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Module 6Specialty NursingConcept Mapping
• Studying for Specialty Nursing• Concept Mapping
• Example: Pediatric Cardiac Disorder– Compare
• Fetal blood flow• Post-natal blood flow
– What disorders can occur when circulatory transition does not proceed as expected?
Adult A&P
Fetal A&P
Patent Ductus Arteriosis
Higher Pressure
Lower Pressure
• Ductus arteriosus doesn’t close (like it should) after birth
• Aorta has higher pressure than Pulmonary Artery after birth, so…– oxygenated blood returns to Pulmonary artery
instead of to Body– Blood goes back through lungs even though it
doesn’t need to.
• General concerns or nursing diagnoses?– Risk for fatigue, impaired gas exchange, reduced
oxygenation, difficulty breathing
• Specific symptoms/complications based on A&P or Med-Surg?– Tachypnea, Tachycardia (why?)– Cardiac Heart Failure if not treated early– Heart murmur
• General nursing care for Cardio-Respiratory– Improve breathing (high/semi fowler’s, rest)– Grouping care to allow rest– Oxygen therapy
• Specific diagnostics or medical interventions– Diagnostics:
• Chest radiograph, EKG, Echocardiogram, Cardiac Catheterization– Medical interventions:
• Surgical ligation, Giving IV indomethacin
• Specific to the Med-Surg– Care post-cardiac catheterization– Fluid volume status– Prevention of Infection– Preparation for surgery and/or IV therapy– Post-op teaching
• Specific to Pediatrics– Signs of fatigue in infants include weak suck, tiring
quickly with feeding, poor weight gain– Risk for Failure to Thrive (i.e. less than expected
weight gain)– Age at which this usually happens, is identified, is
treated– Developmentally appropriate levels of
understanding and teaching for child– Teaching parents
Atrial Septal Defect
Higher Pressure
Lower Pressure
• Your teacher jumps randomly from topic to topic during lecture?
• Assignments/Exams seem disorganized?
• Instructor gets frustrated when the entire class doesn’t seem to “get it?”
• Largely misunderstand• Poorly taught• Awesome learning tool• Under utilized• Connects similar concepts from different
areas of knowledge
• Develops flexible thinking– Not linear (neither is Critical Thinking!)– Applies well to exam questions
• Teaches you to focus on the BIG picture– Not get lost in the details
You’ll surprise yourself with how much you know!
• As a care plan– Too linear– Duplicates what you’re already doing
• Oversimplified• Finish too quickly• Only with an open book
• As a study tool• Practice• Spend time on it• Start brainstorming• Write it down, even if:
– You’re not 100% sure– It seems too obvious/easy
• Check your ideas LATER– Why do it this way?
• Can do it alone or with a group• Write it out until it becomes second nature
What to do when you
administer IM Morphine
Concept Mapping
What to do when you
administer IM Morphine
Morphine is a
Narcotic
Concept Mapping
What to do when you
administer IM Morphine
Nursing Assessments
before administering
Narcotics
Morphine is a
Narcotic
Concept Mapping
What to do when you
administer IM Morphine
Nursing Assessments
before administering
Narcotics
Morphine is a
Narcotic
Concept Mapping
BP
Respirations
What to do when you
administer IM Morphine
Nursing Assessments
before administering
Narcotics
Morphine is a
Narcotic
Concept Mapping
BP
Respirations
Normal =120/80
Normal=12-20 per min
Low= <12 per min
What to do when you
administer IM Morphine
Nursing Assessments
before administering
Narcotics
Morphine is a
Narcotic
Concept Mapping
BP
Respirations
Normal =120/80
Normal=12-20 per min
Low= <12 per min
Decreased Respirations
What to do when you
administer IM Morphine
Nursing Assessments
before administering
Narcotics
Morphine is a
Narcotic
Concept Mapping
BP
Respirations
Normal =120/80
Normal=12-20 per min
Low= <12 per min
Decreased Respirations
Intended Effects of Narcotics
What to do when you
administer IM Morphine
Nursing Assessments
before administering
Narcotics
Morphine is a
Narcotic
Concept Mapping
BP
Respirations
Normal =120/80
Normal=12-20 per min
Low= <12 per min
Decreased Respirations
Intended Effects of Narcotics
Pain Relief
What to do when you
administer IM Morphine
Nursing Assessments
before administering
Narcotics
Morphine is a
Narcotic
Concept Mapping
BP
Respirations
Normal =120/80
Normal=12-20 per min
Low= <12 per min
Decreased Respirations
Intended Effects of Narcotics
Pain Relief
What to do when you
administer IM Morphine
Nursing Assessments
before administering
Narcotics
Morphine is a
Narcotic
Concept Mapping
BP
Respirations
Normal =120/80
Normal=12-20 per min
Low= <12 per min
Decreased Respirations
Intended Effects of Narcotics
Pain Relief
Adverse Effects of Narcotics Constipation
DEATH
What to do when you
administer IM Morphine
Nursing Assessments
before administering
Narcotics
Morphine is a
Narcotic
Concept Mapping
BP
Respirations
Normal =120/80
Normal=12-20 per min
Low= <12 per min
Decreased Respirations
Intended Effects of Narcotics
Pain Relief
Adverse Effects of Narcotics Constipation
DEATH
What to do when you
administer IM Morphine
Nursing Assessments
before administering
Narcotics
Morphine is a
Narcotic
Concept Mapping
BP
Respirations
Normal =120/80
Normal=12-20 per min
Low= <12 per min
Decreased Respirations
Intended Effects of Narcotics
Pain Relief
Adverse Effects of Narcotics Constipation
DEATH
How to Administer IM Injection
What to do when you
administer IM Morphine
Nursing Assessments
before administering
Narcotics
Morphine is a
Narcotic
Concept Mapping
BP
Respirations
Normal =120/80
Normal=12-20 per min
Low= <12 per min
Decreased Respirations
Intended Effects of Narcotics
Pain Relief
Adverse Effects of Narcotics Constipation
DEATH
How to Administer IM Injection
Select site
What to do when you
administer IM Morphine
Nursing Assessments
before administering
Narcotics
Morphine is a
Narcotic
Concept Mapping
BP
Respirations
Normal =120/80
Normal=12-20 per min
Low= <12 per min
Decreased Respirations
Intended Effects of Narcotics
Pain Relief
Adverse Effects of Narcotics Constipation
DEATH
How to Administer IM Injection
Select site
Personal Precautions
Infection Control
Wash Hands
Clean injection
site
Wear gloves
Antihistamine
Concept Mapping
Dry Eyes
Anticholinergic
Urine
Retention
Constipation
Dry Mouth
Diphenhydramine
(Benadryl)
atropine
Antihistamine
Concept Mapping
Dry Eyes
Anticholinergic
Urine
Retention
Constipation
Dry Mouth
Diphenhydramine
(Benadryl)
atropine
Opposite
acetylcholine
Cholinergic
Antihistamine
Concept Mapping
Dry Eyes
Anticholinergic
Urine
Retention
Constipation
Dry Mouth
Diphenhydramine
(Benadryl)
atropine
Opposite
acetylcholine
Cholinergicloratidine
(Claritin)
2nd
Generation
No Anticholinergic Effects
Gastro-Esophageal
Reflux Disease (GERD; Acid
Reflux)
Symptoms
Concept Mapping
Nursing Care
Teaching
Complications
CausesMedications
Studying in Nursing School
Concept Mapping
• A nurse prepares for a Denver Screening II of a three-year-old child in the clinic. The mother asks the nurse to explain the purpose of the test. What is the nurse’s best response about the purpose of the Denver Screening II?
A. It measures a child’s intelligence.B. It assesses a child’s development.C. It evaluates psychological responses. D. It helps to determine problems.
(Taken from “Question of the Week” Widget at http://learningext.com on 7-17-11)
• A nurse prepares for a Denver Screening II of a three-year-old child in the clinic. The mother asks the nurse to explain the purpose of the test. What is the nurse’s best response about the purpose of the Denver Screening II?
A. It measures a child’s intelligence.B. It assesses a child’s development.C. It evaluates psychological responses. D. It helps to determine problems.
(Taken from “Question of the Week” Widget at http://learningext.com on 7-17-11)