So, the cornerstone of initial management is to put the patient in the supine position, elevate the lower extremities and administer intramuscular adrenaline into the lateral thigh. The patient needs to be resuscitated with intravenous fluid for volume expansion and supplementary oxygen by facemask. If the response to initial management is inadequate, intravenous infusion of adrenaline should be commenced such as in this patient. Intravenous bolus of adrenaline poses risks of ventricular arrhythmias and myocardial ischemia so it must be given slowly in low doses. Since this patient has hypotension, she had been treated with intravenous fluids to expand the intravascular volume and for the bronchospasm, it should be treated with inhaled beta-2 agonist.
Greater understanding of health care practices and health care practitioners can bridge communication between the two worlds. Being respectful and education centered around the cultural needs is essential to patient's wellness and nursing care. Identification of patients perception of pain and illness is crucial in developing an understanding of cultural relationship between spiritual and medicinal care (Purnell, 2002). High-Risk Behaviors Although we may see some activities as high risk behaviors in the yup’ik culture maybe a daily occurence. Therefore addressing high-risk behavior in a nonjudgmental way and express the importance of abstaining from these activities during treatment if related to the possible interactions with medications for example drinking or hunting (Napoleon, 1996, pp
Even when the symptoms are severe, the best therapy for otherwise healthy adults is often bed rest and fluids - the same approach used for colds and infections doctors carefully monitor people with valley fever. drugs- antifungals If symptoms do not improve or get worse or if they are at increased risk of complications, the doctor may prescribe an antifungal medication such as fluconazole. Antifungal drugs are also used for people with chronic or disseminated disease. In general, antifungal drugs fluconazole (Diflucan) or itraconazole (Sporanox, Onmel) are used for all but the most severe forms of the disease coccidioidomycosis. All fungal infections can have serious side effects.
When Mr. C begins to arouse as a result of the anesthesia is wearing off, he started to grimace and his blood pressure shut up above the target level. By applying Kolcaba’s comfort theory I would chose to treat Mr. C’s blood pressure with medications designed only for blood pressure. Now since that I am accustomed to assessing comfort needs, I would recognized that Mr. C’s BP is high suggestive of increase in pain, and I would administer the Morphine as per doctors order. I would place a warming blanket for Mr. C, to ensure he achieve nomorthermia. This close monitoring and intervention of treatment such as for pain represent a comfort intervention that addresses a particular care and it is a relief form of comfort.
Gowns Gloves Anesthesia 3 lead EKG Pulse oximeter BP cuff 6 Liters Oxygen given through a mask to the airway Versed 2 mg-anti anxiety 100-150 mcg Fentanyl-pain and for intubation 80 mg lidocaine- pain of versed in IV 200 mg propofol- puts patient to sleep 50 mg rocuronium- paralyze patient for intubation, specifically vocal cords 4 mg Zofran-anti nausea 8 mg Decadron- anti nausea 2g Cefazolin- antibiotic broad spectrum preventative lactated ringers IV infusion for hydration Desflurane for anesthetic gas to stay
The drug amitriptyline is antidepressant that helps with pain and the incontinence. It can be taken orally using around 25 to 150 mg dosages, the option of injection is also available for patients. One of the advantages of this drug is that it can help subdue the symptoms of PBA that resemble depression. This drug also has a few cons. It causes extreme swelling of the face, tongue, lips, and face.
Doses for Epinephrine Base on Indication: Indication Dose Administration Anaphylactic 0.3-0.5mg of 1:1,000 Intramuscular (IM) Anaphylactic 0.1mg of 1:10,000 IV push over 5 minutes shock Myocardial 1mg of 1:10,000 IV push Infarction concentration What could’ve been done by the medical team to prevent these errors? There are a few aspects related to epinephrine that tends to increase the risk factors of errors in dosing and administrating correctly. The dosage
The third most common medication used for heart disease is Angiotensin Receptor Blockers which will help patients by lowering blood pressure and helping in preventing blood vessels from constricting (narrowing them). ARB side effects consist of sudden blood pressure dropping when standing, dizziness, and muscle/bone pain. ARBs also have the potential to harm or kill a fetus if a women taking this medication happens to be pregnant. It is recommended not to take these pills when
First, blood pH should be kept in a narrow range for different enzymes and other components of the blood to function. If blood pH is too high or too low, it can cause problems with the health of a person, including seizures, coma and even death. Second, a person’s blood pH within the clinical range of 7.37-7.43, but they can close one of these extremes, and eating the “wrong” foods may push them further from the optimum pH of 7.40. The good news is that once a person knows and understands their metabolic type, they can be a nutrition plan to help balance their blood pH to the optimum
Thus, the use of morphine could be reserved for patients with pulmonary oedema or persistent severe chest pain after the administration of drugs that favorably alter myocardial oxygen supply and demand while waiting for timely reperfusion. Prospective, randomized, clinical trials are needed to determine whether and how morphine should be administered to patients with chest pain and
3) Compensated alkalosis, which occurs when the body returns the acid-base balance but the carbon dioxide and bicarbonate levels, remain abnormal. Symptoms can be, hand tremors, muscle twitching, light-headedness, and confusion and numbness. Treatments have included medications to correct the chemical loss; breathing into a paper bag will allow more carbon dioxide into the body and having your vitals signs monitored by a healthcare
Regular monitoring of vital signs is important because GTN can cause Hypotension. (College of Nursing, 2015:24). Nursing Consideration: Monitor vital signs frequently to find the possible side effect of hypotension. Please give a comfortable lying or sitting position for the patient when taking GTN to avoid hypotension and syncope (Brunner and Suddarth’s, et al, 2010: 765
Educating her about adverse effects of diarrhea, cramping, headaches, fatigue and loss of fluid and electrolyte imbalances. I am encouraging hydration and will continually be assessing her for signs of dehydration and do laboratory tests to determine electrolyte levels if needed. Also, comparing these assessments with baseline findings of stool color, consistency and frequency (Karch, 2013). 5. Given in an upright position and stay with her to make sure she takes them 6.
This included water immersion, which involved keeping people under water for as long as possible without drowning them. It also included a special spinning stool to cause dizziness in order to rearrange the contents of the brain into the correct positions. It was thought that if you mixed up the parts of the brain by spinning it, then they would move around into the correct position, curing one’s depression. Horseback riding, special diets, enemas and vomiting were also recommended treatments (“Depression: Depression & Related Conditions,” n.d.). Beidel, Bulik, and Stanley, 2014 stated, treatments during the late 1800s and early 1900s were usually not adequate for people with severe depression.
Dimethyl Fumarate (Tecfidera) belongs to a class of drugs called Nrf2 activators and may work by decreasing inflammation thus preventing nerve damage. Tecfidera may cause serious side effects, including allergic reactions and has been implicated in the death of one patient who developed Progressive Multifocal Leukoencephalopathy (PML). The most common side effects of Tecfidera include flushing and stomach