INTENSIVE PHASE

HANDOUTS
FUNDAMENTALS OF NURSING
PREPARED BY: BEEJAY WONG
NOVEMBER 2022 Philippine Nursing Licensure Examination

I. NURSING PROCESS
✔ Routine Urinalysis
✔ Culture and Sensitivity
✔ Timed Urine Collection

2. STOOL Specimens

✔ Routine Fecalysis

✔ Culture and Sensitivity

✔ Fat Analysis

1. Assessment ✔ Fecal Occult Blood Test

✔ Collection of data
✔ Organization of data 3. SPUTUM Specimens
✔ Validation of data
✔ Documentation of data ✔ Gross Appearance

✔ Culture and Sensitivity

2. Diagnosis
✔ Actual ✔ Acid Fast Bacillus
✔ Risk
✔ Possible ✔ Cytology
✔ Syndrome
✔ Wellness III. NUTRITION

3. Planning
✔ Short-term goal
✔ Long-term goal

4. Implementation
✔ Independent
✔ Dependent
✔ Interdependent

5. Evaluation
BASAL METABOLIC RATE (BMR)
II. SPECIMEN COLLECTION
Weight (kg)
_________

Height (m)2

❖ NASOGASTRIC TUBE
o Gavage
o Lavage
1. URINE Specimens

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 o Decompression
o Medications ✔ Insertion:

✔ Removal:

Complications:

1. Hypergycemia
2. Hypoglycemia
3. Infection
✔ Insertion:

✔ Administration:

✔ Removal:

❖ TOTAL PARENTERAL NUTRITION (TPN)

IV. OXYGENATION
✔ Colorless
✔ Odorless
✔ Tasteless

1. Nasal Cannula
2. Simple Face Mask
3. Partial Rebreather Mask
4. Non-Rebreather Mask
5. Venturi

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 ⮚ SUCTIONING
-is the aspiration of secretions through a catheter connected to a suction machine or wall suction outlet.

OROPHARYNGEAL NASOPHARYNGEAL ET/TT

POSITION:

LENGTH:

TIME:

INTERVAL:

⮚ TRACHEOSTOMY

– opening into the trachea through the neck, a tube is

inserted and artificial airway is created.

⮚ INCENTIVE SPIROMETER
-measure the flow of air inhaled through the mouthpiece.

1. Obturator

2. Inner Cannula

3. Outer Cannula

4. Tracheostomy Ties ✔ Improve pulmonary ventilation

✔ Loosen secretions
5. Tracheostomy Cuff ✔ Expand collapsed alveoli
✔ Counteracts the effects of anesthesia
⮚ CHEST DRAINAGE (CTT)
✔ Facilitate gas exchange
- Inserted into pleural cavity to restore negative
pressure (Lung Re-expansion) V. PAIN ASSESSMENT / MANAGEMENT

✔ Pneumothorax Provoked
✔ Hemothorax
✔ Pleural Effusion Quality

Region/Radiation

Severity

Time

PHARMACOLOGIC

1. OPIOIDS

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 (Acetaminophen, Aspirin)
▪ Full Agonist ( Morphine,
Meperidine, Oxycodone, Fentanyl)
▪ Mixed Agonist – Nalbuphine
3. COANALGESIC
Hydrochloride (Nubain) -have properties that may reduce pain alone or in combination
with other analgesics, relieve other discomforts, potentiate the
effect of pain medications, or reduce the side effects of pain
medications. ( Antidepressants, Anxiolytic, Anticonvulsants,
2. NON-OPIOIDS/NSAIDS
Antispasmodic

I.LEVELS OF PREVENTION

PRIMARY SECONDARY TERTIARY

TARGET: Healthy High-Risk Post-Treatment

GOALS:

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