Unit 1 Flashcards
Values
implicit and explicit mental maps for decision making that endure for a significant time in one’s life
Ethics
a branch of philosophy with emphasis on morality (intentions or actions that are viewed as good or right compared to those viewed as bad or wrong)
Ethical dilemma
When the right action is not clear or members of the healthcare team cannot agree
Ethics committee
A team that assist with making ethical decisions
Respect for persons
People have the right to make their own decisions
Beneficence
Doing or promoting good to help others
Nonmaleficence
Doing no harm (do the benefits outweigh the risk)
Justice
Everyone gets equal care regardless of stature
Veracity
Telling the truth
Fidelity
Faithfulness to your promises
Privacy
Patient confidentiality (not looking at charts of patients who aren’t yours)
Confidentiality
Protecting patient information (closing patient charts when you walk away)
Accountability
Be able to answer for your actions
Responsibility
Be competent in skills and continuing knowledge
Judgement
Ability to form your own opinions and conclusions
Advocacy
Speak up for your client
Assault
THREAT of touching another without the persons consent
Battery
Carrying out of the threat of touching someone
Defamation of character
False communication that results in injury to ones reputation
Fraud
Misrepresentation that may cause harm to a person or property
Invasion of privacy
Disclosing confidential information to an inappropriate third party
False imprisonment
Prevention of movement or unjustified retention of a person without consent (to have restraints you must have a doctors order)
Negligence
An act of omission of something a reasonable prudent person would do or would not do
Malpractice
Deviation from the standard of care that results in damage to a client (working outside of your scope of practice)
Breach of Duty
Failure to conform to the standard of practice, thus creating a risk for a person that a reasonable person would have foreseen
Maslow’s hierarchy of needs
1) physiological
2) safety
3) love/belonging
4) esteem
5) self actualization
ADOPIE
Assessment Diagnosis Outcome Planning Implementation Evaluation
Nursing diagnosis is a three part statement including
Diagnostic label
Related factors
Defining characteristics
Therapeutic effect
Desired response of the medication
Adverse effect
Unintended response to medication
Side effect
Unintended symptoms that can occur from the medication (minor adverse effect)
Drug tolerance
Unusually low response to a medication and requires increasing doses to get a therapeutic effect
Allergic reaction
Immunologic reaction to a medication
Drug toxicity
Overdose or buildup of a medication in the body
Drug interaction
Administration of one medication is altered due to the effects of another medication or food
Drug incompatibility
When an intravenous medication precipitates or becomes chemically inactive when mixed with other medications
Medication rights
TRAMPD time route amount medication person documentation
Routine or Standing orders
The prescription continues until canceled or the end time (daily medications)
PRN
As needed
Standing protocol
Medication to be administered in specific situations
One time
A medication that will be given only once (a single prescription)
STAT
A medication needs to be given immediately
PO
By mouth
Enteral medications
Given directly into the stomach through a nasogastric or gastrostomy tube
Topical medications
Absorbed through the skin
Ophthalmic medications
Medication applied to the eye
Otic medications
Medication applied to the ear
Nasal medications
Medication is delivered through the sinus or nasal cavity
Rectal medications
Medication placed in the rectal cavity
Vaginal medications
Medication administered to the vagina
Inhaled medications
Medication inhaled through the mouth
Parenteral medications
Medication administered by injection
Intradermal
Medication injected into the dermis
Subcutaneous
Medication injected into connective tissue under dermis
Intramuscular
Medication injected into muscle
Intramuscular sites
Ventrogluteal
Deltoid
Vastus lateralis
Furosemide
a diuretic
Potassium level
3.5-5.0
Warfarin
Blood thinner
PT/INR Level
PT: therapeutic value 14-24 seconds
INR: therapeutic value 2.0-3.0
Heparin
Blood thinner, given subcutaneous or IV
aPTT or anti Xa
aPTT: therapeutic value 45-74 seconds
anti Xa: therapeutic value 0.3-1.3
Digoxin
Used to treat arrhythmia, has high levels of toxicity
Always check apical pulse for a full minute
If pulse is less than 60, hold the medication and notify provider
Antihypertensive medications
Hold if blood pressure is less than 90/60
Hold if pulse is less than 60
Insulin or oral anti diabetic medications (metformin)
Blood sugar 60-110
