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Lab 2, NRSG 261

1. Understand the difference in oxygen administration via Nasal Prongs and


Hudson Mask.
-

Nasal Prong
Deliver flow rate 1- 4 L/min
>5L?min not recommended due
to drying out of the nasal
mucosa
Inspired O2 will reduced I the
patients mouth breath
Inexpensive and comfortable:
all patient to eat or talk without
dstrubpting O2 therapy
App. O2 perscentage
1L/min 24 %
2L/Min 28 %
3L/min 32 %
4L/min 35 %

Hudson Mask
Flow rate > 4 L/min
recommended to prevent
rebreathing of expired CO2
Most commonly used
02 percentage on O2 flow rate,
mask fit and patient inspiratory
effort
App. O2 perscentage
4L/min 35 %
6L/Min 45 %
8L/min 50 %
14L/min 65 %

2. Identify the minimum assessment criteria to accept a post-operative


patient from the Post Anaesthetic, Recovery Room (PACU).
Ans:
- Assessment of vital signs and overall patient status
- Fluid balance and intravenous infusion status
- Appropriate drug order eg pain medication
- Patient note
3. Safe medication administration concepts (communication, checks and
assessments).
4. Basic principles of asepsis.
5. Connecting and priming a gravity line.
6.
Ans:
-

Post-operative nursing management


Assessing the patients vital signs, skin color, depth of consciousness
Maintaining a patient airways
Maintaining cardiovascular stability
o Patient mental status, cardiac rhythm, temperature, output
o Central venous pressure, arterial lines and pulmonary artery
pressure
o Check compilations e.g. hypotension, hypertension, shock,
haemorrhages, dysarrythmia, febrile
Relieving pain and anxiety
Assessing and managing the surgical site: bleeding, drains, dressing, signs
of infections
Assessing and managing GI functions: nausea and vomiting, check patient
peristalsis movement

Assessing and management of voluntary voiding


Encourage activities

1. Complete the following table and show to your lab facilitator prior to
administering the drug.
Drug:
Gentamicin Sulfate
Pharmacokinetics
(how it works physiologically)

What are its indications?


(why someone would have it)

What are its adverse reactions?

How do you prepare it?

What are the various methods


by which it can be
administered?

What are the nursing


considerations when
administering the medication?

DRUG CALCULATION PRACTICE


2. 1L flask of Normal Saline 0.9% is ordered for your patient to be given through
an infusion pump
over 6 hours. How many mL/hr would the patient receive? Show your working.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
3. You now have to set the parameters on the infusion pump. What would your
settings be?
VTBI (Volume to be infused) (ml) _______________________
Rate (ml/hr) ___________________________________________

4. 500ml of Hartmanns is ordered to be administered via an infusion pump over


4 hours. What is
the rate in mL/h? Show your working.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
5. Now set the parameters on the infusion pump.
VTBI (Volume to be infused) (ml) _______________________
Rate (ml/hr) ___________________________________________

POST ANAESTHETIC RECOVERY ROOM

6. What assessments should a ward nurse undertake on a patient in the post


anaesthetic recovery
unit (PARU) prior to accepting them back to the ward? Describe the minimum
assessment
criteria acceptable in this situation.

_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Scenario 1 Michael Blackman

You are now the scrub nurse in theatre. The OT admissions nurse receives
Michael from the ward and
checks his pre-op documentation. He is now wheeled into theatre where you
complete the final check
of his documentation.

Lab Activities/Skills
1. IV Fluids (burette/pump)
2. IVAB Gentamicin
3. Drug Calcs Practice (Quiz week 6)
4. SIMULATION Picking up a patient from PARU and debrief