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Third year important topics, Schemes and Mind Maps of Nursing

Topics to focus on during third year

Typology: Schemes and Mind Maps

2023/2024

Uploaded on 09/07/2024

shahida-akter
shahida-akter 🇨🇦

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Advanced Clinical Skills
1. Patient Assessment:
Head-to-Toe Assessment:
oInspection: Skin color, symmetry, abnormalities.
oPalpation: Temperature, moisture, turgor.
oAuscultation: Lung, heart, bowel sounds.
oPercussion: Identify organ size, tenderness.
Vital Signs Monitoring:
oTemperature (normal range: 36.5°C–37.5°C)
oHeart Rate (normal: 60–100 bpm)
oBlood Pressure (normal: 120/80 mmHg)
oRespiratory Rate (normal: 12–20 breaths per minute)
Glasgow Coma Scale (GCS):
oEye, verbal, motor response.
oScoring: 3 (deep coma) to 15 (fully awake).
2. Clinical Procedures:
IV Cannulation:
oIndications, contraindications.
oSteps: Sterilize site, insert catheter, secure with dressing.
Wound Care:
oAseptic Technique: Use sterile gloves, clean the wound from the
center outward.
oTypes of dressings: Hydrocolloid, foam, alginate.
Pharmacology
1. Drug Classes:
Antibiotics:
oExample: Penicillins, cephalosporins.
oIndications: Bacterial infections (e.g., UTI, pneumonia).
oSide effects: GI upset, allergic reactions.
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Advanced Clinical Skills

1. Patient Assessment:Head-to-Toe Assessment: o Inspection: Skin color, symmetry, abnormalities. o Palpation: Temperature, moisture, turgor. o Auscultation: Lung, heart, bowel sounds. o Percussion: Identify organ size, tenderness.  Vital Signs Monitoring: o Temperature (normal range: 36.5°C–37.5°C) o Heart Rate (normal: 60–100 bpm) o Blood Pressure (normal: 120/80 mmHg) o Respiratory Rate (normal: 12–20 breaths per minute)  Glasgow Coma Scale (GCS): o Eye, verbal, motor response. o Scoring: 3 (deep coma) to 15 (fully awake). 2. Clinical Procedures:IV Cannulation: o Indications, contraindications. o Steps: Sterilize site, insert catheter, secure with dressing.  Wound Care: o Aseptic Technique: Use sterile gloves, clean the wound from the center outward. o Types of dressings: Hydrocolloid, foam, alginate. **Pharmacology

  1. Drug Classes:**  Antibiotics: o Example: Penicillins, cephalosporins. o Indications: Bacterial infections (e.g., UTI, pneumonia). o Side effects: GI upset, allergic reactions.

Analgesics: o Example: Paracetamol, opioids. o Indications: Pain management. o Side effects: Nausea, drowsiness (opioids), liver toxicity (paracetamol overdose).  Diuretics: o Example: Furosemide, spironolactone. o Indications: Hypertension, heart failure. o Side effects: Electrolyte imbalance, dehydration.

2. Drug Administration:Routes: o Oral, IV, IM, subcutaneous.  Five Rights of Medication Administration: o Right patient. o Right drug. o Right dose. o Right route. o Right time. 3. Pharmacokinetics & Pharmacodynamics:Absorption: GI tract, bloodstream.  Metabolism: Liver (first-pass effect).  Excretion: Kidneys. **Pathophysiology

  1. Cardiovascular Diseases:**  Hypertension (HTN): o Pathophysiology: Increased arterial pressure due to resistance. o Symptoms: Headache, blurred vision. o Management: Lifestyle changes, antihypertensives.  Heart Failure: o Pathophysiology: Inability of the heart to pump effectively.

Advanced Directives: Discussing patient preferences regarding life- sustaining treatments. Ethical and Legal Considerations in Nursing

1. Ethics in Nursing:Autonomy: Respecting the patient’s right to make their own decisions.  Beneficence: Act in the patient’s best interest.  Non-Maleficence: Do no harm.  Justice: Fair and equal treatment for all patients. 2. Legal Responsibilities:Informed Consent: o Ensure patients understand the procedure and risks. o Obtain written consent before treatment.  Patient Confidentiality: o Health Insurance Portability and Accountability Act (HIPAA) compliance. o Disclosure of information only with patient consent or legal requirement.  Negligence & Malpractice: o Failing to meet the standard of care can result in legal action. o Documentation is key to proving care provided.