1811 4/9

Know pacemaker of the heart

SA node (start always)

Starts heartbeat (Sinoatrial node)

Nephritis

Inflammation of the kidney

Cystitis

Inflammation of bladder

Glomerulonephritis

Inflammation of kidney filtering unit

Urinary retention

Cannot empty bladder

Incontinence

Loss of bladder control

Ureters

Carry urine ( kidney to bladder)

Glomerulus

Filters blood

Urethra

Urine exists body

Nephron

Functional unit of kidneys (filters blood)

Know where superior vena cava empties

Right atrium of the heart

Mastication

Chewing

Sections of the large intestine in order of slow

1.cecum,2.ascending colon,3.transverse colon,4.descending colon5.sigmoid colon6. Rectum7, anus

Brady cardia

Slow heart rate

Below 60

Atherosclerosis

A chronic disease where fatty plaques build up inside the artery walls

Dysrhythmia

Abnormal heart rhythm

(Too fast/slow, abnormal )

Myocardial infraction (MI)

Blocked blood flow

Heart attack

Tachycardia

Heart rate above 100 beats per min

Where does blood from lungs empty into

Left atrium of the heart

Know where otc drugs come from

Pharmacy or store

Know the priority action when hives are assessed for a pt taking new medication

Stop medication, notify provider immediately

Allergic reaction

Know the route of rx administration for percutaneneous delivery

Tropical

Skin patch

Understand the evaluation step in the nursing process and what that look like when intervening with a pt

Evaluation (did it work)

Check if pt improved

Know the intervention required when an order for medication is unclear

Stop and clarify with provider

Know which med admin route is most rapid and carried the most risk for adverse rxn

IV

Be able to identify safe medication admin practices from at risk behaviors

6 rights

Right pt,right med,right dose,right route,right time,right documentation

Know the appropriate device to administer insulin Sub Q

Syringe is in units

Understand the advantage of rx administered parenterally

Works faster and more predictably because they bypass the gi tract

Be able to identify an ampule

Small, sealed glass container that holds a single dose of medication

Understand adaptive administration techniques for heparin when administering to frail then elder

Pinch skin 1 inch fold 45 degree angle

Insert slowly

Do not aspirate or massage

Know appropriate gauge needle for subQ injection

25-29 gauge needle

3/8 to 5/8 inch

Know the first intervention when discovering a new reddened area over a pt hip

Does it blanch

Know med admin safety measures req’d prior to giving a pt an antihypertensive

Identify pt

Obtain bp(check bp before giving )

Access for hypotension

Warfarin

Vitamin K

Heparin

Protamine sulfate

Fentanyl

Narcan (naloxone)

Ativan (lorazepam)

Flumazenil

Digoxin

Digiind or digital

Know safety intervention when drawing rx from an ampule

Use filter needle

Discard broken glass

Do not touch rim

Understand the rotanale for rotating injection sites for subQ

Prevent lipodystrophy

Understand z track and rational for its use

Pull skin side ways inject and release

Prevents leakage and reduce irrational and pain

Ac

Before meals

Hs

Bedtime

Prn

As needed

Dc

Discontinue

NKDA

No known drug allergies

Understand legal issues with drug adminstration and use of alternative routes

Contact provider for new order