University Notes
ETHICAL AND LEGAL ACCOUNTABILITY
Safe nursing practice requires understanding the legal framework of health care. Understanding the legal implications of nursing practice demands critical reasoning skills to protect the patient’s rights and the nurse from liability. Society expects safe health care delivery, especially from nurses who
are typically perceived as the most trusted profession. As patient care practice innovations and new health care technologies emerge, the principles of negligence and malpractice liability are being applied to challenging new situations. Nurses should not fear the law but instead practice nursing armed with the judgment skills that are the outcomes of informed critical thinking.
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Drugs affecting the respiratory system
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Respiratory muscles are stimulated to contract
by the respiratory center in the medulla.
• The medulla receives input from
chemoreceptors to increase the rate and/or
depth of respiration to maintain homeostasis
in the body.
• Drugs that affect the respiratory system work
to keep the airways open and gases moving
efficiently
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Drugs acting on the nervous system
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The nervous system controls the body,
analyzes external stimuli, and integrates
internal and external responses to stimuli.
• The neuron, comprising a cell body, dendrites
and an axon, is the functional unit of the
nervous system.
• Dendrites route information to the nerve, and
axons take the information away.
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Drugs acting on CVS
Hypertension is a sustained state of higher-than normal BP that can lead to blood vessel damage and damage to small vessels in the organs. A decrease in blood flow to the kidneys triggers the renin–angiotensin–aldosterone system, by which the blood vessels constrict and water is retained. This activity increases blood pressure and restores blood flow to the kidney
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DRUG ERRORS
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Errors are an integral part of human life.
According to the National Coordinating Council for Medication
Error Reporting and Prevention, a medication error is defined as "any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional, patient, or consumer,”. Such events may be related to professional practice, healthcare products, procedures, and systems, including prescribing; order communication; product labeling, packaging and catalogue; compounding; dispensing; distribution; administration; education; monitoring; and use
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DIURETICS
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Factors that influence urine production include
Glomerular filtration
Tubular reabsorption
Tubular secretion.
Many substances increase urine production by the normal kidney including dietary components such as water, osmotically active salts and sugars and xanthines
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DISEASE-MODIFYING ANTIRHEUMATIC DRUGS (DMARDs)
Non-steroidal anti-inflammatory drugs
(NSAIDs) are administered to patients
suffering from rheumatoid arthritis(RA)
mainly to offer symptomatic relief (reduce
inflammation and pain) hence preserve
function
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CYSTOSCOPY
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It’s the examination of the inside of the bladder. Ureters renoscopy ( URS)is examination of the upper urinary tract(ureter and renal pelvis and calyes. A cystoscope is a long thin optical instrument with eye piece at one end a rigid or flexible tube in the middle and the tiny lens and the light at the other end of the tube the cystoscope is inserted into patient’s urethra and the small lens magnify the inner lining
of the urethra and bladder allowing to see the hollow bladder .
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CONGENITAL HEART DEFECTS
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Facts about the heart;
The heart weighs 200 to 425 grams and is a
little larger than the size of your fist. Each day, the average heart beats 100,000
times, pumping about 7,571 liters of blood.
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Principles of pharmacology
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Pharmacology is the study of the biological effects of chemicals.
• Pharmacognosy- is the study of medicines or crude drugs produced from natural sources such as plants, microbes, and animals
• After a drug is administered, it is called a medication.
• Drugs- A drug is a chemical agent capable of producing biologic responses within the body.
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FUNDAMENTALS OF NURSING
• A nurse who wishes to be an effective caregiver must first learn how to communicate effectively.
• Good communication skills enable nurses to get to know their patients,
take history, diagnose, plan and meet their needs for nursing care.
• To adequately document the patient’s health history, communication techniques are important.
• Communication skills are therefore the building blocks of professional relationships between nurse and client, and the nurse and co- workers.
• Good skills help in exchange of ideas to facilitate problem solving.
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CHANGES DURING PREGNANCY
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A mother should be ready in all aspects:
physically, mentally, socially, economically.
Genetic testing and counselling
Proper nutrition
Treatment of existing diseases and conditions
Prevention of unwanted pregnancies
Consideration for extreme ages
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Cardiovascular system
If the coronary blood supply is not sufficient to meet the needs of the heart, the result may be ischemia, injury or an infarction (necrosis) of the heart muscle itself.
• tHe left main coronary artery branches into;
•left circumflex coronary artery
•left anterior descending (LAD) coronary
artery.
• The right coronary artery (RCA) supplies nutrients and oxygen to the right atrium, the right ventricle and the inferior wall of the left ve
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Beta lactam antibiotics
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Penicillins
• Penicillin was the first antibiotic introduced for clinical use.
• Sir Alexander Fleming used Penicillium molds to produce the original penicillin in the 1920s
• Penicillins include: penicillinase-resistant penicillins:-Oxacillin, dicloxacillin, and nafcillin which are naturally resistant to certain beta-lactamases.
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BASIC CONCEPTS IN MEDICAL SURGICAL NURSING PRACTICE
The health care industry, in the world, Kenya included has experienced profound changes during the past several decades. Nursing, as a health care profession and a major component of the health care delivery system, is significantly affected by shifts in the health care industry. In addition, nursing has been and will continue to be an important force in shaping the future of the health care system.
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ANTITHYROID DRUGS
Antithyroid drugs are drugs used to lower the functional capacity of hyperactive thyroid glands, they are hormone antagonists actions upon thyroid hormones.
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ANTI-TUBERCULAR AGENTS
here are 4 primary drugs (first-line) used in the treatment
(RIFAFOUR)
Rifampicin (R)
Isoniazid (H)
Pyrazinamide (Z)
Ethambutol (E)
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Antiseptics and Disinfectants
Antiseptics and disinfectants are locally acting
antimicrobial drugs. These agents are used to reduce acquisition and transmission of infection. Drugs suitable for antisepsis and disinfection cannot be used internally because of toxicity. As a rule, agents used as disinfectants are too harsh for application to living tissue
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Antianginal drugs and anticoagulants
CAD involves changes in the coronary vessels that promote atheromas, which narrow the coronary arteries and decrease their elasticity and responsiveness to normal stimuli.
• Angina pectoris occurs when the narrowed vessels cannot accommodate the myocardial demand for oxygen.
• When a coronary vessel is completely occluded, the cells that depend on that vessel for oxygen become ischemic, then necrotic, and die (MI).
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GRADE 8 MATHEMATICS SCHEME TERM 2
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Explore comprehensive Grade 8 Rationalized mathematics Term 2 schemes of work. Elevate teaching strategies with structured lessons for effective classroom delivery.
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