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    《ISPN学习》总第506期
    《ISPN学习》总第505期
     
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    ​《ISPN学习》总第519期
    日期:2019-08-05 08:05:07    




    《ISPN学习》2019年08月05日总第519期
     
    相识是缘,相知是福;
    风雨兼程,不忘初心;
    有您相伴,奥医感恩。
     
    From the Programs
    From the Programs [课程选粹]栏目登载奥医网站课程材料精选,旨在帮助读者了解奥医ISPN/NCLEX-RN考试复习课程内容,并加深对考试相关内容的学习、掌握[课程详情见网站或点击阅读原文]您的需要就是我们的努力方向。谢谢)
     
    RN-ISPN综合复习课程上线
    《RN-ISPN综合复习讲座》4月15日起陆续上线,每周两讲,预计11月底完成。有需要者请联系ISPN周老师咨询、报名,并感谢各位向有需要的亲朋好友推荐本讲座。详情请登录网站(www.omedin.com)“备考资讯”栏目查询、试听。相关介绍在QQ群“国际护士ISPN”(群号:384099249)及微信公众号ISPN周老师(ISPN-CG)同步发布。谢谢!
     
    想提高专业英语听力吗?想边练听力边增加护理专业知识吗?Listening -- Elementary》(专业英语听力 – 初级)可助你一臂之力。
     
     
    ISPN  Review        
    Nursing Considerations for Patients Receiving Sulfonamides
    磺胺类药物治疗患者的护理考虑
     
    Assessment: History and Examination
    评估:病史与检查
     
    • Assess for possible contraindications or cautions: known allergy to any sulfonamide, sulfonylureas, or thiazide diuretic because cross-sensitivity often results (obtain specific information about the nature and occurrence of allergic reactions); history of renal disease that could interfere with excretion of the drug and lead to increased toxicity; and current pregnancy or lactation status.
     
    评估可能存在的禁忌症或注意事项:磺胺类药、磺脲类药或噻嗪类利尿剂的任何过敏史,因为常常引起交叉敏感(获取有关过敏反应性质或发生率的具体信息);可能影响药物排泄导致毒性增加的肾病史;当前妊娠或哺乳状况。
     
    Perform a physical assessment to establish baseline data for assessing the effectiveness of the drug and the occurrence of any adverse effects associated with drug therapy.
     
    进行体格评估,建立评估药物效果和药物疗法相关不良效应发生率所需的基线资料。
     
    • Examine skin and mucous membranes for any rash or lesions to provide a baseline for possible adverse effects.
     
    检查皮肤、粘膜有无任何皮疹或破损,为可能出现的不良效应提供基线数据。
     
    • Obtain specimens for culture and sensitivity tests at the site of infection to ensure that this is the appropriate drug for this patient.
     
    获取感染部位细菌培养和敏感性试验标本,保证药物适用患者。
     
    • Note respiratory status to provide a baseline for the occurrence of hypersensitivity reactions.
     
    注意呼吸状况,为超敏反应提供基线数据。
     
    • Conduct assessment of orientation, affect, and reflexes to monitor for adverse drug effects and examination of the abdomen to monitor for adverse effects.
     
    实施定向力、情感和反射评估,监测有无药物不良效应;检查腹部,监测有无不良效应。
     
    • Monitor renal function test findings, including BUN and creatinine clearance, to evaluate the status of renal functioning and to determine any needed alteration in dosage. Also perform a complete blood count (CBC) to establish a baseline to monitor for adverse effects.
     
    监测肾功能试验结果,包括BUN和肌酸酐清除率,评价肾功能状态,确定是否需要更改剂量。实施CBC检查,建立不良效应监测基线数据。
     
    Nursing Diagnoses
    护理诊断
     
    Nursing diagnoses related to drug therapy might include the following:
    • Acute Pain related to GI, CNS, or skin effects of the drug
    • Disturbed Sensory Perception related to CNS effects
    • Imbalanced Nutrition: Less Than Body Requirements related to multiple GI effects of the drug
    • Deficient Knowledge regarding drug therapy
     
    药物治疗相关护理诊断可能包括:
    • 急性痛,与药物的GI、CNS、或皮肤效应相关
    • 感官知觉混乱,与CNS效应相关
    • 营养失调:低于身体需要,与药物多重GI效应相关
    • 药物疗法知识缺乏

     
     
    Vocabulary for Today    
    cross-sensitivity  -- 交叉敏感性
    creatinine clearance – 肌酸酐清除率
     
     
    尽快地从茫然中理清复习思路,准确地抓住复习重点,这是每一个考试复习者的一大愿望。“ISPN考试复习要点提示”即是帮您实现这一愿望的利器!该教程已在www.omedin.com陆续上线。
     
     
    Video            
    Nursing Considerations - Antibiotics
     
    Test                 
    1. When providing patient teaching for oral sulfonamide therapy, the nurse should instruct the patient to take the sulfonamide in what way?
    A. At mealtime, when food is available
    B. With soy or nonmilk products
    C. Between meals with a full cup of water
    D. On awakening before breakfast
     
    2. The nurse identifies which statements about Stevens-Johnson syndrome as true? (Select all that apply.)
    A. Patients with Stevens-Johnson syndrome have a mortality rate of about 25%.
    B. Toxemia is associated with Stevens-Johnson syndrome.
    C. Short-acting sulfonamides do not induce Stevens-Johnson syndrome.
    D. Patients with Stevens-Johnson syndrome usually are hypothermic.
    E. Lesions of the mucous membranes are a characteristic of Stevens- Johnson syndrome.
     
    (本期答案见页底)
     
    奥医教育“在线自测”正式上线,复习练习、效果检验,奥医NCLEX-RN/ISPN题库一站完成。需要就来www.omedin.com
     
     
    本期ISPN Review答案
    1. C. Between meals with a full cup of water
    Oral sulfonamides should be taken on an empty stomach and with a full glass of water. To minimize the risk of renal damage, adults should maintain a daily urine output of 1200 mL. Sulfonamides should not be taken with soy or nonmilk products or food or before breakfast without liquids.
     
    2. A. Patients with Stevens-Johnson syndrome have a mortality rate of about 25%; B. Toxemia is associated with Stevens-Johnson syndrome; E. Lesions of the mucous membranes are a characteristic of Stevens- Johnson syndrome.
    Short-acting sulfonamides do induce Stevens-Johnson syndrome on rare occasions, and patients with Stevens-Johnson syndrome usually are hyperthermic. The other three statements are true.
     




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