Nursing Care Plan Essay
Base on the information of above, the nursing care can be as such: daily weight, intake and output chart to observe any fluid retention, oliguria due to hypotension and diarrhea, decreased intravascular volume, and/or impaired cardiac function. Insert IA line for hemodynamic monitoring keep SBP> 90, insert CVP line for medication, watch temperature for fever, heart rate to keep < 120, spo2 keep > 95 in room air, Oxygen therapy necessary and neurological assessment for mental status, pain score, and fluid restriction to 1.5 liters including IV fluid to minimize the risk of pulmonary edema. Avoid IM injection during therapy. Daily blood test for full blood count, fluid & electrolyte, liver function test, renal panel and PT/PTT. Patients should …show more content…
If patient SBP < 90 mmHg, HR> 120bpm, should stop the IL-2 administration, Study shows 75% of patient who has hypotension during high dose IL-2 need support by inotrope. fluid replacement and electrolyte replacement until condition stabilized. Add diuretic if any signs of pulmonary edema. Transfuse 2 units packed cell if Hb < 9, 2 units platelets if platelets < 20,000. Pethidine IV can give for the pain reliever, up to 100mg/24hors. Lomotil should be given at the onset of loose stools; Granisetron 3mg IV before the first dose of IL-2 and throughout therapy minimizes nausea and vomiting. Oral famotidine should give for gastric protection; piriton prn if any itchiness happens. Oral acetaminophen 650 mg should give before the therapy, 6hourly prn. Important notes are IL-2 only compatible with D5W.do not piggyback through running IV solution. Separated IV set for IL-2 only, flush with 50cc D5W before and after each dose, complete each dose of the IL-2 bolus in 15 …show more content…
The disappointing signs are most of the patient have no benefits are shown at all, and suffers side effect during IL-2 therapy. However, the side effects don’t cause any permanent damage. Just to make it clear, complete response means no tumors after scan and blood tests, purposed cancer must be totally eliminated after IL-2 treatment, then only present as the cure. Furthermore, in a cure also has shown treatment able to last
Vit K1 Task 5
890 Words | 4 PagesTherapeutic responses: decreased bleeding tendencies, decreased PT, decreased clotting time. Teach patient/ family Not to take other supplements unless directed by prescriber. The necessary foods for diet. To avoid IM inj, use soft tooth-brush, do not floss, use electronic razor until coagulating defects corrected.
Infusion Summary Sample
451 Words | 2 PagesI fear patient safety may be jeopardized if you continue to perform at this level. We also established that the inconsistency and inaccuracy of your work is not d/t your lack of knowledge or training in the Infusion 2 work flow. We concluded our meeting with the following action plan. (1) You will transition to Infusion 1 shift training next Monday as planned since there is no further Infusion 2 knowledge/training are needed, (2) you will be more careful and thorough with your work, and (3) I will monitor your progress closely the next two weeks. If you continue to make the same oversights, I will need to terminate your trial
Nurse Discharge Planning Essay
567 Words | 3 PagesFor a nurse, effective discharge planning is important. According to BMJ (2008) discharge planning is a process that’s focuses on the coordination of services and care after a patient’s discharge from hospital. In Ian and Judi’s case the discharge planning they received left them in fear and desperation. AHRQ (n.d) express that effective discharge planning involves the client and family by giving them adequate preparation as this reduces unplanned readmissions, improves client outcomes and increase client satisfaction. It is evident in the article that Ian and Judy’s experience with discharge planning was less then optimal.
Oedema Case Studies
873 Words | 4 PagesCase study This case study relates to Mr Brown who diagnoses with acute pulmonary oedema secondly to acute renal failure from excessive use of opioids. This assignment will address Mr Brown’s initial presentation and assessment, relevant past history, medications as well as the current assessment finding. The Mr Brown is 76 year old male that present to emergency department via ambulance with thoracic back pain that commence two days prior to presentation. Triage assessment stated patient alert, orientated, distressed, chest clear and equal, neurovascular intact with equal strength in all extremities and good strong regular pulses. Nil injury stated patient stated he ‘just woke up with it’
Nursing Leadership Essay
1026 Words | 5 PagesEveryone that has worked in the medical field has experienced travelers or contract staff at least once. And if you haven’t noticed hostility comes to mind when one arrives to the floor. Gosh, the agony of seeing a traveler! Why would anyone turn away staff you must say to yourself? Someone in charge was slacking in their duties.
Licensed Practical Nurse Essay
678 Words | 3 PagesIn the healthcare field, there are so many occupations to choose from. Occupations and careers and important milestones in life because they not only define so much about you, but they set what you are going to do the rest of your life. The healthcare field is a field of high interest to many people. One occupation of great interest is a Licensed Practical Nurse (LPN). An LPN is someone who works under registered nurses or physicians and takes care of sick, injured, or disabled patients.
Alcoholic Cardiomyopathy Case Study
1462 Words | 6 PagesThe patient is continuously monitored, with the management of the cardiac and respiratory symptoms. As the progression managing heart failure with oxygen and medication to manage their heart rate and blood pressure and if they have an accumulation of fluids administer diuretics if administer u must evaluate intake and outputs of fluids. Monitoring Serial lab work including electrolytes kidney function liver funk cardiac markers BNP (look up something peptide) which is an indicator of heart
Nursing Student Admission Essay Sample
761 Words | 4 PagesI am currently an undergraduate at Rowan College at Gloucester County completing my pre-nursing studies. As I was growing up, I always enjoyed the idea of helping and healing others. My inspiration to become a nurse was watching my mother make a difference in the lives of elderly at a local senior living community as an Activities Assistant for years. Even though, she was unable to go back to school due to personal circumstances, the compassion she showed towards others around her was something special as she took care of them as if they were relatives. Whenever I had free time, I would just sit and play a game with the elderly residents hearing their life stories from when they were young.
Nurse Scholarship Essay
480 Words | 2 PagesAs a first generation student to attend college from a family of seven, the journey to a higher education has been arduous and overwhelming. My family gives me all the encouragement I need and are very optimistic about pursuing a higher degree. Unlike myself, my parents did not have the opportunity to attend college. My parents were born and raised in a small town in Mexico where the highest level of education they received was fifth grade. I have worked since I was 14 years old to support my parents with bills, and also saving for college and my own vehicle.
Sample Nursing Action Plan
466 Words | 2 PagesThere should be a specific plan to follow once assessing all situations, barriers and consider taking any alternatives to complete my action plan and achieving my six goals. The remaining time I have to complete my Bachelors of Science in Nursing at Kaplan University, I plan to complete all of my assignments and discussions ahead of time prior to the due date, for which will give me the opportunity to keep my grades up and achieve my goal of maintaining a 3.5 or higher grade point average. I understand the issue of always being busy, especially when having kids and a family, but with the support of my lovely mentor and boyfriend, I feel that I can make time to complete whatever it is that I need and not let any barriers get in the way. Therefore, I intend to plan accordingly with our schedules, making room and time for me to study and complete my goal of sitting for the certified nursing exam to obtain my certification.
Nursing Portfolio Essay Sample
772 Words | 4 PagesIn creating this portfolio, I am inclined to maintain a professional e- handbook, so to speak, of my educational and professional accomplishments over the years that reflect growth and development in my quest to be a competent nurse. Creating an e-portfolio allows for the safe documentation and archiving of my information that potential employers can have easy access to when I am in the process of seeking employment opportunities. Having an e-portfolio is a more efficient and effective way of utilizing technology to be more organized in keeping track of important information that could otherwise get lost or destroyed due to adverse events such as floods or fires. I am currently a working Registered Nurse at a long-term care facility in New Jersey and a student in the Bachelors of Science in Nursing online program at Thomas
IV Medication Analysis
129 Words | 1 PagesIV medication can have rapid affects on the patient due to the direct access to the circulatory system. Once an IV therapy is under way the Enrolled Nurse should closely monitor the patient within the first 15 minutes for adverse reactions to the IV solutions’ or medications. Monitoring the patient can be completed by taking the patient’s blood pressure, temperature, pulse rate, respiratory rate and oxygen saturation levels. Once the IV fusion has been established the Enrolled Nurse should also monitor the insertion site and surrounding tissue plus the rate of the infusion for possible signs of infiltration and extravasation. For patient receiving hydration therapy over a long period of time close monitoring of the patient for fluid overload
Chemotherapy Case Studies
1626 Words | 7 PagesThe chemotherapy includes study Velibarin or placebo 50 mg, study Carboplatin or placebo 612 on day one and study Paclitaxel 150 mg IV on days 1,8 and 15.As per patient, Mrs. T’s health history includes being hospitalized twice for depression over 30 years ago, gall bladder stones with surgery, appendix was removed, ”mini stroke” 2 years ago, hypertension, elevated cholesterol, fatty liver disease and sleep apnea. She has rheumatoid arthritis in her ankles, knees, neck and wrists. The patient has been a member of Alcoholics Anonymous(AA) for 20 years. The patient is divorced and has been living independently in an apartment in
Leukeran Case Study
1577 Words | 7 PagesIt needs periodic blood controls to see if the WBC cells decrease excessively to check if there is any necessity to reduce the dosage or to stop the treatment permanently [10].
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