Med. ClassCommon Side EffectsNursing ImplicationsAntiarrhythmicsNorpace (disopyramide)TachycardiaControl arrhythmia by inhibiting abnormal electrical conduction of the heartLight-headedness, hypotension, bradycardia, taste perversion, urinary retention, & inflammationMonitor BP, HR, & rhythmAnticoagulantsCoumadin (warfarin)Atrial fibrillationDeep Vein Thrombosis (DVT)Blocks clot formationBleedingMonitor PT, INR, PTT (coagulation lab studies)AntidiabeticsGlucotrol (glipizide)Type 1Stimulate insulin releaseHypoglycemiaAdminister before breakfastAntihypertensivesACE Inhibitors Adrenergic blockersHypertensionDecease blood pressureOrthostatic hypotensionEducate patient to rise slowlyAnti-inflammatoriesCelebrex (celecoxib)PainInhibit the synthesis of prostaglandin providing analgesic effectHeadacheAdminister with food1Lincoln Memorial UniversityCaylor School of NursingNursing 115Fall 2008 UNIT VII LESSON PLAN: Safety, Activity and Rest DATES & TIMES: See Class Schedule OBJECTIVES: Upon the completion of this unit, the student will be able to demonstrate in the clinical/campus laboratory setting, in individual and group conferences, and on written materials, the ability to: 1. Describe ways in which the patient’s safety can be promoted in the home and health care setting.2. Discuss safety risks across the lifespan.3. Describe safety devices used in health care settings, and indications for their use.4. Describe nursing responsibilities for fire safety.5. Describe preventive strategies to decrease the incidence of patient falls.6. Utilize the nursing process to develop a plan of care for a patient with safety needs.7. Explain ways to maintain a safe environment for patients with sensory alterations.8. Describe the role of the skeletal, muscular, and nervous system in the physiology of movement.9. Identify variables that influence body alignment and mobility.10. Differentiate isotonic, isometric, and isokinetic exercise.11. Describe the effects of exercise and immobility on major body systems.12. Discuss the safe use of assistive devices when ambulating and positioning patients, including proper body mechanics.13. Describe the psychosocial effects of immobilization.14. Utilize the nursing process to plan care for an immobilized patient.15. Describe circadian rhythms and their influence on biological function.16. Describe the characteristics of each stage of the sleep cycle.17. Compare and contrast the sleep requirements of patients at different adult age levels.18. Describe the functions of sleep.19. Identify factors that normally promote and disrupt sleep.20. Discuss characteristics of common sleep disorders.21. Utilize nursing process for patients with sleep disorders.22. Describe how room environment affects rest and sleep.23. Recognize the nurse’s legal responsibilities in drug prescription and administration.24. Describe drug names, types of preparation and types of drug orders. 25. Discuss adverse effects of drugs, including allergy, tolerance, cumulative effect,idiosyncratic effect, and interactions.26. Calculate drug dosages, using the various systems of equivalents.27. Describe principles used to safely prepare and administer medications, orally, parenterally, topically, and by inhalation.28. List the essential information that is included in a correctly stated medication order.29. Describe principles used to safely prepare and administer medications orally, 8/082parenterally, topically, and by inhalation.30. Outline information necessary in obtaining a patient’s medication history.31. Use the nursing process to meet patient needs specific to medication administration.32. Discuss factors unique to an individual that influence drug actions.33. Describe factors to consider in choosing routes of drug administration.34. List the 7 rights of drug administration.35. Explain the different sites and equipment used in each type of injection. 36. Use military time in administering, documenting medications.TOPICAL OUTLINE: I. SafetyA. Environmental HazardsB. Risks factors affecting safety in adultsC. Safety and the Nursing Process1. Assessment of Behavior/Stimulia. Historyb. Physical assessmentc. Environmentd. Risk factor assessment2. Nursing Diagnosis3. Goal Setting4. Interventiona. Identification of related issues1. Adult 2. Older adultb. Teaching safety1. Prevention2. Use of Safety Checklists5. Evaluation 6. Documentation II. ActivityA. Overview/DefinitionsB. Effects of Body Mechanics on Body Systems1. Adaptive Responses (Benefits)2. Ineffective Responses (Complications)3. Types of Exercisea. Isotonicb. Isometricc. IsokineticC. Immobility and the Nursing Process1. Assessment of Behavior/Stimulia. Nursing Historyb. Physical Assessment1. Gait2. Alignment3. Joint structure and function4. Mass, tone, strength8/0835. Endurance2. Nursing Diagnosisa. mobility vs. immobilityb. problem vs. etiology3. Goal Setting4. Interventiona. Positioningb. ROM exercisesc. Safety related to activityd. Physical conditioninge. Use of assistive devicesf. Teaching regarding exercise programs/activity5. Evaluation6. DocumentationIII. Rest and Sleep as a Basic NeedA. Basic Concepts/Definitions1. Rest2. Sleep3. Circadian rhythmsB. Physiology of Sleep1. Stages of sleepa. NREMb. REM2. CharacteristicsC. Factors Affecting Sleep1. Developmental considerations2. Motivation3. Culture4. Lifestyle/Habits5. Environment6. Stress7. Illness8. MedicationsD. Common Sleep Disturbances1. Parasomniasa. Somnambulismb. Sleep talkingc. Bruxism2. Dysomniasa. Insomniab. Narcolepsyc. Sleep apnead. Sleep deprivationE. Sleep and the Nursing Process1. Assessment of Behavior/Stimulia. Sleep Historyb. Sleep Diaryc. Physical Assessment8/0841. Snoring2. Nocturnal myoclonus2. Nursing Diagnosisa. Problemb. Etiology3. Goal Setting4. Interventiona. Environmentb. Ritualsc. Dietaryd. Relaxation techniquese. Comfortf. Sleep/wake patternsg. Provision of nursing care5. Evaluation6. DocumentationF. Pharmacological Management (See accompanying medication list)1. Sedatives2. Hypnotics3. Related Medicationsa. Antianxiety (Anxiolytics)b. Antihistaminesc. Narcoticsd. AmphetaminesIV. Administering MedicationsA. Drug NomenclatureB. PharmacokineticsC. Terminology1. Serum drug levelsa. Therapeutic levelb. Peakc. Troughd. Threshold2. Adverse effects1. Allergic reactions2. Anaphylaxis3. Cumulative effect4. Tolerance5. Toxicity6. Idiosyncratic effectD. Routes of AdministrationE. Medication Delivery1. Components of medication orders2.