NSB231 WEEK1-5

NSB231LectureOneNSB231OnCampus:Lecturer:Ibby

• CheckoverviewtabweeklyinBB.• ANTT,LabellingandMedicationCalculations

Asepticnon-touchtechnique(ANTT):

• Reviseinfections• Infectionmanagement/infectioncontrol–seetextbooks• Standard precautions to all patients: You cannot see if a patientmay be infected,

thereforewetreatALLpatientsasinfected.• Seelinkonblackboardformanagementofinfections:NSQHSStandard3• WhatisANTT:Atechniquewhichaimstopreventpathogenicmicroorganismsfrom

beingintroducedtosusceptiblesitesbyhands,surfacesandequipment.• Protect equipment, effective hand hygiene, effective non-touch technique,

appropriateglovechoice,appropriateuseandmaintenanceofsterilefields.• 3typesofAsepticfields(revisethis):Generalasepticfield(aworkspacethatpromotes

asepsisand isutilisedwhenkeypartsareprotected),Criticalaseptic field (wearingPPE),CriticalMicroAsepticField(utilisingcapsandshieldsetc.).

NSB231LectureTwo

NSB231OnCampus:Lecturer:JoanneCouplesDiabetes:GuestSpeaker1-DiabetesQLD–(Useforothersubject’sassessmenttask):

• Thereisaquestiononour40%examondiabetes.• Diabetes QLD work to help people living with diabetes, health professionals,

governments,researchersandtheboardercommunityto:gainabetterunderstandingoftheconditionetc.

• FillouttheformonBlackBoardandsubmitanyquestionstotheDiabetesQLDonline.• Type2diabetesisthemostcommonformofdiabetes.

Type2Diabetes:

• Progressivechronicdisorders• Requireinsulintomanage

NSB231 WEEK1-5

• Gradualonset–maybeundiagnosedasthebodyhidesthisforawhile• 85-90%ofpeoplewithdiabetes.• Canoftenbepreventedordelayed• RiskFactors:

o Age,genetic,family,gendero Ethnicgroupso Lowbirthweighto GDMo PolycysticOvarieso MetabolicSyndrome

RiskAssessmentForms:• Assessesriskofdevelopingtype2diabetesoverthenext5years.

Screeninganddiagnosis:

• Screeninganddiagnosisororalglucosestest.• RACGPType2Guidelinesonline.

Managementoftype2diabetes:

• Medications• Nutrition/Diet• PhysicalActivity• First line treatment ofMetformin –which can cause an upset tummy (diarrhoea,

bloating,painetc.)Secondandthirdline–Rangeofmedicationsseeslides.ThirdlineoftreatmentisInsulin.Reducethestigmaassociatedwithinsulin.

NSB231LectureThreeNSB231OnCampus:Lecturer:KarenTheobaldThetopicsexploredthisweekare:• CardioVascularDisease• AcuteCoronarySyndrome• HeartFailureAnswertoquestioninlecture:CardiovascularDisease–thisispreventable.

• 1in6peoplewillbeaffectedbyCardiovascularDiseaseCardiovasculardisease:

• Angina• AcuteCoronarySyndrome

NSB231 WEEK1-5

• HeartFailure

1. CardiovascularDisease:o Cardiovasculardiseasereferstoagroupofdisordersoftheheartandblood

vessels.o Cardiovasculardisease ispreventable.Lifestyle factorsplayabigrole inthe

preventionofdevelopingaheartdiseaseordisorders.o ReviewtheCardiovascularsystemintextbook.o

o 15.7%oftheindigenouspopulationhaveheartdisease.Thisistripletheraterecordedinnon-indigenouspopulations.

o Referto:http://heartfoundation.org.auformoreinformationonheartdiseasesetc.o Cardiovascular disease risk assessment: Non-modifiable risks (family history etc.

things you cannot control), Modifiable risk (smoking, poor diet etc.), relatedconditions(diabetes,kidneydiseaseetc.)

2. Angina:

o “ChestPain”o Reversiblemyocardialischemia(lackofoxygeninthemyocardialintheheart)o Occurswhenarteriesareblocked75%ormoreo Viablefor20minuteso Itisreversiblehoweverdeathcanoccurifnottreatedo Reversedbyamedicationthatcausesdilationo 3majorcategories:

Ø ChronicStableAngina,PrinzmetalAngina,UnstableAngina

NSB231 WEEK1-5

NSB231LectureFourNSB231OnCampus:Lecturer:KarenTheobaldThetopicsexploredthisweekarearevisionof:• CardioVascularDisease• AcuteCoronarySyndrome• HeartFailureAswell;thetopicsexploredthisweekare:• Hypertension• Stroke• PeripheralArterialDiseasePrimaryPCI(AcuteCoronarySyndromes):

NSB231 WEEK1-5

NSB231LectureFiveNSB231OnCampus:ONLINELECTUREThetopicsexploredthisweekare:

• COPD• Asthma

Thisweek;onlineself-pacedlecture,facetofacetutorial,facetofaceCPSandfacetofaceSimulation.

Assessment1StayingonTrack• AttendyourSIMS• Using your detailed notes from the debrief regarding the assessment task, CRA, SIMS

paperworkandyourresearchyoucanstarttoanswerthetwoassessmenttaskquestions.• PleasecontactyourCFfromtheSIMSifyouhaveanyquestions

Assessment2StayingonTrack• StartwritingyourcriticaldiscussionforPriorityProblem1.Linktotheassessmentdataand

theunderlyingpathophysiology.• Nowcriticallydiscussyour2nursinginterventions.• Nowwriteanevaluationforyourinterventions.

AsthmaandCOPD: