Fundamentals module 1 ati
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School
Arizona College *
*We aren’t endorsed by this school
Course
NUR 215
Subject
Medicine
Date
Dec 6, 2023
Type
Pages
4
Uploaded by DoctorOysterPerson1016
Prior to the administration of medication understand the client's medical condition/ history
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What medications is the client currently taking
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Do any of these interact with the medication you are preparing
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Does the client have any allergies
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What physical assessments are needed before you can safely administer the medication
Responsibility
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Having up-to-date knowledge about medications (Purpose, mechanism of action, route
of administration, safe dosage range, side effects, adverse effects, toxic responses,
precautions, and contraindications)
Rights of administration
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Client (at least two forms of ID client name, ID number, telephone number, birth date,
photo, may use barcode identifiers) Long-term care two forms of identifiers with first-time
meds
after you can use just one identifier
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Medication- compare to MAR three times before removing it, look at the expiration date,
if unfamiliar obtain more info, and never use a dosage another nurse prepared
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The route always uses the route intended by provider
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Right time
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Right dose
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Right documentation
Routine prescriptions- carried out until the provider changes or continues or the client is
discharged
Standing prescriptions- protocol based have a fixed end date and require renewal or remain in
place until the provider changes them
Single one-time prescriptions- implemented once either as soon as possible or at a specific time
Stat prescriptions- implemented immediately one time
PRN prescriptions- specifies the medication, dose, route, frequency, and circumstance (pain or
temp greater than )
Now prescriptions- not urgent is like single order or stat (ex administer within 90mins)
Prescription components- date time the prescription was written, client name, name of med,
dose amount time frequency and strength, route, dispensing instructions (quantity, directions,
refilling info, special cautions) provider signature
During the wrong dosage
1.
Assess or collect data to identify adverse reactions
2.
Notify the provider and nurse manager
3.
Follow facility protocol
4.
Incident report
QD= once daily
QID = four times a day
HS= bedtime or half-strength
DC= discharge or discontinue
Allergic reactions by body system
Derm- tingling, hives, itching,flushing, warmth
Respiratory- bronchospasm, edema, dyspnea, cough, wheezing, cyanosis
Gastrointestinal- dysphagia, cramping, vomiting, dirrhea
Cardio- hypotension, tachycardia, palpitations, syncope, cardiacarrest
Neurological- anxiety, coma
Priority setting frameworks
Masolow's hierarchy of needs
1.
Self-actualization (Personal growth, fulfilling own potential) Maslow's belief: very few
reach this level
2.
Self-esteem (self-respect, personal worth, social recognition)
3.
Love and belonging (Love, affection, relationships, involvement with community and
spiritual groups)
4.
Safety and Security (Living in safe environment, adequate income, shelter from
environmental elements)
5.
Physiological (Oxygenation, circulation, nutrition, elimination, fluid balance, activity and
exercise, rest and sleep )
Nursing steps
Assement
Diagnosis
Planning
Implementation
Evaluation
Tool used to determine the priority of nursing actions
PN steps
Data collection
Planning
Implementation
Evaluation
Airway, breathing, and circulation
Priority of initial assessment
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Airway is the highest priority action, must be open and clear
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Breathing is second second-highest priority
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Circulation third highest heart rate and blood pressure is needed for adequate cardiac,
cerebral and peripheral profusion
Safety and risk reduction
Assign priority to the factor or situation posing the greatest: safety risk to the client, the greatest
risk to the client's physical or psychological well-being
Sources of safety issues- client, nurse, provider, medical equipment and environment, home
environment, community
Risk reduction
External- risks in the client environment
Internal- laboratory values and vital signs outside the expected reference range
Least restrictive
Use the least restrictive methods of restraining first, physical restraints only when client, staff, or
others' safety is at risk
least invasive
Reduce the number of organisms introduced into the body to reduce hospital-acquired
infections
Reduce client infections to reduce the need for antibiotics
Survival potential
Appropriate use of resources to save the greatest number of lives
Emergent
Class 1- life-threatening injuries
Immediate treatment= chance of survival
Highest priority
Urgent
Class 2- serious and extensive injuries
Do not pose immediate threat to life
Potential for survival even with delayed treatment
Nonurgent
Class 3- less serious and less extensive injuries
Do not pose a threat to life
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No threat to life even with delayed treatment
Expectant
Class 4- injuries are not compatible with life
The potential for survival does not exist even with treatment
Scare resources reserved for classes 1,2,3
Additional frameworks
Acute vs chronic
Acute- priority as they may pose more of a threat, attend to alteration in the acute phase before
they evolve into the chronic alteration
Chronic- Needs usually develop over period of time
Urgent vs nonurgent
Urgent-pose more threat to client , needs become urgent when related to an intervention
needed with a specified time
Attend to the client with the most urgent need first
Unstable vs stable
Unstable clients gets priority, life threatening involves abcs
Client at risk for becoming unstable are higher priority than stable clients