Module 6 Specialty Nursing Concept Mapping. Studying for Specialty Nursing Concept Mapping

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)