Update) Intravenous Therapy for the Practical Nurse
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Involuntary Seclusion - ✔️Not considered a restraint.
Face-to-face observation requirement - ✔️Required within the first hour of restraint or seclusion
by a licensed independent MD.
Physician's order renewal for restraint - ✔️Must be renewed every 24 hours.
Nurse documentation frequency during restraint - ✔️Should document assessments every 1-2
hours.
Supportive measures in restraint - ✔️Includes family support, bathroom access, ROM every 2
hours, continuation only if the patient is dangerous.
Severe side effect of Clozapine - ✔️Agranulocytosis (decreased WBC and bone marrow).
Class of medication Clozapine - ✔️Atypical Antipsychotic.
Severe side effect of Risperidone - ✔️Neuroleptic Malignant Syndrome (NMS) - muscle
rigidity, fevers, tachycardia, fluctuation in blood pressure, diaphoresis, decreased mental status,
stupor, and coma.
Life-threatening side effects - ✔️Both Clozapine and Risperidone have life-threatening side
effects.
Delusions - ✔️False personal beliefs inconsistent with the person's intelligence or cultural
background.
Grandiose delusions - ✔️Exaggerated feelings of importance, power, knowledge, or identity.
Persecutory delusions - ✔️The most common type of delusion where the person feels they are
being persecuted, threatened, or harmed.
Avolition - ✔️Lack of motivation and inability to initiate goal-directed activity, often seen in
schizophrenia.
Nursing interventions for wandering dementia patients - ✔️Safety, promote sleep, hygiene and
activity during the day, identify triggers, night light, clutter-free environment, and non-skid
socks.
, Psychiatric patient admission in ED - ✔️Ensure safety, provide a quiet milieu, and ask if they
are thinking about harming themselves.
SSRIs as first-line treatment for depression - ✔️They have the least side effects, and an
overdose will not be fatal.
Timing for SSRIs like Zoloft - ✔️Should be given in the morning to prevent insomnia.
Tricyclic overdose danger - ✔️Overdose of tricyclics can be fatal.
Priority question for alcohol rehab - ✔️"When was the last time you had a drink?"
Criteria for diagnosing depression - ✔️Symptomatic daily for at least 2 weeks with various
symptoms including sleep disturbances and suicidal thoughts.
Characteristics of delirium - ✔️Rapid onset, brief duration, impaired state of awareness, and
various cognitive disturbances.
Avoidance in delirium treatment - ✔️Sedatives and benzodiazepines should be avoided.
Characteristics of depression - ✔️Sadness, despair, and pessimism.
Effects of low potassium in psychiatric patients - ✔️Can cause cardiac arrhythmias, memory
impairment, disorientation, and confusion.
Use of pure oxygen in ECT - ✔️Used before and after ECT.
Succinylcholine Chloride - ✔️A paralytic that relaxes the respiratory muscles.
Atropine - ✔️Used to reduce secretions and prevent bradycardia.
Propofol - ✔️A short-acting anesthetic used during ECT.
EKG - ✔️A test that records the electrical activity of the heart.
P wave - ✔️Represents atrial depolarization, originating from the SA node.
Q wave - ✔️Represents the bundle of His.
QR wave - ✔️Represents the Purkinje fibers.
R wave - ✔️Represents atrial repolarization and ventricular depolarization, originating from the
AV node.
T wave - ✔️Represents ventricular repolarization.
QRS complex - ✔️Represents ventricular depolarization.