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T.

LEWANAVANUA- FIJI SCHOOL OF NURSING


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.MORHINE
2.OXYGEN
3.NITROGLYCERINE
4.ASPRIN
5.ATROPINE
6.EPINEPHERINE
7.DOPAMINE
8.ADRENALINE


CARDIAC EMERGENCY
DRUGS

Conversions:

1 liter (L) = 1000 ml
(milliters)
1 gram (g) = 1000 mgs
(milligrams)
1 mg (milligrams) = 1000
mcgs (micrograms)
1 gram (g) = 15 grain (gr)
1 grain (gr) = 60 mg
(milligrams)
1 dram (dr) =4 ml (milliters)
1 ounce (oz) = 30 ml
(milliters)
1 drop (gtt) = 15 minims


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

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