week1 Flashcards
What are some appropriate resources to enhance patient nurse communication
Body language Lip reading Writing Alphabetical boards Pictures Gestures, including nodding, blinking
Nurse-family communication
Speak with a doctor once a day Know the progress/prognosis Competent/correct/skilled/care Given hope Transfer plans Consistent information
Anxiety occurs when patients
are occupied with internal dialogue
are overly dependant on the nurse
have a long-term recovery ahead
perceive a threat to their well being
Contributing factors of anxiety
Duration and severity of illness Impact on learning ability and role function Loss of sense of control Impact of illness on family Foreign environment Overhearing discussion of condition Frequency and complexity of invasive interventions Pain
Precipitated Factors of Anxiety include:
Concern about current illness/underlying chronic disease
Current experiences and feelings
Current care interventions
Medication side effects
Environmental considerations
Concern about the ongoing impact of illness on recovery
Anxiety clinical Indicators
Psychological
Behavioural
Psychological/cognitive
Social
Anxiety pharmacological Treatment
Treat pain and any other reversible physiological causes of anxiety and agitation
Anxiety non-Pharmacological treatment
Massage Aromatherapy Music therapy Natural light Noise reduction Sleep/rest
Sleep deprivation in patients who are critically ill is often attributed to :
a) bed baths during the evening shift
b) untreated pain and anxiety
c) family visiting
d) altered melatonin levels
b) untreated pain and anxiety
Integumentary care
Pressure area care
Positioning
VTE
Personal Hygiene care
Oral Hygiene
Eye care
6Discus the importance of cultural care and spiritual/religious in caring for the critically ill
It is important to integrate a person’s cultural, spiritual and religious needs into their care to reduce anxiety felt by the patient…
What is a nebuliser?
A nebuliser is compressed air/oxygen, it is a fine mist in aerosol form that can deliver large doses of a drug over long periods
What is Salbutamol otherwise known as?
Ventolin
What is Salbutamol?
Bronchodilator, which acts quickly as a beta2-adrenoreceptor agonist on the smooth bronchial muscle
Acts in 5-15 minutes
Half life 2.7 – 5hrs
Dosage Adults – 5mg Children – 4-12yrs – 2.5mgs Repeat 4-6hrs PRN – Emergency
What are some of the possible reactions to salbutamol?
Tremor Tachycardia Cardiac arrhythmias Headaches Nausea Palpitations
Contraindications
Previous sensitivity
What is Ipratopium Bromide otherwise known as?
A fast acting bronchodilator which inhibits bronchomotor tone
Acts in 3-5 minutes
Half life 6 hrs
Dosage
Adults – 250-500mcg with 2-3 mls saline (1ml if given with salbutamol)
Children – Not given under 12yrs – 250mcg
Repeat 6 hrs
What are some possible reactions to Ipratropium Bromide?
Tachycardia Arrhythmias Nausea Dry mouth Glaucoma
Contraindications
Hypersensitivity to atropine/atropine like drugs
What is a bronchoconstriction?
Narrowing of the airways by the contraction of the muscle fibers
When it comes to bariatric considerations what does RESPECT stand for?
Respect Environment/ Equipment Safety Privacy Encouragement Caring and compassion Tac
What is a tracheostomy?
It is a surgical procedure in which an opening is made into the trachea
What are the general principles for transporting a critically ill pt?
A careful assessment of the risk of adverse events during transportation should be evaluated.
The primary focus should be on pt safety and prevention of adverse reaction.
Risk/benefit assessment.
Equipment check prior to transport
Informing pt and family.
What is CAUTI
Catheter-associated urinary tract infection caused by contamination from the healthcare worker or from the pt own flora during catheter insertion.
What is MRO
Multi-drug resistant organisms
3 categories to describe skin tear:
Skin tear without tissue loss
Skin tear with partial tissue (flap) loss
Skin tear with complete (flap) tissue loss
What is constipation
Fewer than 3 BM per week, hard or difficult to pass stool
When would you use a large diameter catheter?
To drain haematuria or clots
How often should eye assessment be undertaken?
Every 12hrs for conscious pt able to blink
Pt unable to close their eyelids should receive 2hourly eye care
What is DVT?
Deep Vein Thrombosis, blood clot in a major vein of the lower body.
