Fluids and Electrolytes Nursing lecture

Complete Fluids and Electrolytes Nursing lectures

Contains detailed explanation on the colloid, osmotic pressure, etc.

Hyponatremia, Hypernatremia, Hypokalemia, Hyperkalemia etc.

Principles of Sterile and Aseptic Technique Nursing lecture

This nursing lecture contains a detailed explanation on the Principles of Sterile and Aseptic technique. Sterile and Asepsis has been differentiated. Famous people and advocates of these principles are also discussed in this nursing lecture

1. • WHAT IS THE DIFFERENCE BETWEEN ASEPSIS AND STERILE TECHNIQUE??
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2. • Ignaz Semmelweis – handwashing
   • Louis Pasteur – germ theory
   • Robert Koch – use of bichloride of mercury as an antiseptic
   • Joseph Lister – Father of modern Surgery
   • Gustav Neuber – used mercuric cholride in cleaning his apron
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3. • Louis Pasteur
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4. • Ignaz Semmelwies
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5. • Joseph Lister
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6. • Gustav Neuber
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7. • Robert Koch
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8. • Airborne
   • Droplet
   • Contact
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9. • SKIN
   • HAIR
   • NASOPHARYNX
   • HUMAN ERROR
   • CROSS-INFECTION
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10. • FOMITES
    • Air
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11. • Community Acquired Infection
    • Communicable Infection
    • Spontaneous Infection
    • Nosocomial Infection – Exogenous and Endogenous
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12. • Air-Conditioning System
    • Laminar Air System
    • Doors
    • Traffic and Movement
    • Lint
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13. • Protective barriers and personal protective equipment
    • Prevention of puncture injuries
    • Management of puncture injuries
    • Oral Procedures
    • Care of specimens
    • Decontamination
    • Laundry
    • Waste
    • Handwashing
    • No touching of mucous membranes
    • Prophylaxis
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14. • Know what is sterile
    • Know what is unsterile
    • Keep the two apart
    • Remedy the contamination immediately
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15. • NO compromise on Sterility
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Sterilization and Disinfection Nursing lecture

This nursing lecture contains different sterilization and disinfection methods. It also compares the two and cites disadvantages and advantages.

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# Terminologies  Antiseptics  Disinfectants  Disinfection  Microorganism  Pathogenic Microorganisms  Sterilization nursinglectures.blogspot.com
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# Methods of Sterilization  A. Physical Sterilization 1. Moist Heat – kills all bacteria by coagulating or denaturing of the protein of the bacteria a. Boiling (non-pressure sterilizer) b. Saturated Steam under pressure (AUTOCLAVE) nursinglectures.blogspot.com

#  2. Dry Heat – recommended for use only where direct contact of material with steam is impractical of not available a. Dry Heat Autoclave (hot air oven) – used for oil, ointment, and powders. nursinglectures.blogspot.com
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#  B. Chemical Sterilization  Accomplished by use of ethylene oxide gas  Ethylene oxide is a chemical agent that kills microorganisms, including spores, by interfering with the normal metabolism of protein and reproductive processes, resulting in death of cells nursinglectures.blogspot.com
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# Shelf-Life  1. Condition of Storage  Free of dust, dirt and vermin  Paper-wrapped/muslin-wrapped items good for 30 days, open shelving 21 days  Protect from extreme temperature nursinglectures.blogspot.com
#  2. Material used for packaging  Muslin and paper wrapped items may be stored for 24-30 days, afterwhich re- sterilization is required, but if sealed in airtight plastic bag, following cooling or aerating, shelf life can be prolonged from 6-12 months nursinglectures.blogspot.com
#  3. Seal of the package  Tape sealed packages wrapped in non- warm fabrics or plastic film can be stored for 3-4 months  4. Integrity of the package nursinglectures.blogspot.com
# Disinfection  It differs from Sterilization by its lack of sporocidal power  Used in the OR to kill microorganisms on inanimate surfaces and objects that cannot be sterilized nursinglectures.blogspot.com
# Limitations of Chemical Disinfection  Doesn’t KILL SPORES  Real STRENGTH not known  LONG TIMING  DIFFICULT to submerge some articles  NOT SUITABLE for some materials  Can cause IRRITATION to tissue  ABILITY to disinfect is limited to max concentration nursinglectures.blogspot.com
# Uses for chemical disinfection  WOVEN  CATHETER  ENDOSCOPIC Instruments  POLYETHYLENE  EYE Surgery nursinglectures.blogspot.com
# Pointers when Using Chemical Disinfection  Free from blood, secretions  Rinse and dry under sterile conditions  Solutions may be rinsed off if practical nursinglectures.blogspot.com
# DISINFECTANTS  Formaldehyde (Formalin)  Glutaraldehyde (Cidex)  Phenol 100%  Lysol  Zephiran Chloride 17% nursinglectures.blogspot.com
# ANTISEPTICS  Hexacholorophene - neurotoxic  Betadine –watch out iodine sensitivity  Mercurochrome  Aqueous Zephiran  Chorhexidine Gluconate nursinglectures.blogspot.com

Operating Room Team Members Nursing Lecture

This nursing lecture contains an introduction to the different Operating Room Team members. The .sterile team members work aseptically and the non-sterile team members avoid contaminating the sterile field

1. • Anesthesia Provider
   • Administers anesthetics
   • CNRA
   • Oversees the PACU
   • CPR
   • Pain therapy
   • consultants
2. • Monitors and coordinates activity within the room
   • Controls physical and emotional atmosphere
   • Application of nursing process
   • Creation and maintenance of safe and comfortable environment
   • Provision of assistance
   • Identification of any potential danger/stress
3. • Surgeon
4. • First Assistant
   • Visibility of SS
   • Close wounds
   • Apply dressing
   • Handles tissue
   • Uses instruments
5. • Scrub Person
   • Maintains integrity of
   • Sterile field
   • May be an RN, LPN/
   • LVN or an ST

Surgical Positioning Nursing Lecture

This nursing lecture includes an introduction to studying Surgical Instrumentation. It contains topics on classification of surgical instruments, proper handling and use. Contains images and explanations.

1. http://nursinglectures.blogspot.com
2.  1. Optimize Exposure for the SURGEON  2. Minimize the for adverse physiologic effects  3. Facilitate by the ANESTHESIA provider  4. Promote for the patient nursinglectures.blogspot.com 2
3.  The Anesthesiologist has the on of the patient  The patient is until the anesthesia provider indicates it is safe to do so. nursinglectures.blogspot.com 3
4.  Patient is  Patient is Assessed for Mobility status  OR bed is securely locked  The anesthesia provider guards the  Body exposure should be minimal  Don’t Cross Ankles(causes DVT) nursinglectures.blogspot.com 4
5.  Respiratory Considerations  Circulatory Considerations  Peripheral Nerve Considerations  Musculoskeletal Considerations  Soft Tissue Considerations nursinglectures.blogspot.com 5
6. nursinglectures.blogspot.com 6
7.  OPERATING BED nursinglectures.blogspot.com 7
8.  Safety Belt (Thigh Strap)  Lift Sheet (Draw Sheet)  Upper Extremity Table  Shoulder Bridge ( Thyroid Elevator)  Shoulder Braces / Support  Body Rests and Braces  Body (Hip) Restraint Strap  Headrests nursinglectures.blogspot.com 8
9.  Anesthesia Screen nursinglectures.blogspot.com 9
10.  Armboard nursinglectures.blogspot.com 10
11.  Positioning for Anal Procedures with Adhesive Tape nursinglectures.blogspot.com 11
12.  Stirrups nursinglectures.blogspot.com 12
13.  Surgical Vacuum Positioning System nursinglectures.blogspot.com 13
14.  Supine (Dorsal) Position nursinglectures.blogspot.com 14
15.  Trendelenburg’s nursinglectures.blogspot.com 15
16.  Reverse Trendelendurg’s nursinglectures.blogspot.com 16
17.  Fowler’s Position nursinglectures.blogspot.com 17
18.  Lithotomy Position nursinglectures.blogspot.com 18
19.  Prone Position nursinglectures.blogspot.com 19
20.  Kraske (Jackknife) Position nursinglectures.blogspot.com 20
21.  PILONIDAL SINUS nursinglectures.blogspot.com 21
22.  Knee-Chest Positions nursinglectures.blogspot.com 22
23.  Lateral Positions nursinglectures.blogspot.com 23
24.  Kidney Position nursinglectures.blogspot.com 24
25.  Beach-Chair Position nursinglectures.blogspot.com 25
26.  Dorsal Position  Dorsal Recumbent  Fowler’s Position  Sitting Position  Lithotomy  Trendelenburg  Reverse Trendelenburg  Prone  Kraske  Knee-Chest Position  Sim’s  Kidney  Chest Position nursinglectures.blogspot.com 26
27. Visit: http://nursinglectures.blogspot.com For more Free Nursing lectures on MS, OB, Psych, OR, And more…. nursinglectures.blogspot.com 27

Perioperative Nursing Introduction to Operating Room Nursing lecture

Introduction to Operating Room Nursing lecture. Contains detailed lecture on the perioperative period, classification and types of surgery, etc.

1. The branch of medicine that deals with the diagnosis and treatment of surgery, deformity or disease by manual or instrumental means.  3 phases : (Perioperative phase) Pre-Operative Intra-Operative Post-operative nursinglectures.blogspot.com
2. nursinglectures.blogspot.com
3. Identification of physiological, psychological, sociological needs of patient and implementation of nursing care Based on the knowledge of the natural and behavioral science In order to restore, or maintain the health and welfare of the patient during and after the surgical intervention nursinglectures.blogspot.com
4.  Correct deformities or defects nursinglectures.blogspot.com
5.  Repair Injuries nursinglectures.blogspot.com
6.  Alter form or structure nursinglectures.blogspot.com
7.  Diagnose and Cure Disease Process nursinglectures.blogspot.com
8.  Relieve Suffering nursinglectures.blogspot.com
9.  Prolong Life nursinglectures.blogspot.com
10. nursinglectures.blogspot.com
11.  Preserve Life  Maintain Dynamic Body Equilibrium  Undergo Diagnostic Procedures  Prevent Infection and Healing  Obtain Comfort  Ensure ability to earn a living  Restore or reconstruct organ that is malformed  To alter cosmetic appearance nursinglectures.blogspot.com
12. Congenital Acquired Trauma Anomalies nursinglectures.blogspot.com
13.  According to Purpose 1. Diagnostic – to establish presence of disease 2. Exploratory – to determine extent of disease 3. Curative – to treat disease condition 4. Ablative – involves removal of an organ 5. Constructive – involves repair of congenitally defective organs 6. Reconstructive – involves repair of damaged organ 7. Palliative – to relieve distressing signs and symptoms, not necessarily to cure nursinglectures.blogspot.com
14.  MAJOR SURGERY – HIGH RISK 1. Extensive 2. Prolonged 3. Large amount of blood loss 4. Vital organ may be handled or removed 5. Great risk of complication  MINOR SURGERY 1. Generally not prolonged 2. Leads to few serious complications 3. Involves less risk nursinglectures.blogspot.com
15.  Emergency – to be done immediately to save life or limb  Imperative – to be done within 24 – 48 hours  Planned / Required – necessary for well-being  Elective – not absolutely necessary for survival, delay or omission will not cause adverse effect  Optional – Requested by the client usually for aesthetic purposes  Day (Ambulatory) - done on an outpatient basis nursinglectures.blogspot.com
16.  Obstructions – impairment to the flow of vital fluids nursinglectures.blogspot.com
17.  Perforations – rupture of an organ nursinglectures.blogspot.com
18.  Erosions – wearing off of a surface or membrane nursinglectures.blogspot.com
19.  Tumors – abnormal cell growth of tissue that serves no physiologic function in the body nursinglectures.blogspot.com
20. 1. Malnutrition 2. Obesity 3. Presence of disease such as : Cardiac problem, URTI, Renal diseases, DM, Liver Diseases 4. Age 5. Concurrent or prior pharmacotherapy 6. Nature of the condition 7. Location of the condition 8. Magnitude and extent of surgical procedure 9. Mental attitude of the person toward surgery 10. Caliber of the professional staff and health care facilities nursinglectures.blogspot.com
21.  Stress response is elicited  Defense against infection is lowered  Vascular system is disrupted  Organ functions may be disturbed  Lifestyles may change nursinglectures.blogspot.com
22.  Prefixes – A, Ecto-, Intra-, Inter-, Pan-, Peri-, Poly-, Pseudo-, Retro-  Suffixes – Algia, -centesis, -copy, -ectomy, - itis, -lith, -logy, -lysis, -oma, -ostomy, -pexy, - plasty, -rrhapy  Rootwords – Adeno, Arthro, Auto, Blephar, Cardio, Cephalo, Cerebro, Cheil, Chole, Cholecyst, Choledocho, Chondro, Colpo, Costo, Cranio, Gastro, Hepar, Hyster, Lapar, Nephro, Oculo, Oophoro, Orchi, Osteo, Oto, Phlebo, Pyel, Salphingo nursinglectures.blogspot.com

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