Galen College of Nursing

midazolam (Versed) classification - Benzodiazepine lorazepam (Ativan) classification - Benzodiazepine alprazolam (Xanax) classification - Benzodiazepine alprazolam is used to ________ anxiety and insomnia - treat lorazepam is used to _______ anxiety - reduce zolpidem (Ambien) classification - Non-benzodiazepine zolpidem is to be used as a short-term treatment for _____ days or less - 10 diazepam (Valium) classification - Benzodiazepine methylphenidate classification - CNS stimulant Amphe...

Benzodiazepine- Midazolam - Uses: Conscious sedation S/E: Dizzy Adverse reactions/ Toxicity: Respiratory depression PT teaching: Safety Contraindications: Cardiopulmonary disease Non- Benzodiazepine- zolpidem tartrate - Uses: Insomnia S/E: Dizziness, Drowsiness, Behavioral changes Adverse reactions/ Toxicity: Complex sleep behavior Local Anesthetic- Lidocaine - Uses: Minor procedure S/E: Confusion, drowsiness, stinging, bradycardia Nursing considerations: Rapid onset Spinal Anesthesia...

Pharmacokinetics - The process in which medications move through the body What are the 4 phases of pharmacokinetics? - absorption, distribution, metabolism, excretion Absorption - happens with drug movement from the GI tract into the bloodstream. Most meds are taken by mouth. Oral absorption - Takes awhile to get absorbed because it has to go through the GI system Usually takes 2-4 hours •Enteric coated aspirin - hard on stomach can not crush pill •Extended release absorbed in th...

Na WNL 135-145 K WNL 3.5-5 Mag WNL 1.5-2.5 Ca WNL 8.8-10.8 Cl WNL 90-110 pH WNL 7.35-7.45 HCo3 WNL 22-28 PCO3 WNL 35-45 Glucose WNL 70-110 Post prandial WNL <180 A1C WNL <6 aPTT WNL - 30-40 - contact PCP if it is at 40 heart failure S/S - F: fatigue - A: activity limitation - C: chest congestion and cough - E: edema - S: shortness of breath heart failure patient teaching - low salt diet (<2000g per day) - increase walking to 3 times per week - take brea...

Delirium - Reversible state of confusion-usually caused by a medical condition Depression - Mood disorder; sense of hopelessness and persistent unhappiness dementia - a gradual and irreversible loss of intellectual function Hemiparesis - weakness on one side of the body *damage from right side of the brain affects the left side of the body and vis versa Types of sensory deficits and examples - Tactile: touch; peripheral neuropathy Smell: Olfactory; anosmia Taste: Gustatory; decreased gust...

proprioception awareness of posture and movement things to prevent contracture: permanent fixation of a joint splints, braces foot drop permanent plantar flexion isotonic exercise active movement with constant muscle contractions EX: walking, self feeding, turning in bed isometric exercise tension and relaxation of muscles w/o joint movement EX: planks, calf raises aerobic exercise requires oxygen metabolism to produce energy EX: stair climbing, walking anaerobic exercise ...

proprioception awareness of posture and movement things to prevent contracture: permanent fixation of a joint splints, braces foot drop permanent plantar flexion isotonic exercise active movement with constant muscle contractions EX: walking, self feeding, turning in bed isometric exercise tension and relaxation of muscles w/o joint movement EX: planks, calf raises aerobic exercise requires oxygen metabolism to produce energy EX: stair climbing, walking anaerobic exercise ...

What is included in the central nervous system? - brain and spinal cord What is included in the peripheral nervous system? - cranial nerves, spinal nerves, ganglia What does the peripheral nervouse system act as? - relay station What three types of headaches impact quality of life? - migraine, tension, cluster What is the pain assessment guideline for migraine headaches? - P - provoking (what triggers) Q - quality (is it pulsating or throbbing) R - radiation (is it unilateral and supra r...

State of well being - Own Potential Able to work through stress Able to get help when needed Resilience - Ability and capacity to secure resources; where and when to get help Diathesis Stress Model Diathesis - Biological predisposition Diathesis Stress Model Environmental Stress - Natural Disasters Trauma DSM5 - All the different disorders and their criteria Culturally Competent - Educate yourself about different cultures, provide good quality holistic care Western Traditions - Scien...

What is the equation for cardiac output? - CO = HR x SV What is preload? - the heart is being stretched out What does preload reflect? - how much fluid is in the heart What is afterload? - resistance the ventricle must overcome to eject blood Example of increased preload - CHF Example of increased afterload - hypertension What is blood pressure? - force of blood against vessel walls What is systolic blood pressure? - amount of pressure generated by the left ventricle to distribute blood ...