1. Module 6 Specialty Nursing Concept Mapping

2. Studying for Specialty Nursing Concept Mapping

3. Memorizing 100 extra medications, arcane lab tests, treatment of rarely seen disorders “Nice to Know” Pediatrics, Maternity, Psychiatric, Community Specialty Areas of Nursing Specific pathophysiology for each disorder and the associated Nursing Care Medical-Surgical Nursing Pt Safety and Comfort, Hands on skills, lab tests and normal values, Fluids & Electrolytes, Vocabulary Fundamentals of Nursing Anatomy & Physiology, Microbiology, General Pathophysiology, Vocabulary Basic Sciences and Math

4. How body works normally Anatomy & Physiology Identify what is “broken” Medical Surgical Specialty Nursing Predict set of symptoms A & P Pathophysiology Select nursing care for symptom set Fundamentals

5. Example: Pediatric Cardiac Disorder – Compare Fetal blood flow Post-natal blood flow – What disorders can occur when circulatory transition does not proceed as expected?

6. How body works normally Anatomy & Physiology Identify what is “broken” Medical Surgical (Specialty Nursing) Predict set of symptoms A & P (Pathophysiology) Select nursing care for symptom set Fundamentals

7. Adult A&P

8. Fetal A&P

9. How body works normally Anatomy & Physiology Identify what is “broken” Medical Surgical (Specialty Nursing) Predict set of symptoms A & P (Pathophysiology) Select nursing care for symptom set Fundamentals

10. Patent Ductus Arteriosis Higher Pressure Lower Pressure

11. 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.

12. How body works normally Anatomy & Physiology Identify what is “broken” Medical Surgical (Specialty Nursing) Predict set of symptoms A & P (Pathophysiology) Select nursing care for symptom set Fundamentals

13. 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

14. How body works normally Anatomy & Physiology Identify what is “broken” Medical Surgical (Specialty Nursing) Predict set of symptoms A & P (Pathophysiology) Select nursing care for symptom set Fundamentals

15. General nursing care for Cardio-Respiratory – Improve breathing (high/semi fowler’s, rest) – Grouping care to allow rest – Oxygen therapy

16. 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

17. 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

18. Atrial Septal Defect Higher Pressure Lower Pressure

20. 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?”

21. Largely misunderstand Poorly taught Awesome learning tool Under utilized Connects similar concepts from different areas of knowledge

22. 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

23. You’ll surprise yourself with how much you know!

24. As a care plan – Too linear – Duplicates what you’re already doing Oversimplified Finish too quickly Only with an open book

25. 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

26. 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

27. What to do when you administer IM Morphine Concept Mapping

28. What to do when you administer IM Morphine Morphine is a Narcotic Concept Mapping

29. What to do when you administer IM Morphine Nursing Assessments before administering Narcotics Morphine is a Narcotic Concept Mapping

30. What to do when you administer IM Morphine Nursing Assessments before administering Narcotics Morphine is a Narcotic Concept Mapping BP Respirations

31. 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

32. 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

33. 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

34. 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

35. 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

36. 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

37. 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

38. 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

39. 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

40. 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

41. Antihistamine Concept Mapping Dry Eyes Anticholinergic Urine Retention Constipation Dry Mouth Diphenhydramine (Benadryl) atropine

42. Antihistamine Concept Mapping Dry Eyes Anticholinergic Urine Retention Constipation Dry Mouth Diphenhydramine (Benadryl) atropine Opposite acetylcholine Cholinergic

43. Antihistamine Concept Mapping Dry Eyes Anticholinergic Urine Retention Constipation Dry Mouth Diphenhydramine (Benadryl) atropine Opposite acetylcholine Cholinergic loratidine (Claritin) 2 nd Generation No Anticholinergic Effects

44. Gastro- Esophageal Reflux Disease (GERD; Acid Reflux) Symptoms Concept Mapping Nursing Care Teaching Complications CausesMedications

45. Studying in Nursing School Concept Mapping

46. 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)http://learningext.com

47. 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)http://learningext.com