![]() CATEGORIES: BiologyChemistryConstructionCultureEcologyEconomyElectronicsFinanceGeographyHistoryInformaticsLawMathematicsMechanicsMedicineOtherPedagogyPhilosophyPhysicsPolicyPsychologySociologySportTourism |
THE FUNCTIONS OF ARTICLES WITH COMMON NOUNSMedical Equipments: Medication Administration Record (MAR) Prescribed Rectal suppository Water Soluble Lubricant (K-Y Jelly) Non-sterile Gloves Tissue Bedpan (as optional)
Nursing Procedures: Identify any allergies that patient has Gather necessary equipments Determine the written order on MAR Wash your hands Check the patient’s identification As patient if she or he wants to void Explain the procedure to the patient briefly Don non sterile gloves Place patient in the Sim’s left lateral position with the upper leg flexed Open the package of lubricant and remove the foil wrapper from the suppository Apply a small amount of lubricant to the smooth rounded end of the suppository Lubricate the gloved index finger Ask the patient to breathe through the mouth Insert the suppository into the rectal canal beyond the internal sphincter about 4 inches for an adult and 1 inch for a child Avoid inserting the suppository into feces Withdraw the finger and wipe the anal area with tissue Ask patient to remain in bed for 15 minutes and to resist urge to defecate Remove glove and wash hand Record the name of the drug, dosage, route, and time of administration on MAR Observe the effectiveness of medication
Oral Medications: Pills - Can be swallowed directly or sublingual (leave these under the tongue until dissolved) - Open pack & drop into medicine cup Granule/ Powders - Pour into a cup up to correct dosage Liquids - Unit dose is a sealed container - Water based liquid - read meniscus down - Oil based liquid - read meniscus up
Parentral Meds: Syringes - Unit doses and self prepared - The numbers represent: 1. Volume 2. Gauge of needle (diameter of inside of needle) the higher the number the smaller the needle hole 3. Length of needle - Insulin syringes and needles - Tuberculin syringes and needles - The color of the packaging represents the gauge of the needle - All needles are interchangeable except for the insulin syringe - The tuberculin syringe is not lure-locked, needle pulls off- can measure in tenths and hundredths- pediatrics
- 2 types of insulin syringes - a. 100 U = 1cc - each line = 2 Units b. 50 U - each line = 1 Unit - Unit dose syringe comes prefilled by the company - usually use entire contents - discard what will not be used. - Tubex syringe - cartridge with holder - prefilled - discard into sharps container.
Administering a Metered Dose Inhaler (self administration)
Equipments: Medication Administration Record (MAR) Inhaler Non-sterile Gloves Wash basin or sink to rinse mouth Tissue (optional)
Nursing Actions: Check any allergies that patient has or any medical condition that is contraindicated with the use of thd drug Obtain all equipments Check the written order on MAR Wash hands Follow the five right of medication administration Check the patient identification Allow the patient o hold and manipulate the canister and explain how the canister fits into the inhaler. Have the patient demonstrate the insertion of the canister Discuss the metered-dose concept and frequency of dose to the patient Explain that the inhaler should be shaken before each use Remove the mouthpiece and cap from the bottle and insert the stem into the small hole on the flattened portion of the mouthpiece. The patient should grasp the inhaler with thumb and first two fingers Instruct the patient to exhale, place the mouthpiece into the mouth and tighten the lips (seal) around the mouthpieces Ask the patient to firmly push the cylinder down against the mouthpiece only once, while slowly inhaling until the lungs feel full Instruct the patient to remove the mouthpiece while holding the breath for about 10 seconds then exhale slowly through pursed lips Repeat the doses as prescribed and waiting 1 minute between puffs A mouthwash can be use by the patient to remove the taste of the medication Demonstrate to the patient how to wash the mouthpiece under tepid running water to remove secretions If two or more inhaler medication are prescribed, wait 5-10 minutes between inhalations or as specifically ordered by physician Record all the drug’s name, dose, date, and time for medication on MAR Observe for effectiveness of medication and relief of the patient’s symptoms THE FUNCTIONS OF ARTICLES WITH COMMON NOUNS The Indefinite Article § 2. With countable nouns, both concrete and abstract, the in- e.g. He gave her a cigarette and lighted it. There came a tap at the door, and a small elderly man en- This function may be called the nominating function. But at the same time, owing to its origin from the numeral The idea of oneness may sometimes become quite prominent. It a) ahundred, a thousand, a minute, a mile, etc. b) after the negative not — not a word, not a trace, not a c) in some set phrases — one at a time, at a draught (as in: § 3. When the speaker uses the indefinite article, he just e.g. I think he is a stupid fellow. Presently the Browns arrived. They brought with them a small child, a governess and a dog. In contrast to this, the definite article usually indicates that a e.g. I bought a book yesterday. From the first sentence the hearer learns what object was In the Russian language which has no article, the centre of Cf.
 êîìíàòó âáåæàë ìàëü÷èê. ðåíöèþ. â ìàå.
This distinction between the two articles is very helpful in e.g. a) A camel can carry heavy loads, It follows from the above examples that the use of the indefi- § 4. With uncountable nouns, the indefinite article serves to e.g. A dull burning anger rose in his chest. In this case the noun is usually qualified by an attribute which The Definite Article § 5. When used with countable nouns, either concrete or ab- 1) It may be used with singular and plural nouns to show that e.g. The car stopped. Paul got out and stretched himself. As we stood on the steps, we felt the smell of fallen leaves coming from the garden. 2) The definite article may also have the generic function with e.g. The tiger has always had the reputation of being a man-eater. §6. With uncountable nouns, the function of the definite arti- The definite article restricts the material denoted by a concrete e.g. a) He slowly pulled on his gloves, concentrating on each foldin the leather. b) The work seemed to consist chiefly of interviewing youngwomen for jobs in department stores. Absence of the Article (the Zero Article) § 7. The absence of the article (the zero article) has only one This function of the zero article may be found with countable e.g. Marion came round the corner of the house, wearing garden- My mother gave me some pennies to buy apples or a magazine. She had a splitting headache and took an aspirin and sleep- The nominating function of the zero article is also found with e.g. Last night I felt friendship and sympathy for Henry, but to- Date: 2014-12-29; view: 2013
|