2
ICHS NURS 1141 Wk 1-6 Exam with precise detailed
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solutions
5 steps of nursing - ✔✔1. Assessment
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2. Human Needs Statement (NURS DIAG)
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3. Planning
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4. Implementation
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5. Evaluation
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Assessment - ✔✔Collect and organize data || || || || ||
Objective and Subjective || ||
Know all the meds they take
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Human Needs Statement - ✔✔AKA Nursing Diagnosis
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related to, as evidenced by
|| || || ||
Planning - ✔✔Prioritize human needs statement
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Identify outcomes ||
SMART
Implementation - ✔✔Carry out the plan || || || || || ||
Nursing interventions ||
9 rights for drug therapy
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Evaluation - ✔✔Are outcomes met? || || || || ||
,2
Continuous process || ||
Monitor pt response to drug therapy
|| || || || ||
9 rights of medication administration - ✔✔Right drug
|| || || || || || ||
Right dose ||
Right time ||
Right route ||
Right patient ||
Right documentation ||
Right reason ||
Right response ||
Right to Refuse || ||
Pharmacokinetics ADME - ✔✔The process by which drugs are absorbed, distributed within || || || || || || || || || || ||
the body, metabolized, and excreted.
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Absorbtion - ✔✔The process by which nutrient molecules pass through the wall of the
|| || || || || || || || || || || || || ||
digestive system into the blood || || || ||
From the location of administration
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IV (fastest), IM, SQ, PO, PR
|| || || || ||
Main site is GI || || ||
Bioavailability - ✔✔Rate at and the extent to which a nutrient is absorbed and used
|| || || || || || || || || || || || || ||
Factors that affect absorbtion - ✔✔Route of administration
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Presence of food in the stomach || || || || ||
, 2
Drug Formulation
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First pass effect - ✔✔The initial metabolism in the liver of a drug absorbed from the
|| || || || || || || || || || || || || || || ||
gastrointestinal tract before the drug reaches systemic circulation through the bloodstream. || || || || || || || || || ||
Reduces the bioavailability of the drug to less than 100%
|| || || || || || || || ||
Drug goes thru "metal detector" than back into blood stream
|| || || || || || || || ||
Enteral- GI tract || ||
Parenteral- IV ||
Loading dose - ✔✔initial higher dose of a drug that may be given at the beginning of a
|| || || || || || || || || || || || || || || || || ||
course of treatment before dropping down to a lower maintenance dose. A loading dose is
|| || || || || || || || || || || || || || ||
most useful for drugs that are eliminated from the body relatively slowly, i.e. have a long
|| || || || || || || || || || || || || || || ||
systemic half-life ||
Distribution - ✔✔Sent to specific areas of the body by body fluid. || || || || || || || || || || || ||
Binds to specific binding sites
|| || || || ||
Highway of the body is the blood stream || || || || || || ||
Albumin - ✔✔Most common blood protein and carries the majority of protein-bound drug
|| || || || || || || || || || || || ||
molecule
Metabolism (aka biotransformation) - ✔✔Breaks down a drug, like a coffee filter for PO
|| || || || || || || || || || || || || ||
medications and sends it out to your body. || || || || || || || ||
Main site is the liver.
|| || || ||
Can also metabolize in lungs, kidneys, blood, and intestines.
|| || || || || || || ||
Excretion - ✔✔Elimination of drugs from the body
|| || || || || || ||
ICHS NURS 1141 Wk 1-6 Exam with precise detailed
|| || || || || || || || ||
solutions
5 steps of nursing - ✔✔1. Assessment
|| || || || || || ||
2. Human Needs Statement (NURS DIAG)
|| || || || ||
3. Planning
||
4. Implementation
||
5. Evaluation
||
Assessment - ✔✔Collect and organize data || || || || ||
Objective and Subjective || ||
Know all the meds they take
|| || || || ||
Human Needs Statement - ✔✔AKA Nursing Diagnosis
|| || || || || ||
related to, as evidenced by
|| || || ||
Planning - ✔✔Prioritize human needs statement
|| || || || ||
Identify outcomes ||
SMART
Implementation - ✔✔Carry out the plan || || || || || ||
Nursing interventions ||
9 rights for drug therapy
|| || || ||
Evaluation - ✔✔Are outcomes met? || || || || ||
,2
Continuous process || ||
Monitor pt response to drug therapy
|| || || || ||
9 rights of medication administration - ✔✔Right drug
|| || || || || || ||
Right dose ||
Right time ||
Right route ||
Right patient ||
Right documentation ||
Right reason ||
Right response ||
Right to Refuse || ||
Pharmacokinetics ADME - ✔✔The process by which drugs are absorbed, distributed within || || || || || || || || || || ||
the body, metabolized, and excreted.
|| || || || ||
Absorbtion - ✔✔The process by which nutrient molecules pass through the wall of the
|| || || || || || || || || || || || || ||
digestive system into the blood || || || ||
From the location of administration
|| || || || ||
IV (fastest), IM, SQ, PO, PR
|| || || || ||
Main site is GI || || ||
Bioavailability - ✔✔Rate at and the extent to which a nutrient is absorbed and used
|| || || || || || || || || || || || || ||
Factors that affect absorbtion - ✔✔Route of administration
|| || || || || || ||
Presence of food in the stomach || || || || ||
, 2
Drug Formulation
||
First pass effect - ✔✔The initial metabolism in the liver of a drug absorbed from the
|| || || || || || || || || || || || || || || ||
gastrointestinal tract before the drug reaches systemic circulation through the bloodstream. || || || || || || || || || ||
Reduces the bioavailability of the drug to less than 100%
|| || || || || || || || ||
Drug goes thru "metal detector" than back into blood stream
|| || || || || || || || ||
Enteral- GI tract || ||
Parenteral- IV ||
Loading dose - ✔✔initial higher dose of a drug that may be given at the beginning of a
|| || || || || || || || || || || || || || || || || ||
course of treatment before dropping down to a lower maintenance dose. A loading dose is
|| || || || || || || || || || || || || || ||
most useful for drugs that are eliminated from the body relatively slowly, i.e. have a long
|| || || || || || || || || || || || || || || ||
systemic half-life ||
Distribution - ✔✔Sent to specific areas of the body by body fluid. || || || || || || || || || || || ||
Binds to specific binding sites
|| || || || ||
Highway of the body is the blood stream || || || || || || ||
Albumin - ✔✔Most common blood protein and carries the majority of protein-bound drug
|| || || || || || || || || || || || ||
molecule
Metabolism (aka biotransformation) - ✔✔Breaks down a drug, like a coffee filter for PO
|| || || || || || || || || || || || || ||
medications and sends it out to your body. || || || || || || || ||
Main site is the liver.
|| || || ||
Can also metabolize in lungs, kidneys, blood, and intestines.
|| || || || || || || ||
Excretion - ✔✔Elimination of drugs from the body
|| || || || || || ||
