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Topics to focus on during third year
Typology: Schemes and Mind Maps
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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
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
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.