Bowel Elimination, Med. Admin., Sleep, Documentation
Terms
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- Pure Food & Drug Act
- 1906; est. US Pharmacopia
- Harrison Narcotic Act
- 1914; classified meds as habit forming
- Federal Food, Drug, & Cosmetic Act
- 1938; 1st law to req. proof of safety to market a drug; ensures safety
- Kefauver-Harris Amendment to the 1938 FFDCA
- 1962; est. government programs to promote tx. of dependence to Rx. meds
- Controlled Substances Act
- 1970;
- 5 rights
-
1) right patient
2) right drug
3) right dose
4) right route
5) right time
6) right documentation
7) right allergies - 3 checks
-
1) before preparing
2) while preparing
3) before administering to pt. - A state of mental, physical, and spiritual activity that leaves a person feeling refreshed, rejuvenated, and ready to resume the activities of the day
- REST
- A sustained altered state of consciousness that involves a rhythmic pattern of repeated cycles
- SLEEP
- stimulating, alert, awake
- RAS
- depressing, sleep
- BSR
- Sleep cycles
-
NREM1--relaxed wake
NREM2--more rapid wave, alpha
NREM3&4--delta waves; stage 4 is deepest
REM--lmportant in cognitive fx. and memory - In _____________ sleep, the parasympathetic nervous system is active and slows everything down.
- NREM
- cataplexy
- sudden muscle weakness, emotional outburst
- narcolepsy
- sudden, overwhelming sense of drowsiness during wakeful hours. Tx. includes CNS stimulants
- OSA
- obstructive sleep apnea, muscles relax and cause obstruction; TX. is CPAP
- CSA
- central sleep apnea; control center in brain
- extrinsic sleep disorders
- inadequate sleep hygiene, insufficient sleep syndrome, hypnotic dependent; alcohol dependent; sleep disorders
- Parasomnias
- sleepwalking, sleep terrors, sleep talking, bruxism, enuresis
- Dyssomnias
-
intrinsic--narcolepsy and sleep apnea
extrinsic
circadian rhythm sleep d/o - Anxiolytics
- decrease anxiety
- Sedatives
- causes relaxation
- Hypnotics
- puts you to sleep
- benzodiazepines
- Ativan, lorazepam; depresses CNS
- nonbenzodiazepams
- Ambian; barbituates, chloral hydrate, paraldehyde (Paral)