Term
core adult learning process
(androagogy in practice) |
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Definition
1.learners need to know
2. self-concept of the learning
3.prior experience of learning
4.readiness to learn
5.orientation
6.motivation |
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Term
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Definition
Knowls-key example need to know. Example-5th grader may not know why she needs to learn something.
Rogers
Maslow
Gagne
Bloom |
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Term
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Definition
ABC-CBA
very old and very young are most suseptable
IN children hypothalamus underdeveloped, kidney underdeveloped, and fluid regulation can be an issue |
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Term
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Definition
1. show acceptance
2.PAY ATTENTION to questions
3.Be aware of yourself
4.relate back what the patient is telling you.
5.Ask for clairification |
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Term
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Definition
cognitive
psycomotor
affective |
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Term
| Factors affecting learing |
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Definition
distractions
willingness
environment (nightengale)
feedback
motivation
readiness
anxiety
cultural differences |
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Term
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Definition
assessment
diagnosis
planning
implementation
evaluation |
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Term
| 4 types of central venous access devices.. |
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Definition
non-tunneled (percutaneeous) cath
peripherally inserted central cath (PICC)
tunneled catheters
implanted ports |
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Term
| non-tunneled central cath |
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Definition
short term <6 weeks
subclavian vein most common
jugular is used as a last resort (emergency)should only be used for 1 or 2 days.
single, double, triple luman caths are available |
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Term
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Definition
Intermediate use (several days to a month)
Done by bedside by special nurse/ physican
Don't take BP on this arm
Basalic or Cephalic vein is accessed above antecubital space and threaded into superior vena cava
peripherally inserted central cath |
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Term
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Definition
long term
less risk of infection
threaded under skin to reduce infection, to subclavian vein and advanced into superior vena cava |
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Term
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Definition
used for long time use
end of cath is placed in subcutaneous pocket, usually on the chest.
assess with a hubber needle |
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Term
| Insertion of central line |
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Definition
-position in supine, Trendelenburg position
-head turned away from the site of the venipuncture. Instruct patient to remain motionless
-maintain sterile field
be confirmed by x-ray prior to using the catheter for any reason
-flush regularly with a diluted heparin or normal saline solution (per agency policy) to ensure patency
-Never use force to flush the catheter |
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Term
| Where are Blood Transfusions Performed? |
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Definition
Acute Care Settings
Free-standing Infusion Centers
Ambulatory Care Clinics
Physician’s Offices
Patient Homes |
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Term
| Pretransfusion Assessment |
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Definition
Patient History
Physical Assessment
important to get baseline |
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Term
| Where are blood transusions preformed? |
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Definition
Acute care Settings
Free standing infusion centers
ambulartory care clinics
pysicians offices
patient homes |
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Term
| Pretransfusion physical assessment |
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Definition
written consent
baseline vitals
pain
jvd, edema, circulatory overload
lung sounds
level of conscience
Make sure to have the right size cath 20 (pink) 18 (green)
-tubing can be used twice in one transfusion
should take no longer than 4 hours due to clotts and/or bacteria |
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Term
| Blood transusion and patient teaching |
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Definition
fever
chills
respiratory distress
lower back pain
nausea
pain at the IV site
ANYTHING UNUSAUL |
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Term
| complications of blood transfusion therapy |
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Definition
| blood is carefully screened but in not completely risk free |
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Term
| Febrile Nonhemolytic Reaction |
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Definition
most common type of raction
casued by antibodies to donor leukocytes that remain in the unit of blood.
signs of symptoms
chills
fever
muscle stiffness
not life threatening but can be scary for patient |
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Term
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Definition
Most dangerous, potentioanly life threatening.
-blood is incompatible
-distruction of RBC
-Could be mislabeled
must be double and triple checked
SYMPTOMS-chest tightness, dyspsnea, anxiety |
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Term
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Definition
If reaction is noticed DISCONTINUE immediately.
Reaction is preventable
2 RN's should double check |
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Term
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Definition
hives, intching and flushing.
ususally treated witih benadryl.
oppisite site of IV |
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Term
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Definition
Too much blood
patients at a higher risk when heart failure
diuretic can be given after transfusion
make sure O2 is by bedside |
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Term
| Signs of Circulatory overload |
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Definition
Dypsnea
orthopnea
tachycardia
sudden anxiety
JVD
crackles
hypertention
pulmonary edema |
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Term
| If circulatory overload is suspected.. |
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Definition
DISCONTINUE
or if overload is mild transfusion many continue at a slower rate
pt upright position
maintain IV access
O2 and Morphine may be needed to treat severe dypsnea |
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Term
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Definition
low incidence
greatest risk when platelets are stored at room temperature
transfusion should not take longer than 4 hours
signs may take several hours to appear
Mortality rate is high
treated witih broad spectrum antibiotics to prevent shock |
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Term
| Possible transmitted diseases may include... |
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Definition
hep B, C
AIDS
Graft vs. Host Disease
Creutzfeldt-jacob Disease |
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