HE Yi4 alcTelt T Ljoivietclo Salicylates ~ Plefalcle|wiulr{sliiniciclalralely Ri vio ketopetotays|rleltly{ulilole Parachlorobenfoie / Allo|nii{cTHit[i[wle[a le wle| tol Propionic — ciin{e[ifofaleln[clele CIV IGEN Holl] phenvacetic - HATS i ole iG Yulic {uti lk SE tA) BLN HUT) renamates uistztxtelvietelstolriet Pw rlalel ria xP fefalmy syn a (Al x[a lm o| Ke | x |x |(gi) | Oxicams — R -{ETRTT Ty fell [eifote Tals eT Wao Taw ]| Antihistamines olfatefolc|s[xfofafol’slolittclrlefsiMuitw Corticosterolds! siielwlalalr|yiwiclllv[slisfclele[ul eax eleialeiclovetifellolic/wllitaliliixtels a Atelalc|m[nfolmfewffairiintxtstr[ulols Fl | tenot - zie follviwix|valztillaleiletclole SQ] 0] | Acetaniinophen” oft z [nil z keToTa tri clots ttetatotiiatal nee ‘iwhellele{utifelitklilviw[riminiolytelle] Auiot mr tatcials(rlulalr[v[wixlelifel| Calor - Sic Wi y{zta lahat stole talwlo[wimlwiotalley| tumor ofalttsTi[wfclele[i[tivinfotwtrtstrts "HT peter ol |miala ly kobe Tet Tet tatrtetey tale MAIN LESSON (45 minutes) Inflammation (from Latin: 2unctionZion) is pat of the complex biological response of body tissues to harmful stimuli, suck as parnogens, damaged cells, oriitants, ands @ protective response involving immune cells, blood vessels. and rrolecelor mediators, Inflammation is characterized by five cardinal signs: 1. rubor (redness), 2. calor (increased heat), 3. tumor (swelling), 4. dolor (pain), and. 5. funtio laesa (loss of function). ANTI-INFLAMMATORY AGENTS. Inflammatory Response + Protects the body from injury end pathogens * Uses chemical mediators to produce the reaction that helps destroy pathogens and promote healing Anti-inflammatory Agents + Block or alter the chemical reactions associated with the inflammatory response * Antkinflammatory agents have addlonal proparties such as relief of pain (analgesics), reduction of elevated body temperature (antipyetic), and inhibition of platelet aggregation (anticoagulant) * Aspirin the oldest ant-inflammatory drug Types of Anti-inflammatory Agents 1 Gotticostercids: used systemically to block the inflammatory and immune systems * Antihistamines: block the release of histamine in the initiation of the inflammatory response NSAIDs (Nonsteroidal Anti-inflammatory drug) * Provide strong antiinflammatory and analg (Nc REE This document and the information thereon is the 2roperty of PHINMA Education (epartment of Nursing) gone© Immune sera have antibodies to specific toxins that might be released by invading pathogens, or to venom from spider or snake bites op linmune Sera and Antitoxins Indications + Provide passive immunity toa specific antigen or disease + Used as prophylaxis against specific disease after exposure + May lessen the severly of a disease Contraindications + History of severe reaction to any immune sera ‘© Use with cautios > Pregnancy Coagulation defects Previous exposure to the immune sora Rash iausea Vomiting Chills o. Fever + Allergic reaction © Chest tightness, decreased blood pressure, and difficulty breathing © Local reaction + Swelling, tendemess, pain, and muscle stiffness at the injection site CHECK FOR UNDERSTANDING (30 minutes) ‘You will answer and rationalize this by yourself. This will oe recorded as your quiz. One (1) point will be given to correct answer and another one (1) point for the correct rationalization. Superimpositions or erasures in you answerlratio is not allowed. You are given 25 minutes for this activity Multiple Choice 1. Asa well-rounded health care provider, you know that corticosteroid therapy is indicated in all ofthe following conditions except: a. Osteoarthritis b. Rrheumatoid arthritis ©. Systemic lupus erythematosus . Acute spinal cord injury ANSWER: RATIO: Jean Of tovarHvibs y not reummvnendel 2 corhvelteraids 2. An appropriate nursing diagnosis for clients who are taking NSAIDs and anticoagulants would be which of the following? Risk for injury related to prolonged bleeding time, inhibition of platelet aggregation, and increased risk of GI bleeding Potential for injury related to Gi toxicity and decrease in bleeding time. Altered protection relate to Gi bleading and increasing platelet agoregation 1. Risk for injyry related to thrombocytosis prolonged prothrombin time, ANSWER! A Ratio To _ababstatnadney —nedera tite and vhs cute} eajnoit_deshd — ‘ a a Teaching has been adequate when a client being treated with acetylsalicylic acid states: “Lean crush the pills before i swallow them.” “I should take the pills with antacids.” “Taking the pills on an empty stomach will help absorption.” “If the pis smell like vinegar, | should throw them out.” (ac eS This document and the information thereon is the property of PHINMA Education (Department of Nursing) e SotoWhich ofthe following groups of clients are most at isk for GI bloeding from the use of NSAIDs? Clients with dysmenorrhea Glients with headaches Glionts with arthritis Glionts with renal failure ANSWER: _C iD i rad ©. t 4 eo dees on be méitn foe eee ante mage 40 Sieiyt rr Ta as hes ated Coegelachy A x Retindavahbon fag Wiens ‘Which of the following NSAIDs is used to prevent thrombosis? Motrin: Toradot Aspirin Naproxen “ANSWER: RATIO:_thaabay 4 uihox bleak clots bloiks Ying . Azirin devnenes Lg _us rm Me pled ant pre aacn: Yhrow bos. 4 6. Tominimize the tisk of ayspnea and Gi bleeding, OTC ibuprofen is given: av ©. With orange juice ©. Onan empty stomach ©. With meals 7. Nurse Kate is taking care of, ‘monitoring? 8. Blood pressure and bowel sounds b. Weight and appetite ©. Muscle strength and range of motion 4. Respiratory rate, depth, and rhythm. ANSWER: RATIO: ak is (bur. reales Wepaclendii aye Gos toolaky ral ad £ 8. The nurse is discussing vaccines with the mother of a 4-year-old child who attends a day care center that requires the DTeP vaccine. The ‘mother, who is pregnant, tells the nurse that she does not want her child to receive the Pertussis vaccine because she has heard that the disease Is "not that serious" in ‘older children, What information ‘will the nurse include when discussing this with the mother? a. If she gets the vaccine, both she and her 4 year-old child will be protected. D. ifthe 4-year-old child Contracts pertussis, il can be passed on to her newborn, 8 Theycine vat Not be given to her child while she Is pregnant. NSWER a he 4-year-old will provide passive immunity for her unborn chi, ANSWER; ig the 4-ye Provide passive wunity for RATION eS, e pening hos tv) fe as ally ie — laf = This document and the information thereon is the property of PHINMA Education (Department of Nursing) |"? PTPO*Y Patients taking ibuprofen. Which of the folowing should be nuded in her assessment and 7 of 109. Awoman who is pregnant tells the nurse she has not had any vaccines but wants to chile Waich veeine(s) ay be atminstere to this pen? a, Gardasil vaccine b. Trivalent influenza vaccine MMR vaccine 4. Varivax vaccine ANSWER: _D RATIO: Eline aie. urearen ul Eo premuatl ashen. begin so she can protect her unborn 10. 4-year-old child is receiving amoxicilin (Amoxil) to treat otitis media an last day of antibiotic therapy. The provider crders varicella (Varivax); mumps, (IPV); and diphtheria, tetanus, and acellular pertussis (OTaP) vaccines to b a. Administer the vaccines as ordered. b. Discuss sjving the MMR vaccine in 4 weeks. __ ©. Hold all vaccines until 2 weeks after antibictic therapy. 4d. Recommiend aspirin for fever and discomfort. ANSWER: RATIO: ei vohi Moca, uot __whbnrdiuile te, admin deat te Yauine » Wis in the clinic for a well-chilé checkup on the , Measles, and rubella (MMR); inactivated polio 9 given. Which action by the nurse is correct? IPV, and DTaP. The child's parents ‘odate the parents’ wishes, the nurse 11.4 48-month-old child is scheduled to raceive the following vaccines: MMR, Varivax, Want the child to receive two vaccines today and the other two in 1 week. To accomm \will administer . DTaP and Varivax today and the MMR and IPV in 1 week, b. IPV and MMR today and the Varivax and DTaP in 1 week. ©. MMR and DTaP today and the Varivax anc IPV in 1 week. d. MMR and Varivax today and the DTaP and IPV in 4 week. ANSWER: RATIO: =e ca = deat tuperinfers ens. ob aed cay be giv Femme nurse is preparing to administer rotavirus vaccine toa 4-month-ol infant. The nurse notes thatthe infant received Rotarix vaccine at 2 months of age. The nurse wil plan to administer a. Rotarix today. . Rolarix today and again at age 6 months. c. Rota Teq today. 4, Rota Teq tgday and again at age 6 months. ANSWER: RATION —an in fgo Bn —be intl TE rote att ane oe 2 end J mmrphs “Shecs fin—Tae i ait dag _—— tary | os 13. Which is an example of acquired passive immunity? 2. Administration of IgG to an unimmunized person exposed to a disease . Administration of an antigen via an immunization © Inherent resistance to a disease antigen d. Immune response to an attenuated virus ANSWER: RATIO: ‘ ni xed AATIO: Seng eee Kat Uae pecs 1 urs acatly rednneg arent ofa 12-month-old child who has received he MMR, Varvax, and hepalis A vaccines calls the clini to report ness ng Swelling at the vaccine injection ster and a temperature of 100.3°F. The nurse wil perform which action? a. Recommend aspirin or an NSAID for pain and fever. ®. Recommend acetaminophen and cold compresses . jis document and the information thereon is the it n is the property of ‘PHINMA Education (Department of Nursing) 8 of 10¢. Report these adverse effects to the Vaccine Adverse Event Reporting System (VALRS). 4d. Schedule an appointment in clinic so the provider can evaluate the child ANSWER: _D RATIO:__ Be fe so sffaels de ds at dp tee poe ae pyage . = hee betel Sele cealel expires. 15.4 mother calls the pediatric tlinic to ask when her daughter will receive the Varicella vaccine. Your is: 2. @t2, 4, and 6 months b. at 12 months and 4-6 years ©. at and 12 months 6. at 4 months and 4-8 years ANSWER: _ © RATION JE cucmmencled Howrt ye cid sed ures hated asa ed 7 TT —ab age. RATIONALIZATION ACTIVITY (THIS WILL BE DONE DURING THE FACE TO FACE INTERACTION) The instructor will now rationalize the answers to the students. You can now ask questions and debate among yourselves. Write the correct answer and correctiadditional ratio in the space provided. answer to her question 1. ANSWER: RATIO: 2. ANSWER: RATIO: 3. ANSWER: RATIO: 4. ANSWER: RATIO: 5. ANSWER: RATIO“ 6. ANSWER: RATIO: 7. ANSWER: RATIO: 8. ANSWER: RATIO: 9. ANSWER: RATIO: 10. ANSWER: This d2cument and ihe information th ation thereon is the property of PHINMA Educator (Departmsnt of Nursing) seiiS_ANSWER:____ RATIO: 14, ANSWER: RATIO. 15, ANSWER: RATIO: LESSON WRAP-UP (5 minutes) Nou will now mark (encircle) the session you have finished today in th 'e tracker below. This is simply a visual to help you track how much work you have accomplished and how much work there is lefl to de ‘You are done with the session! Let's track your progress. Period 1 Period 2 GSS REP SE Mita eT 8--0-P Summary Summarize the lesson by completing the following sentences: We Started the lesson . the Topic was. Opportunities for practice were...., the Purpose of the lesson Perea’ [18] 20 | 25 [22 [ea aa |25 | 26 [27[ 38 aS Our we we started He lesion by Ars eusSiny) st letmrmtorsy respomies The fey war tn diferent medienhnn to wre ae Are tb Lach He ee ere For the RE testo rove Aalfsyenstisa Mimaki brug” sere Interne bY « Ove opp tun het aid = the Pvp oF Wek ot tp desrbe ord hy Ue cfeereh Batt ~inblannne tory nnerion hoot ety Well 63 auLtnes This document and the information thereon is the property of PHINMA Education (Department of Nursing) 10 of 10