2014 1. THE HEALING POWER OF NATURE 2. PATIENT CENTERED RATHER THAN PHYSICIAN CENTERED: 3. RESULTS GENERALLY TAKE LONGER 4. IV.USE OF NATURAL AND WHOLE SUBSTANCES 5. HIGHER STANDARD OF HEALTH
1. DIET &HERBAL 2. Traditional alternative medicine 3. Body 4. External energy 5. Mind 6. Senses. Desire for health and wellness (1) Prevention Pain Very few individuals rely exclusively upon alternative modalities . Most individuals who use CAM do so because of preference
The body has self-healing potential. Body mind and spirit are all important. Therapy must be individualized. People are responsible for their own healing.
DEFINITION: 1.Emergency Nursing is a nursing specialty in which nurses care for patients in the emergency or critical phase of their illness or injury.
1 tsp (teaspoon) = 5 ml (milliters) 1 tbs (tablespoon) = 15 ml (milliters) 1 kg (kilogram) = 2.2 lbs (pounds) 1 inch = 2.54 cm (centimeters) 16 ounces (ozs) = 1 lb (pound) 1 cup = 8 ounces (ozs) 1 ml (milliter) = 15 minims 1 tsp (teaspoon) = 5 ml (milliters) 1 tbs (tablespoon) = 15 ml (milliters)
mls to infuse (X) drip factor ------------------- ----------- = gtts/min. minutes (min.) to infuse 1
Total volume to be given ------------------------------------ = mls per hour. Time ( in hours)
Dose to be given stock volume --------------------- x --------------- = amt of solutions to be given Stock strength 1 Dose to be Given --------------------- = Number of Tablets Stock Strength Volume remaining ( in mls) drop factor ----------------------------- x -------------- = minutes remaining Drops per minute 1 Generic Names are official names used by the drug companies (Acetaminophen).
Trade or Brand Names are names assigned to a product by its manufacturer (Tylenol).
Intramuscular injection = 3.0 ml per site (1 ml in the deltoid)
Intradermal = 0.1 ml (example PPD, allergy testing) Subcutaneous injection = 0.5-1.0 ml per site IV injection (IV push) = 1-60 ml
Right Patient Right medication Right dose Right Route Right Time Right documentation Right Reason Right Response
Follow the rights consistently Learn essential information about each drug Interpret prescribers orders correctly Read labels for right medication and concentration Minimize the use of abbreviations Calculate dosages correctly Measure doses accurately
Use appropriate anatomic landmarks to identify sites of IM injections-follow manufacturers recommendations Verify client identity *****Seek information about the clients medical diagnoses and condition in relation to drug administration Be especially vigilant with children to avoid errors
Nurse is legally responsible for safe and accurate administration of medications
Nurse is expected to have sufficient drug knowledge to recognize and question erroneous orders
Unit dose wrappings of oral drugs should be left in place until the nurse is in the presence of the client and ready to administer the medication
Include the full name of the patient Generic or trade name of the drug The dose, the route and frequency of administration Date, time and signature of the prescriber
PO IM IV SL Sub cut Supp
ac Ad lib bid, tid, qid PRN Stat pc
cc g Gr gtt mL oz Tsp tbsp
Oral Via GI tube Parenteral-IM, IV and sub cut Topical Rectal, ophthalmic Optic Vaginal
Sub q-abdomen, thighs, back and upper arms IM-deltoid, dorsogluteal, ventrogluteal and vastus lateralis muscles IV-antecubital, hands, arms, external jugular Others: intradermal, intra-articular, intra-arterial and intrathecal