Cefuroxime Ceftin Antibiotic (prescribed) 500mg twice daily for 10days Side effects: Diarrhea, dizziness, nausea. Safety and fall prevention measures must be considered and patient should be allowed to relax at the onset of drowsiness. Gait belt is recommended for safety. Ondansetron Zofran Antinausea, antiemetic (prescribed) 8mg 3 times daily Side effects; Confusion, Shortness of breath, dizziness. Relieves nausea and vomiting effects and hence reducing discomfort that significantly affects participation.
1. Admit the patient using critical thinking skills to assess and prioritise nursing interventions related to Audrey’s. • Comfort and Safety. Audrey who is diagnosed with fractured left NOF (neck of femur) must be evaluated using pain assessment to obtain the optimal pain management intervention. Analgesics and non-pharmacologic approaches will be helpful to ease her pain and anxiety(Fink, 2000).
Jessica, Thank you for choosing congestive heart failure as your topic. In reviewing your slide with management of CHF, you mention monitoring daily weights. Patients so often don’t always gather the rational to why monitoring their daily weights is critical and directly reflects CHF pathophysiology. In further examining CHF management, I came across a journal article, Patient Education in Disease and Symptom Management: Congestive Heart Failure written by Rutledge, Donaldson and Pravikoff (2001). Within the journal article, a chart on page 11-12 highlights: “Comprehensive Congestive Heart Failure Patient Education,” mentioning daily weights, with a teaching tip, providing the value of patient comprehension connection to “increased water weight and congestive heart failure”(2001).
C.) The nurse would monitor for therapeutic effect of cyclophosphamide(Cytoxan) by continuing monitoring the blood pressure, respiratory rate, and temperature, ensuring they are within the range that the doctor set. You would also need to monitor complete blood count (CBC) and should be maintained at 2500– 4000/mm^3. Urinary output is important aspect when making sure the drug is in therapeutic range. You would want to monitor the urinary output to make sure it is in the range of 3000 ml/day so they are not developing the risk of hemorrhagic cystitis. Make sure to assess the cardiac and respiratory status for dyspnea, crackles, cough, weight gain, and edema.
Whilst the checklist’s main focus is to ensure that key factors have been accounted for by the appropriate staff member it’s an opportunity to promote team cohesion. Having nursing staff lead helps recognise nurses as equals to remove the hierarchy and egos which may prevent good communication and team working. Furthermore, it provides the opportunity to introduce new members and their roles (Wahr et al., 2013;World Health Organisation, 2008). Additionally it affords a chance to ask questions and clarify patient specific protocols. Such as flow direction of cardioplegia.
The systematic approach of DRABC, also known as the Primary Survey, is strictly followed to diminish the mistreatment and misdiagnosis of the patient. This initial assessment becomes vital as it prioritizes the paramedics safety and the patient’s pre-hospital care. The Primary Survey (PS) consists of; Danger, Response, Airway, Breathing and Circulation. However, the primary survey may differ regarding the patient’s conscious level. If the patient is unresponsive, the survey becomes DRCAB, in contrast, with an alert patient, it is then DRABC (Clinical Quality & Patient Safety Unit, 2016).
Removal of the endotracheal tube need to be planned before intubate patient because it needs precise management and observation to wean the patients in order to extubate them and avoid re-intubation. One of the parameters to monitor patient before extubation is cuff leak test. Cuff leak test measure the air leak of the inflated cuff in the endotracheal tube. If the air leak exceed than 20 cm H2o, the intubated patient predicted to be have post-extubation stridor. There are many methods to treat post-extubated patients.
For women with thrombocytopenia, during their menstrual cycle, the bleeding is heavier. (nhlbi.nih.gov, 2013) Thrombocytopenia is usually detected incidentally from routine blood work done for other reasons. Platelets are a component of the complete blood count (CBC) which also contains information on red blood cells and white blood cells. If thrombocytopenia is seen for the first time, it is prudent to repeat the complete blood count in order to exclude pseudothrombocytopenia. If the repeat CBC confirms low platelet counts, then further evaluation can begin.
During surgery, biopsy was taken from the edge of the ulcer to test for the presence of helicobacter pylori. H. pylori infection was diagnosed by histology. If it was positive, a triple therapy regimen consisting of amoxicillin,pantoprazole and metronidazole for one week was administered on resumption of oral intake. Patient taking non-steroidal anti-inflamatery drugs were adiveed to stop these drugs. Patient were called for follow up at 1 week, 1 month, 6 months, 12months and yearly thereafter.
She analyzes the benefits of identifying and diagnosing delirium, the short term and long term effects of delirium on a patient, and nursing interventions to prevent and manage delirium (Volland, 2015). At Johns Hopkins, using the acronym DELIRIUM allows ICU nurses to identify risk factors including, “dementia; electrolyte disorders; lung, liver, heart, kidney, brain; infection; rx (prescription) drugs; injury, pain, stress; unfamiliar environment; metabolic” (Volland, 2015). With ICU nurses better trained in identifying these risks, they can alert the medical team and interventions can be implemented to decrease the effects and length of psychosis. Effective interventions studied were: addressing any underlying medical issues; creating a more relaxed environment that is conducive to sleep and decreased anxiety; distinguishing between night and day by adjusting the lights and announcing the day and time to the patient; and conversing with the patient (Volland,