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Bowel Elimination and Ostomy Management Study Guide

Learn about the core nursing function of medication administration. This guide covers legal frameworks, medication orders and reconciliation, various routes of administration (enteral, parenteral, topical), crucial safety checks and the 'rights' of medication administration, error prevention and reporting, handling controlled substances, and proper documentation and evaluation. Essential for all nursing professionals.

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Skin Integrity and Wound Care Nursing

Skin Integrity and Wound Care

Wound healing occurs through primary, secondary, or tertiary intention involving hemostasis, inflammation, proliferation, and maturation phases.

  • Phases of wound healing
  • Local and systemic factors
  • TIMEST assessment
  • NERDS AND STONEES assessment
  • Biofilm management
  • NPIAP pressure injury staging
  • Deep tissue injury (DTI)
  • Debridement methods

Principles of Nutrition and Essential Nutrients

Principles of Nutrition and Essential Nutrients

A study of the intake of food and how food nourishes the body through macronutrients and micronutrients.

  • Macronutrients
  • Micronutrients
  • Carbohydrates
  • Protein
  • Lipids
  • Vitamins
  • Minerals
  • Water
  • Metabolism
  • Hyperlipidemia
  • Amino acids

Bowel Elimination Anatomy and Assessment

Bowel Elimination Anatomy and Physiology

  • Stomach anatomy
  • Small intestine digestion and absorption
  • Large intestine functions
  • Defecation process
  • Peristalsis
  • Mass peristalsis
  • Bowel sounds
  • Constipation
  • Fecal impaction
  • Incontinence

Urinary Anatomy, Physiology, and Elimination

Urinary Elimination Anatomy and Physiology

This lecture covers urinary anatomy, physiology, urine formation, and factors affecting urinary elimination.

  • Urinary anatomy
  • Kidney functions
  • Urine formation
  • Glomerular filtration
  • Tubular reabsorption
  • Tubular secretion
  • Micturition
  • Urine characteristics
  • Urinary output calculation
  • Factors affecting urinary elimination
  • Developmental considerations

Anatomy and Pathway of the Urinary System

Human Urinary System Anatomy and Pathway

  • human urinary system
  • kidneys
  • ureters
  • bladder
  • anatomy
  • urine excretion

Principles and Techniques of Comprehensive Health Assessment

Comprehensive Health Assessment Principles and Techniques

This lecture covers health assessment components, patient preparation, health history collection, and physical assessment techniques to support clinical decision-making and nursing care plans.

  • Subjective data
  • Objective data
  • Health history
  • Physical assessment
  • Nursing process
  • PQRST assessment
  • OLD CARTS assessment
  • Patient preparation
  • Inspection
  • Palpation
  • Percussion
  • Auscultation
  • Vital signs
  • Therapeutic communication

Techniques and Systems of Physical Assessment

Physical assessment techniques including inspection, palpation, percussion, and auscultation are used to evaluate integumentary, cardiovascular, respiratory, abdominal, musculoskeletal, and neurologic systems.

  • Inspection
  • Palpation
  • Percussion
  • Auscultation
  • Integument assessment
  • Cardiovascular assessment
  • Respiratory assessment
  • Lung sounds
  • Musculoskeletal assessment
  • Neurologic assessment
  • Cranial nerve function
  • SBAR communication tool
  • Documentation purposes

Fundamentals of Oxygenation and Upper Respiratory Anatomy

Physiological Processes of Oxygenation and Anatomy

Oxygenation is the process of supplying oxygen to the body's cells and removing carbon dioxide through breathing, gas exchange, and blood flow.

  • Oxygenation
  • Gas exchange
  • Upper respiratory tract anatomy
  • Nasal cavity structure
  • Paranasal sinuses
  • Pharynx divisions
  • Tonsils and adenoids
  • Epiglottis function
  • Respiratory and cardiovascular systems

Medication Administration and Safety Protocols

Nursing Medication Administration and Safety

Applies the nursing process to safely prepare, administer, and evaluate the effects of medications while adhering to the rights of medication administration and patient identification protocols.

  • Medication administration routes
  • Rights of medication administration
  • Types of medication errors
  • Reporting medication errors
  • Medication checks
  • Patient identification protocols
  • Handling controlled substances
  • Maintaining a safe environment
  • Medication documentation

Medication and Parenteral Medication Administration

This lecture covers oral medication routes, parenteral administration techniques, and preparing medications for injection.

  • Oral medication routes
  • Sublingual administration
  • administration
  • Enteral route
  • Parenteral administration
  • Subcutaneous injection
  • Intramuscular injection
  • Intradermal injection
  • Syringe sizes and types
  • Needle gauge and length
  • Luer-Lok syringe
  • Preparing medications from ampules and vials
  • Reconstituting powdered medication
  • Mixing medications in a syringe

Parenteral Injection Administration Techniques and Sites

This material covers intramuscular, subcutaneous, and intradermal injection administration including preferred sites, needle angles, and absorption rates.

  • Intramuscular injection administration
  • Subcutaneous injection administration
  • Intradermal injection administration
  • Z-track technique
  • Injection sites for adults and children
  • Absorption rates of parenteral routes
  • Needle angles of insertion
  • Vastus lateralis
  • Ventrogluteal
  • Adipose tissue layer
  • Dermis

Foundations of Health Assessment and Nursing Process

Principles of Comprehensive Health and Physical Assessment

This content covers techniques of physical assessment including inspection, palpation, percussion, and auscultation across various body systems.

  • inspection
  • palpation
  • percussion
  • auscultation
  • respiratory assessment
  • cardiovascular assessment
  • musculoskeletal assessment
  • cranial nerves
  • lung sounds
  • heart sounds
  • range of motion
  • documentation

Wound Healing, Assessment, and Management

Skin Integrity and Thermal Therapies

Nursing interventions for pressure ulcers, cold therapy, and heat therapy applications.

  • Pressure ulcer interventions
  • Cold therapy mechanisms
  • Heat therapy mechanisms
  • Tissue injury prevention
  • Vasoconstriction and vasodilation

Energy Balance, Body Composition, and Weight Management

Energy Balance and Nutritional Assessment

This topic covers energy balance, basal metabolic rate, Body Mass Index, body fat distribution, and factors influencing nutrition.

  • Energy Balance
  • Basal Metabolic Rate (BMR)
  • Resting Energy Expenditure (REE)
  • Body Mass Index (BMI)
  • Body Fat Distribution
  • GLP-1–Based Medications
  • Developmental Considerations

Factors Affecting Bowel Elimination

Factors Affecting Bowel Elimination

Factors affecting bowel elimination include developmental considerations, daily patterns, food, activity, lifestyle, psychological, pathologic, medications, diagnostic studies, and surgery.

  • Developmental considerations
  • Constipating foods
  • Laxative effect foods
  • Gas-producing foods
  • Medication effects on stool
  • High risk for constipation
  • Infant stool characteristics
  • Older adult constipation

Urinary Assessment, Management, and Interventions

Focused Urinary Assessment and Management

Perform focused urinary assessment, monitor intake and output, and identify red flags or urinary retention.

  • Subjective urinary assessment
  • Objective urinary assessment
  • Urinary red flags
  • Intake and output measurement
  • Urinary retention
  • Bladder scanning
  • Urine characteristics

Nursing Care for Urinary Health

Nursing focus on assessing urinary incontinence, urinary tract infection, symptoms like hematuria and dysuria, and managing indwelling urinary catheters.

  • Urinary incontinence types
  • Urinary tract infection assessment
  • Hematuria
  • Dysuria
  • Nocturia
  • Hesitancy
  • Noninvasive nursing interventions to promote voiding
  • Skin injury prevention
  • Urine specimen collection principles
  • Clean-catch midstream specimen procedure
  • Indwelling urinary catheter indications
  • Catheter care and closed drainage systems
  • CAUTI prevention

Anatomy and Physiology of Oxygenation

Anatomy and Physiology of Oxygenation

Overview of the respiratory and cardiovascular systems including airway anatomy, pulmonary ventilation, gas exchange, and perfusion processes.

  • Lower respiratory tract
  • Tracheobronchial tree
  • Alveoli
  • Pulmonary ventilation
  • Inspiration
  • Expiration
  • Respiration
  • Diffusion
  • Perfusion
  • Hypoxia
  • Cardiovascular system
  • Hemoglobin
  • Cardiac conduction system
  • Dysrhythmia
  • Respiratory variations in the life cycle

Topical Administration of Medications

Topical Administration of Medications

This topic covers topical administration of medications including skin applications, eye instillations, ear instillations, nasal instillations, vaginal applications, rectal instillations, and inhaled medications.

  • Transdermal patch application
  • Eye instillations and irrigations
  • Ear drop instillation techniques
  • Nasal spray administration
  • Vaginal cream and suppository application
  • Rectal suppository insertion
  • Metered-dose inhaler (MDI) administration
  • Inhaled medication methods
  • Medical record documentation

Fundamentals of Health Assessment and Nursing Process

Principles of Comprehensive Health and Physical Assessment

This content covers health assessment and physical assessment using principles of patient centered care, evidence based practice, and the distinction between subjective and objective data.

  • health assessment
  • physical assessment
  • evidence based practice
  • patient centered care
  • therapeutic communication
  • subjective data
  • objective data
  • health history
  • biographical data
  • history of present concern
  • family history
  • functional health history
  • review of systems
  • vital signs
  • documentation

Principles of the Nursing Process

An overview of the nursing process including assessment, nursing diagnosis, planning, and setting measurable goals and outcomes.

  • nursing process
  • subjective data
  • nursing diagnosis
  • assessment
  • planning
  • measurable goals and outcomes
  • alteration in nutrition

Comprehensive Physical Assessment Techniques

SBAR Communication in Health Assessment

A guide to using SBAR to communicate clinical context, professional evaluation, and recommendations to healthcare providers during medical emergencies.

  • SBAR communication framework
  • Situation
  • Background
  • Assessment
  • Recommendation
  • Clinical context
  • Vital signs assessment
  • Rapid response
  • Pulmonary embolism
  • Nursing actions

Pharmacokinetics, Pharmacodynamics, and Drug Reactions

Fundamentals of Pharmacokinetics

Pharmacokinetics describes the effect the body has on a drug through absorption, distribution, metabolism, and excretion.

  • Absorption
  • Bioavailability
  • Route of administration
  • Drug serum levels
  • Peak and trough concentrations
  • Half-life
  • Distribution
  • Protein binding
  • Blood-brain barrier
  • Metabolism
  • Biotransformation
  • First-pass effect
  • Excretion

Fundamentals of Pharmacodynamics and Drug Reactions

Pharmacodynamics represents what a drug does to the body through drug–receptor interaction and various adverse drug reactions.

  • Pharmacodynamics
  • Pharmacokinetics
  • Drug–receptor interaction
  • Adverse drug reactions
  • Allergic effects
  • Anaphylaxis
  • Drug tolerance
  • Physical dependence
  • Addiction
  • Toxic effect
  • Cumulative effect
  • Idiosyncratic effect
  • Antagonistic effects
  • Synergistic effects
  • Factors affecting drug action
  • Drug legislation

Professional Medication Administration and Patient Safety

Impact of Medical Errors and Patient Safety

Demonstrating understanding of safe medication administration through legal ethical frameworks, patient centered care, teamwork, collaboration, and evidence based practice to prevent medical errors.

  • Safe medication administration
  • Legal ethical framework
  • Patient centered care
  • Teamwork and collaboration
  • Evidence based practice
  • Pharmacology
  • Medical errors
  • Patient safety
  • Systemic errors
  • Communication

Nutritional Assessment and Management Strategies

Nutritional Assessment and Support Interventions

Nursing assessment, dysphagia management through modified diets, and enteral or parenteral nutritional support.

  • Nutritional Screening
  • Dysphagia
  • Modified Diets
  • Nasogastric (NG) Tube
  • Nasointestinal (NI) Tube
  • Gastrostomy
  • Enteral Feeding
  • Parenteral Nutrition (PN)
  • Total Parenteral Nutrition (TPN)

Nursing Process and Management for Bowel Elimination

Nursing Process for Bowel Elimination

This lecture covers the nursing process for bowel elimination including physical assessment, stool collection, emptying the colon, and management of bowel incontinence and ostomies.

  • Nursing Process for Bowel Elimination
  • Physical Assessment
  • Stool Collection Guidelines
  • Timed Specimens
  • Emptying The Colon
  • Cleansing Enemas
  • Retention Enemas
  • Incontinence-Associated Dermatitis
  • Indwelling Rectal Tube
  • External Anal Pouch
  • Types of Ostomies
  • Sigmoid Colostomy
  • Descending Colostomy
  • Transverse Colostomy
  • Ascending Colostomy
  • Ileostomy
  • Colostomy Care
  • Stoma Appearance

Nursing Assessment and Troubleshooting for Urinary Elimination

Nursing Management of Urinary Elimination

Assess patient findings, troubleshoot catheter issues, and implement nursing actions for urinary retention, infection, and catheter safety.

  • Urinary elimination assessment
  • Catheter troubleshooting
  • Postoperative urinary retention
  • Catheter-associated urinary tract infection prevention
  • Bladder scan implementation
  • Urinary output monitoring
  • Indwelling catheter safety
  • Clinical judgment and prioritization
  • Specimen collection criteria
  • Nursing interventions for dysuria and frequency

Nursing Process for Oxygenation and Perfusion

Nursing Process for Oxygenation and Perfusion

This content covers the nursing process for oxygenation and perfusion including physical assessment, nursing diagnoses, promoting optimal function, and administering inhaled medications or supplemental oxygen.

  • Physical Assessment
  • Breath Sounds
  • Nursing Diagnoses
  • Ineffective Airway Clearance
  • Impaired Gas Exchange
  • Ineffective Breathing Pattern
  • Promoting Proper Breathing
  • Incentive Spirometry
  • Pursed-lip Breathing
  • Diaphragmatic Breathing
  • Inhaled Medications
  • Bronchodilators
  • Nebulizers
  • Meter-dose Inhalers
  • Supplemental Oxygen
  • Oxygen Administration Precautions
  • Tracheal Suctioning
  • Artificial Airways

Administering Medications and the Nursing Process

Administering Medications and the Nursing Process

This content reviews nursing responsibilities for administering medications, including assessment, nursing diagnoses, planning, implementation, and evaluation.

  • Patient teaching
  • Medication administration techniques
  • Focused medication assessment
  • Nursing diagnoses
  • Outcome identification
  • Medication rights
  • Three checks
  • Clinical observation
  • Dosage calculations
  • Medication documentation
  • Monitoring patient reaction

Implementing the Nursing Process and Assessment Acronyms

Nursing Process and Symptom Assessment

Executing interventions, health teaching, and evaluation within the nursing process using acronyms for assessing patient symptoms.

  • nursing process
  • implementation
  • health teaching
  • evaluation
  • provocation
  • onset
  • quality
  • region
  • radiation
  • severity
  • timing
  • OLD CAR acronym

Management of Bowel Incontinence and Ostomies

Bowel Elimination and Ostomy Management

Management of bowel incontinence, cleansing enemas, associated dermatitis, and care for various types of ostomies.

  • Cleansing Enemas
  • Retention Enemas
  • Hypotonic or Isotonic Solution
  • Hypertonic Solution
  • Oil Retention Enema
  • Rectal Suppositories
  • Oral Intestinal Lavage
  • Digital Removal of Stool
  • Bowel Training Programs
  • Incontinence-Associated Dermatitis
  • Moisture-associated skin damage
  • Indwelling Rectal Tube
  • External Anal Pouch
  • Sigmoid Colostomy
  • Descending Colostomy
  • Transverse Colostomy
  • Ascending Colostomy
  • Ileostomy
  • Colostomy Care

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