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Adult III > Exam1 1- Foundations > Flashcards

Exam1 1- Foundations Flashcards

1
Q

Autonomy

A

Self determination

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2
Q

Justice

A

Fair & equitable

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3
Q

Beneficence

A

doing good

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4
Q

Nonmaleficence

A

Prevent harm

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5
Q

Veracity

A

Truth

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6
Q

Fidelity

A

Faithfulness

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7
Q

Malpractice

A

Professional negligence

  • duty
  • breach/failed
  • causation
  • injury
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8
Q

Informed consent

A

*Competence, Voluntariness, disclosure
understanding
decision
authorization

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9
Q

Physiologic Alterations

A
  • Increased catabolism
  • insulin resistence ->hyperglycemia
  • decreased immune & allergic response
  • sodium & water retention, inc. blood volume
  • increased metabolic rate
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10
Q

To correct Hypoxia

A
  • Give oxygen
  • monitor saturation
  • may need intubation and mechanical ventilation
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11
Q

Improve CO

A

optimize preload, contractility, and afterload

antidysrhythmics, fluids/diuretics, inotropes, vaodilators, correct electrolyte imbalance

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12
Q

Improve oxygen carrying capacity

A

blood/blood products

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13
Q

Decrease metabolic demands

A

relieve pain, reduce anxiety, keep warm & dry, control fever, allow rest, suction if needed, use sedation or neuromuscular blockade

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14
Q

Psychosocial alterations are influenced by

A 
culture
developmental stage
general health
social support
personality 
financial resources, and previous experiences
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15
Q

Alterations in consciousness

A
  • Alteration in circadian rhythms
  • Sensory deprivation and overload
  • ICU syndrome
  • Medications, intoxications
  • Fluid & electrolyte disturbances
  • hypoxia, decreased CO
  • infection
  • age >60
  • sleep pattern disturbances
  • nutritional deficiencies
  • metabolic or endocrine disorders
  • brain injury or neruological disorder
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16
Q

Depolarizing tranquilizer

A

Succinylcholine (Anectine, Etomidate)

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17
Q

Nondepolarizing tranquilizer

A

Pancuronium (pavulon), vercuronium (norcuron)

18
Q

Malignant hyperthermia

A

106F caused by genetic defect in muscle cell membrane

  • seizure
  • muscle rigidity
  • massetor
  • triggered by gases and stress
19
Q

Malignant hyperthermia Tx

A

Dantrolene 2-3mg/kg, up to 10mg/kg
Stop gas, give 100% O2, cool down, relax muscle reaction
-Life-threatening up to 72hr post op

20
Q

Thorazine

A

Hiccups

21
Q

Neostigmine

A

Urine retention

22
Q

Demerol

A

shivers

23
Q

Professional organization

A

AACN - association
CCRN - certification
competency

24
Q

CCRN

A

Certification >1080hr competence

25
Q

Standards of practice

A

Nursing process, ADPIE

Assessment, diagnosis, planning, implementation, evaluation

26
Q

Commission

A

Act of negligence that is “done”

27
Q

Omission

A

Act of negligence that is not done (when it should have been)

28
Q

breach of duty

A

injury results

29
Q

causation

A

nurse actually caused injury to pt

30
Q

Damage

A

Death?

31
Q

Abandonment

A

unilateral severance of relationship when client still needs care

32
Q

Elements of informed consent

A

competence, voluntariness, disclosure

33
Q

Stressors for staff

A

OT

Technology

34
Q

Stressors for client

A 
sleep deprivation
sensory overload
powerlessness
altered circadian rhythm
invasive lines
35
Q

ICU Psychosis (ICU syndrome)

A 
48hr post admission, resolves 48hr post discharge
-perceptual distortions
-decreased attention span
-disorientation
-Memory loss
labile emotions
36
Q

Nutrition

A

pre albumin check for changes

serum albumin check for malnutrition

37
Q

Response to acute illness or injury

A

culture, developmental stage, resources

38
Q

Pain management

A 
FLACC
Mankowski
Wong baker
TO4-check for twitches
BIS- EEG
39
Q

Unstable client

A

Fentanyl- short-acting

40
Q

Milky (MOA), lasts 12hrs

A

propofol

41
Q

Short term sedation DO NOT USE FOR HEAD TRAUMA

A

versed, Romasicom

42
Q

Pre-op meds

A

Dry out
-atropine/robinul/scopalomine
Ulcers, acidity
-nexium, pepcid, zantac

Adult III (14 decks)

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