Transcript
Class Notes NUR1212C
During Family Dynamics the role of a nurse is “role model” we are the advocate and place ourselves as role models. Pass no judgement, offer resources
Negative Family dynamics – what we see as negative may be normal for some, abuse, IPV
Family types, nuclear family, same sex marriages, READ THE WHOLE QUESTION
Things that have been tripping us up during testing….
Examples: distractors…
Further education
Further teaching
Further instructions
Additional instructions
Further instructions
Drugs:
Beta blocker - -lol, regulate or make HR low
Ace inhibitor - -pril, side effect coughing
Plavix – anticoagulant, clotting, platelets, dissolve clots
Prednisone – steroid, used after eye sx to reduce swelling, anti-inflammatory, to keep airway open during a laryngostomy
Risk factors of surgery: Bleeding, clots, infection,
Get off blood thinners days prior to sx.
Give antibiotics before, during and after surgery to help ward off infection.
Albuterol – bronchodilator, HR up,
Glucophage (metformin) – insulin, they have to be off before surgery, hepatic (liver) toxicity, Liver fxn tests (ALT, AST)
Long term steroid use they are prone to getting DM
Glaucoma – Atrovent and Xalantan, be sure measure the IOP
Narcan – drug reversal,
Phenergan – antiemetic
Zocor (Simvastatin) – monitor liver enzymes, hepatic (liver) toxicity,
How eye drops are administered, when giving eye drops label right and left, and only give to infected eye.
Time frame ranges from 5-10 minutes for 2 different medications for same eye. Admin drops before ointment
Primary, 2ndary, Tertiary Prevention
Corneal ulcers – patient teaching, is there anything involving
Corneal staining – looks for FB
Macular Degeneration –
Cataract surgery – takes out cornea and IMPROVES vision
Sensory Perception after eye surgery, clear path and make sure nothing will trip the patient up.
Independence is a MUST for elderly patients, involve them in the care. Help me HELP YOU!
Visual acuity – 20/100, the person can see only 20 ft., what others can see at 100.
ASA – blood thinner, stop before surgery
Conjunctivitis – Pink eye, infection, inflammation, abx for at least 72 hrs, contagious for 24 hrs.
