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What are important nursing knowledge points to know about these medications? Insulin, desmopressin, and thyroxin
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- Which of the following medications may cause hypoglycemia when is use as monotherapy? (select all that apply) Insulin Rosiglitazone Glipizide Metformin exenatideThis patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases1. This patient is complaining that her gums are getting larger and are starting to grow over her teeth.What might be causing this?This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastasesWhat is the mechanism of action of sertraline and the common side effects?
- This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases2. The physical therapist comes to you the next afternoon & states that he is unable to arouse thepatient for therapy. You enter the room and discover that the patient has been chewing on an oldfentanyl patch. She has probably overdosed. What medication can be given to this patient?This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases1. This patient is complaining that her gums are getting larger and are starting to grow over her teeth.What might be causing this?2. The physical therapist comes to you the next afternoon & states that he is unable to arouse thepatient for therapy. You enter the room and discover that the patient has been chewing on an oldfentanyl patch. She has probably overdosed. What medication can be given to this patient?3. What are common side effects of fentanyl? How should they be…This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases The patient started to hallucinate and became combative with the staff. Her physician ordered 5mg ofhaloperidol to be given IM. Later that day the patient came to the nursing station complaining ofsevere spams in her neck and back. What is his happening to her and what is causing it?symptoms?
- Many adults and older adults use aspirin daily for antiplatelet benefits. What nursing considerations are essentials when working with these patients? What teaching points are important for patients on antiplatelet therapy?A patient has type 1 diabetes mellitus. What general guidelines must be met before this patient can receive insulin? What specific responsibilities does the nurse have when administering insulin, and who develops the standards of care that result in these guidelines?An 85-year-old female with history of hypertension presented with cough and low-grade fever. Chest radiography is consistent with a diagnosis of pneumonia. The doctor ordered the antibiotic Levofloxacin 500 mg PO X 10 days. The patient's blood work came back, and basic metabolic panel showed potassium (K) of 5 mmol/L, sodium (NA) 140 mmol/L, glucose of 115, BUN of 19 mg/dl and creatinine of 1.2 mg/dl.
- OXYTOCIN MEDICATION IN EACH CATEGORY OF DRUGS AND APPLY THE 10 R’S TO MEDICATION Fill out all the the blanks in the table below. CATEGORY 1 : DRUGS USED FOR OB PATIENTS : OXYTOCIN 10 R’s TO MEDICATION BRIEF DISCUSSION OF EACH OF THE 10R’s TO MEDICATION APPLICATION (BASED ON THE DRUG YOU CHOOSE) 1. RIGHT DRUG (OXYTOCIN) 2. RIGHT DOSE 3. RIGHT TIME 4. RIGHT ROUTE 5. RIGHT PATIENT 6. RIGHT TO EDUCATE 7. RIGHT TO REFUSE 8. RIGHT ASSESSMENT 9. RIGHT EVALUATION 10. RIGHT DOCUMENTATIONFrom this list choose TWO (2)therapies to discuss: empagliflozin metformin rosuvastatin ramipril You need to do the following for each medication: describe the mechanism of ACTION/S identify the AIM of each therapy for Mehmet relate each therapy to Mehmet's pathophysiological presentation refer briefly to any GUIDELINES which support the use of each medication identify one RISK or special consideration for Mehmet whilst taking each medication identify what evidence will demonstrate the EFFECTIVENESS of each therapy if you were evaluating care provided to MehmetProblems with opioid TDDS include: TRUE OR FALSE Poor patient compliance Allergy Constipation Respiratory depression Cognitive dysfunction
