Diabetes/Acid-Base Balance/Respiratory System
8. The student will explain nursing management of patients with diabetes mellitus.
DIABETES MELLITUS - metabolic disorder characterized by non utilization of CHO, CHON,& fat
InsulinsExogenous insulin restores the pts ability to metabolize carbohydrates, fats, and
proteins, to store glucose in the liver, and to convert glycogen to fat stores.
Does not reverse defects in insulin receptor sensitivity
Required by persons with typ
Mental Health Objectives
The student will explain the concepts of psychiatric mental health nursing.
a. Describe the continuum of mental health and mental illness.
Mental Health- state of well-being in which individual is able to realize his or her ow
Psych HESI Hints
1. The purpose of therapeutic interaction with clients is to allow them the autonomy to make
choices when appropriate. Keep statements value-free, advice-free, and reassurance-free.
Remember, just the facts! No opinions!
2. What action sh
1. The student will explain depressive disorders.
a) Describe the types of depressive disorders.
Serotonin Syndrome- Tachycardia, hypertension, elevated temperature, altered mental
status/mood, hyperactivity, seizures
Major depressive disorder- persiste
Can be used for monotherapy or in combination
MOA: Decreases Plasma and ECF volume> Decreased Preload> Decreased CO &
PVR> Decreased workload of the heart
o Inhibit resorption of Na, K, Cl
o Cause direct relaxation of arterioles> Dec
Dipyridamole: inhibit platelet aggregation by preventing release of ADP, platelet factor IV
May also stimulate release of prostacyclin
Used in adjunct with warfarin in prevention of post op thromboembolic complications
Chapter 44 Nutrition
(birth to 1 year)
Foods to suggest to patient (KNOW THESE!)
Provide most of the bodys energy and fiber.
o Whole grain breads
o Baked Pot
WEEK 1 CHAPTERS 24, 28, 29 AND 43
Phases of the helping
Describe the phase, and give an example of what might the might do in each
Occurs before meeting the patient
Eyes: begin the eye assessment by noting distribution of the eyebrows and eyelashes.
Look for dropping of upper eyelids and sagging of lower lids, note color of the sclera,
and look for inflammation of the conjunctiva.
WEEK 8 Chapter 9, 10, 33, 35, 36, 37
Chapter 9 - Culture
READ p. 109 Box 9-3 and 9-4
Why is it important to
understand ethnocentrism in
relation to patient care?
List 4 interventions that a nurse
can apply when dealing with
different cultural beliefs and
Week 3 Sensory Perception
Common Sensory deficits Pg 1235
Cataract: cloudy or opaque areas in part or all of the lense that interfere with the passage of light
through the lens, causing problems with gl
Nursing diagnosis: ineffective breathing pattern related to COPD as
evidence by a constant cough, activity intolerance and orthopnea.
the patient will achieve improved respiratory function as evidence
Respiratory: begin the assessment by counting respiratory rate and look at breathing patterns, a
rate of 12-20 is normal in adults and breathing should be deep or shallow as well as effortless.
Compare the expiratory an
LOC, general patient survey & vital signs: always start by assessing the patient level
of consciousness is he/she alert and able to respond appropriately, are they oriented to
person, place, time (A&O x 3). For patient t
WEEK 5 chapters 31 & 32 (ATI 42, 46, 47, 48, 50, 51)
Absorption is the transmission of meds from the
Discuss absorption - what is important to know
location of administration (GI, muscle, skin, subq
tissue) to the blood
FLUID AND ELECTROLYTES AND ACID-BASE BALANCE
IDENTIFY THE MAJOR FLUID COMPARTMENTS AND THE ELECTROLYTES IN EACH
Intracellular Fluids (ICF) All fluid within body cells. Approximately 40% of body weight RBC have
intracellular fluid in them