Week 1: Fluids and Electrolytes Flashcards

(56 cards)

1
Q

Drug>

A

Chemicals introduced into the body to cause some sort of change.

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2
Q

Pharmacology

A

the study of the biological effects of chemicals

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3
Q

Chemical name

A

molecular structure

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4
Q

Generic name

A

shortened name based on the chemical name

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5
Q

Trade name

A

name which drug is sold by individual companies

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6
Q

Commonwealth legislation

A

therapeutic goods act (89), therapeutic goods regulation (90), national health act (53), narcotic drugs act 61)

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7
Q

State legislation

A

therapeutic good act (94), drugs poisons & controlled substances act/”” regulation (81/06)

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8
Q

Schedule 2

A

pharmacy only

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9
Q

Schedule 3

A

pharmacist

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10
Q

Schedule 4

A

prescription

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11
Q

Schedule 8

A

controlled drugs

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12
Q

Schedule 11

A

drugs of dependence

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13
Q

Absorption

A

drug moves from site of admission to blood stream to get to target site

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14
Q

Distribution

A

once in the blood stream, it can be distributed to various sites

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15
Q

Biotransformation (metabolism)

A

chemical alteration of the drug to water soluble metabolite

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16
Q

Factors affecting drug metabolism >

A

> genetic, environment, disease status, ageing process

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17
Q

Hepatic first pass

A

go through portal system and liver before entering systemic circulation

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18
Q

Plasma half life

A

time taken for the plasma concentration of a drug to fall by 50%

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19
Q

Factors contributing to ADR’s

A

Age, gender, dose, polypharmacy, history, genetics

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20
Q

Factors that influence medication across the lifespan

A

pregnancy, lactation, paedicatric, geriatric

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21
Q

Fluid body compartments

A

intracellular (2/3 TBW), Extracellular (1/3TBW) [interstitial, intravascular]

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22
Q

Crystalliods

A

body fluid composition & moves quickly between compartments

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23
Q

Colloids

A

contain undissolved solutes which are too large to pass through capillary wall, stays longer intravascular & draws fluid from interstitial ^ BP longer

24
Q

Isotonic IV fluids

A

0.9% NaCl normal saline; fluid. Hartmanns solution; electrolytes. 5% dextrose in water; fluid and energy

25
Hypotonic IV solutions
4% dextrose; fluids and electrolytes. 0.18% NaCl (4% and 1/5) :fluids and electrolytes
26
Hypertonic IV solutions
5% dextrose in 0.9% normal saline; energy and electrolytes. 10% dextrose, energy and fluids
27
Osmosis
movement of fluid from ^ H20 concentration to low concentration across semi permeable membrane
28
Hydrostatic pressure (out)
movement of fluid and solute through the capillary wall into interstitial space
29
Oncotic pressure (in)
created by proteins which draw fluid into the intravascular space
30
Mechanisms for regulating body fluid
thirst, kidneys, hormones (ADH, Renin), GI tract regulation, insensible lose
31
Hypovolemia
abnormal loss of fluid, inadequate intake fluid shifting
32
Hypervolamia
excess intake of fluids, retention, fluid shifts
33
Dehydration
fluid deficit with no electrolyte imbalance
34
Normal pH of the body
7.45 alkalotic
35
Pre-operative education
tests, physical prep, recovery room, what to expect, post op pain & management, deep breathing exercises, active and passive limb movements
36
Physical prep for a patient for theatre
fasting, elimination, medications (check continuation), premedication (IM, IV, Oral, sedations, analgesic, antiemetic, hygiene (hair, nails, jewellery, makeup, nailpolish, shower)
37
Physical prep for return from theatre
bed, vitals equipment, o2 & suction, hygiene equipment, special equipment
38
Elements of handover from PACU nurse to ward nurse
procedure, difficulties/problems, post op orders, medications, iv fluids, wound details, elimination details, drain tubes
39
Assessment and care interventions of a patient on return to the ward from recovery
vitals, level of consciousness, skin color and temp, iv fluids & cannula site, wound site and dressing, drains and tubes, pain and discomfort, nausea/vomiting, position, hygiene, comfort
40
Identify general post-op complications
haemorrhage, infection, thrombosis, pneumonia
41
Physical response to pain
tachycardia, hypertension, elevated pitch, muscle tension, dilated pupils
42
Who analgesic ladder
a strategy for managing pain in a range of situations; by the ladder, clock, mouth, for the individual with attention to detail
43
Acute pain
sudden and short
44
Chronic pain
persistent and long term
45
Chain of infection
infectious agent>reservoir>portal of exit>mode of transportation>portal of entry>host>
46
The immune response
a collective and coordinated defense mechanism of the cells and molecules of the immune system
47
Innate immunity (defense mechanism)
early response, natural immunity
48
Adaptive immunity (defense mechanism)
> late response, acquired immunity
49
Inflammatory response
vasodilation ^ blood flow to damaged area > ^ vascular permeability & plasma into damaged area > WBC into damaged area for repair
50
Acute inflammatory response
isolated damaged area and mobilizes immune cells and promotes healing
51
Chronic inflammatory response
stimulates destruction and healing of the tissue involved in the inflammatory response
52
Process of tissue repair and wound healing
> imflammation, 2-5 days > reconstruction, 3-24 days, granulation, contraction and epitheliazation > remodeling, 3 weeks – 2 years
53
2 reasons for IV infusions
rehydration, nil oral patients
54
Veins used for IV insertion
cephalic and basalic veins in the forearm and the veins of the dorsum of the hand
55
Equipment needed for IV infusion
order sheet, solution, giving set, stand, alcowipes, IV cannula, tape and dressing materials, gloves, watch, FBC
56
Post op complication for emergency appendicectomy
hemorrhage, infection, bowel obstruction, DVT, pulmonary embolism, constipation