NUR-220 Exam 2 Flashcards
(48 cards)
Adverse effects
Do the benefits of the drug outweigh the AE?
If a patient is constipated as a result of opioids and a med is given to help that effect do the benefits outweigh the AE?
yes
Mild allergic reaction
Itching
Anaphylaxis
Airway is closing and is a medical emergency.
Tolerance
When a patient requires more drug to gain benefit patients with sickle cell and cancer are examples
Toxic effect of medication
There is to much drug given to patients, causing a toxic effect. it is a nursing failure
idiosyncratic reaction
the drug has an opposite fx
Therapeutic range
concentration of drug in the blood serum that produces the desired effect without causing toxicity
peak level
The point when the drug its at its highest. it is important to draw peak levels 30-60 mins after it is given
half-life
is the amount of time it takes for 50% of blood concentration of a drug to be eliminated from the body.
failure to recognize
the nurse saw nothing wrong
failure to rescue
thought it was wrong did nothing
failure to plan
nurse did not prepare
QSEN Competencies
“Patient tells everyone quiet im sleeping”
Patient-centered care
teamwork and collaboration
Evidence based practice
quality improvement
informatics
safety
QSEN defines safety as?
Minimizing risk of harm to patients and providers through both system effectiveness and individual performance.
TJC Patient safety goals for hospitals
Identify patients - name & DOB
Improve staff communications- staff hand offs
Use medication safety- label meds and use medication reconciliation (what was the patient on at home?)
Use alarms safety- alarm fatigue
prevent infection- hand hygiene
patient safety risks
Fire Safety
RACE
R- rescue
A- Activate
C- confine
E- Evacuate
What is the #1 safety error
It is a medication error is a breakdown or failure at any point in the medication use process.
Medication errors
Omission- Drug not prescribed, dispensed, administered, or taken.
Communication- vague instructions
Commission- wrong patient, dose drug, time, or route.
Safety errors #2
Falls it is one of the never events
who ate the people at risk for falls
People 65 and older, History of falls, cognitive impairment, altered gait, medications, unsafe environments, sensory deficits, orthostatic hypotension, and New environments.
how often should we offer assistance to the toilet?
Q2
3 in safety errors is?
Improper use of restraints
what is the recommended use of restraints
Ensure physical safety of the patient, staff or others
prevent interruption of therapy
prevent the confused or combative patient from removing life support equipment or unsafe attempts at mobility.
