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Callista Roy Adaptation model

Dorothea Orem Self care and self deficit

Faye Abdellah 21 nursing problems

Florence Nightingale Manipulation of environmentHildegard Peplau Interpersonal model

Imogene King Goal attainment theory

Lydia Hall Car, core and cure

Madeleine Leininger Transcultural Nursing

Martha Rogers Science of unitary human beingsMyra Levine Four conservation principles

Rosemarie Parse Human becoming

Virginia Genderson 14 basic needs

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A cognitive process

Client centered

Ooutcome directed, systematic approach Dynamic and cyclic

Eencourages medical diagnosis

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Assessment

Principles

Position Measurement

Lubrication

Placement

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Enteral nutrition entails running of formula througha tube placed into the GIT either by NG route orsurgically through abdominal wall

Complications Dumping syndrome Obstructed tubing Nausea and vomiting Tubing inadvertently pulled out Diarrhea Aspiration pneumonia Stoma and skin infection Hyperglycemia

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Principles

Position

Aspirate residual feeding to assess absorption

Check patency prior to feeding

Height of container

Temperature

Duration of delivery

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Aka intravenous hyperalimentation Concern: infection control Site: right subclavian vein

Complication hyperglycemia

Solutions Dextrose

Water

Fats Proteins

Electrolytes

Vitamins

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Purpose

Principles

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onset peak duration

rapid 1-2 2-4 4-6

Intermediate 1-2 4-6 16-20

Long acting 6-8 12-16 20-30

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Direct

oscopies

Indirect Gram/graphy

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Urine Clean catch

24 h

2nd voided urine

Indwelling

Stool Fecalysis

Occult blood Sputum

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Color

Functioning

Diet Foods to avoid

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Priority Gauge

Duration Crucial time Reactions

Hemolytic

Cardiogenic Anaphylactic

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Purpose

Considerations

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Considerations

Position

Oro Naso

Duration

Oro Naso

Tracheo

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Position

Equipments

Clothing Lab

Toys

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Cane

Position

Handle

Crutches

Position

Weight

Measurement

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Theory

DOC

Pain Assessment Precipitating

Quality

Crushing

Pounding

Knife like

Gnawing

Radiation

Angina

MI Cholecystitis

Renal Colic

Pancreatitis

Severity 0-3

4-7

8-10

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Magnesium = 1.5-2.5 mg/dL Calcium = 8.6-10.2 mg/dL

Sodium =135-145 mEq/L

Phosphorus = 2.5-4.5 mg/dL Chloride = 95-105 mEq/L Potassium = 3.5-5 mEq/L

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PaO2 = 85-95 mmHg

SaO2 = 95-99%

PaCO2 = 35-45 mmHg pH = 7.35-7.45

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Cholesterol level =

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RBC = 4.6-6.2x1012 WBC = 4.5-11x109 Platelets = 150,000-450,000 PTT = 60-70 sec PT = 11-12 sec Clotting time = 6-9 sec Bleeding time = 1.5-9.5 min

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Heparin therapy Warfarin

Diabetic client Diuretics Gout Pancreatitis Liver failure RA

Hepaticencephalopthy

Acute renal failure Leukemia

Sickle Cell

Syphillis

ITP MI

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Magnesium sulfate Heparin Coumadin Acetaminophen Lead poisoning Morphine sulfate Penicillin

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Genupectoral

Jack knife

Affected Unaffected

Fowlers

Low fowlers

Supine

Prone

Sims Lateral

Right

Left

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Acetone Airport

Asepto syringe Ball cap Band aid Bath tub

Bed cradle Belt Bottle BP cuff

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Brown bottle Cigarette

Clamp Coffee Cotton shirt Deodorant

Elastic stockings Electric razor

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Flowers Goniometer

High rise toilet seat Jewelries Keys Lead container Mall Microwave

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Heat and acetic acid

Liver enzyme test

Mantoux test Romberg test

Schilling test