FiO2 for simple mask?
40 to 60
when should you put O2 on a humidifier?
when above 4L
what is perfusion?
blood flowing through arteries giving cells oxygen
what are factors influencing perfusion?
same as oxygenation but with arteriosclerosis, opioids, and cardiac meds
what non pharma interventions can nurses do to help with perfusion?
CPR…elevated legs…SCDs…TEDs…teaching
what pharma interventions can nurses do to help with perfusion?
oxygen…aspirin….nitro…diuretics…anticoagulatns
What is the range for BUN?
7-20
What is a normal potassium level?
3.5-5.2
What is a normal creatinine level
0.7 to 1.3
