. Why are the drugs given to the patient? Give the drug mechanism of action in relation to the case given to patient Tiktok Pakyaw 2) Give TWO (2) nursing considerations in each medication a) Amiodarone 200 mg b) Mannitol 150 ml c) Citicoline 500mg d) Dulcolax 30 cc e) Alteplase IV r-tpa
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1. Why are the drugs given to the patient? Give the drug mechanism of action in relation to the case given to patient Tiktok Pakyaw
2) Give TWO (2) nursing considerations in each medication
- a) Amiodarone 200 mg
- b) Mannitol 150 ml
- c) Citicoline 500mg
- d) Dulcolax 30 cc
- e) Alteplase IV r-tpa
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- Case:A 20-year-old man, height 5.8 ft and weight 65 kg, with no past medical history presented to a primary stroke center with sudden left sided weakness and imbalance followed by decreased level of consciousness. Head CT scan showed no hemorrhage, no acute ischemic changes, and a hyper-dense basilar artery. The CT angiography shoed a mid-basilar occlusion. Physician order to start 3% Sodium Chloride 1 Liter with the dose of 1ml/kg/hr via peripheral line.The available preparations of Sodium Chloride at the Hospital Pharmacy are:1. 0.9% Sodium Chloride 1L2. Sodium Chloride 50mEq/20ml vialActivity:1. Determine how many mL of 0.9% Sodium Chloride and Sodium Chloride 50 mEq/20ml are needed to make 3% Sodium Chloride 1 liter. Show your computation.2. What will be the rate of infusion (ml/hr) to be given to the patient.3. Is 3% Sodium Chloride infusion recommended to be infused via peripheral line? Please providereference for your answer.Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing. Burns 30% TBSA – Face, hands, bilateral lower limbs. Complaints of severe pain and burning 10/10. Past Medical History: Hypertension, Type II DM Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID. Airway. - Patent, superficial burns to right side of face Breathing. - Spontaneous, RR-22mt, SPO2-92% RA, air-entry equal Circulation- Lower limb odema, cap refill 3 seconds, bilateral dorsal pedis pulses weak. BP- 88/50 mmHg, HR- 127/mt, sinus tachycardia, Disability - GCS-15 E4V5M6, PEARL- 3mm, Exposure - Temperature 35.9 deg Celsius. Full thickness burns to right lower limb and right arm, partial thickness burns to left lower limb, bilateral hands.…A patient has a normal cardiac rhythm and a heart rate of 72 beats/minute. The nurse determines that the P-R interval is 0.24 seconds. The most appropriate intervention by the nurse would be to: 1. document the finding and continue to monitor the patient 2. give atropine per agency dysrhythmia protocol 3. notify the health care provider immediately 4. prepare the patient for temporary pacemaker insertion
- Case study: Mr. James McDougal, age 68 years old was admitted on July 1st, 2020 with a diagnosis of congestive heart failure, diabetes type 2, hyperlipidemia, hypertension, and cellulitis of his left calf. A central line was placed based on Mr. McDougal’s poor vascular status. Current Medications: Allergies: Aspirin 325 mg po daily Penicillin & Sulfa Digoxin (Lanoxin®) 0.125 mg po daily Carvedilol (Coreg®) 25 mg bid Furosemide (Lasix®) 40 mg bid Lisinopril (Zestril®) 5 mg po bid Simvastatin (Zocor®) 40 mg qhs Glyburide (Micronase®) 2.5 mg daily The physician orders are as follows: Admit patient to service of Dr. Monka and cardiac telemetry floor for cardiac monitoring. Out of bed with assistance Oxygen via nasal canula @ 2 L 2000-gram ADA diet Central line dressing as per hospital protocol Lactated Ringers 1000 cc to run over 8 hours via central…I nend help with this question please SITUATION: Mr Chong was brought into Emergency Department (ED) last night by ambulance after collapsing at home. The ED Registered Nurse reported that Mr Chong was alert and orientated to person, time and place on admission. He has global aphasia, left gaze preference, right homonymous hemianopia (field cut), right facial droop, dysarthria, and right hemiplegia. CT angiography showed a left Middle Cerebral Artery (MCA) occlusion (Fig 1). 12-lead ECG showed Atrial Fibrillation (Fig 2). BACKGROUND Mr Chong has a past medical history of Coronary Artery Disease, Coronary Artery Bypass Grafting, Atrial Fibrillation and previous TIA (Transient Ischaemic Attack) three month ago. Mr Chong is retired and independent with activities of daily living. He speaks simple English. Mr Chong lives with his wife and two sons. ASSESSMENT His last Glasgow Coma Scale (GCS) is between 13-14 (disorientated and occasionally confused to time and place) and other vital…ASAP: please fill out I have provided the information patient information; Name: Sam Age: 43 No allergies The reason for admission is: CVA post-resection Illnesses: stroke, dysphagia, UTI urinary tract infection, vertigo and meningioma of brian His vital signs were in the normal range Mobility status: wheelchair
- Discuss the nursing management for a patient with acute myocardial infarction (AMI)Ms. Hall has an order for hydromorphone (Dilaudid), 2 mg,intravenously, q 4 hours PRN pain. The nurse notes thataccording to Ms. Hall’s chart, she is allergic to Dilaudid. Theorder for medication was signed by Dr. Long. What would bethe correct procedure for the nurse to follow in this situation?a. Administer the medication; the doctor is responsible formedication administration.b. Call Dr. Long and ask that she change the medication.c. Ask the supervisor to administer the medication.d. Ask the pharmacist to provide a medication to take theplace of Dilaudid.Please help me with this question? Question SITUATION: Mr Chong was brought into Emergency Department (ED) last night by ambulance after collapsing at home. The ED Registered Nurse reported that Mr Chong was alert and orientated to person, time and place on admission. He has global aphasia, left gaze preference, right homonymous hemianopia (field cut), right facial droop, dysarthria, and right hemiplegia. CT angiography showed a left Middle Cerebral Artery (MCA) occlusion (Fig 1). 12-lead ECG showed Atrial Fibrillation (Fig 2). BACKGROUND Mr Chong has a past medical history of Coronary Artery Disease, Coronary Artery Bypass Grafting, Atrial Fibrillation and previous TIA (Transient Ischaemic Attack) three month ago. Mr Chong is retired and independent with activities of daily living. He speaks simple English. Mr Chong lives with his wife and two sons. ASSESSMENT His last Glasgow Coma Scale (GCS) is between 13-14 (disorientated and occasionally confused to time and place) and…