Pharmacokinetic : what is done to the drug by body(Abso, distri, metabolis, excret), APINCHS: antibiotic, potassium, insulin, narcotic, chemo, heparin (anticoagula), system. Assessment: Inspec: v ision, smell and hearing, Assess for colour, size, location, texture, symmetry, odour and sounds / Palpation : Texture, temperature, moisture, motion, consistency, masses superficial organs, Tender areas palpated last Finger pads: fine tactile discrimination, moisture, texture, masses, pulsations, oedema, crepitis, organ size shape and position,Back of hand: temperature, Ulnar surface: vibration/ Percussion: Tap portion of body to elicit tenderness and sounds/ Auscultation: Diaphragm - high frequency, Bell- low frequency, Frequency, loudness, quality (blowing, gurgling), duration. E: temp/ Full set of vitals( red flags)/ Give comfort mesure (treat pain, nausea, signi stressor/History, head to toe, system ass/I: Investigan, inspect posterior/ Jot it down, document, communi. Refill, Assess sign of bleeding/ D: AVPU/GCS, BGL, pain ass. DRSABCDE: D : personal safety, PPE/ R: respo, unrespon/ S: code blue, MET cal, Clinical review/ A: patency, alert, able to talk/ B: rate, effort, spo2, RR /C: fluid vol, cardiac o/p, perfusion, skin, bp, HR, urine o/p, cap. history: demographic info, chief complain, history of pre com, past history, medication (allergy), family h, social h (ADL, rest, sleep, nutrition) Steps of setting priorities : First level- ABCV (vitals) (shortness of breath & respi distress), Second- mental status changes (confusion, ↓alertness), untreated med prob (diabetes not taken insulin), acute pain, acute urinary elimi prob, abnor lab value, risk for infe, safety, security, Third- prob with lack knowledge, activity, rest, sleep, coping.
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