Case Study. Chapter 64, Administration of Injectable Medications Mr. Johnny Woll, a 40-year-old Native American male was

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Case Study. Chapter 64, Administration of Injectable Medications Mr. Johnny Woll, a 40-year-old Native American male was admitted into ICU after falling olla very high clift. His injuries include a fractured pelvis, bilateral fractures of his lower extremities, and contusions to his head and face. He received orders for an IV 0.9% NaCl 100 cc/hr, Demerol 50 mg with Vistaril 50 mg for pain IM every 3 to 4 hours PRN, a Foley catheter, CT scans, lab orders, and bedrest. He is allergic to ASA and watermelon (Learning Objectives 1, 2, 4, 9, 10) 1. Describe how the nurse would prevent a needle stick after giving Mr Wolf his IM injection for pain 2 Describe the Z-track or (zigzag) method of giving an IM injection 3. List the steps to inserting a peripheral IV. 4. Mr. Wolf is complaining of his IV site hurting. List the signs and symptoms of an IV infiltration 5. List the parts of the syringe that has to maintain sterility.

Case Study, Chapter 62, Classification of Medications Mr. Lonnie Carter, a 70-year-old Caucasian male, who has a history of hypertension, coronary artery disease, diabetes, and early onset of dementia, was living alone at home. He is being admitted into an assisted living facility because he is becoming unsafeliving at home alone, according to his family. Upon admission into the assisted living facility, the nurse completes the admission assessment and history including his medication reconciliation list from home. This list includes: Lasix, Glyburide, Lanoxin, Norvasc, and Prednisone. He is allergic to Ceclor. (Learning Objectives 1.3.5) 1. List the classifications categories of the medications listed in the case study of this client's medications. 2. Teaching the client about his medication Prednisone is necessary before administering. What important information by the nurse should be given to Mr. Carter? 3. The nurse is unsure about all the medications this client is on. What references are available for the nurse to use to obtain the necessary knowledge before administering the medications? List five available resources 4. List the action therapeutic effect, uses, contraindications, route and dosage, adverse effects, nursing implications, and client/family education of Lanoxin
Case Study. Chapter 60, Review of Mathematics Mr. George Moore, a 78-year-old African American client was brought into the emergency room by ambulance following a motor vehicle accident (MVA). The client was found moonscious at the scene. He is awake once he is brought into the ER with complaints of left hip puin, left arm pain, and a large bleeding laceration to the left side of his forehead. His past medical history is hypertension, IDDM type 2 and seizures. He has blurred vision at the present time but upon assessment the nurse documents PERRLA. His weight is 210 lb and he is NKA Vital signs are: T=99.0, P-100 and regular, R-22, and B/P=180/90, SaO2-94% RA, pain level 7/10 The ER healthcare provider orders an IV of 0 9% NaCl at 83 cchr, Dilantin 200mgpo stat, Nifedipine 20 mg po now, full body CTscan, and lab work. (Learning Objectives 1,3,4,6,7,8) 1. Convert the client's weight from pounds to kilograms (Show your work.) 2. The label on the Dilantin bottle reads, "Dilantin 100mg capsule po How much Dilantin should the nurse give? (Show your work.) 3. List six standard abbreviations JACHO have placed on the "Do Not Use" abbreviation list 4. List six standard abbreviations JACHO says that can still be used in healthcare situations 5. The healthcare provider orders Nifedipine 20 mg po now. The medication is available in 10 mg capsule. How many capsules should the nurse administer (Show your work) 6. List the three different systems of measurement that were used in the past for dispensing and administering medications, 7. Which system of measurement is the most widely used in the world today? 8. For what aspects of care, in addition to medication administration, could the nurse use the metric system? Give three examples
Ce Study. Chapter 61. Introduction to Pharmacology Mrs. Geraldine Cook. 45-year-old Caucasian female was admitted to the hospital with chief complaint or abdominal pain in the right lower quadrant. She has been vomiting since yesterday morning with the pain beginning last night. The healthcare provider orders a flat plate or the shdomen, lab work-CBC and SMAC, NPO, IV fluids, and pain medication of Demerol 25 mg IV every 2 to 3 hours PRN for pain. Her home medication reconciliation list includes: Norvas, Lasik, Potassium, Prilosec, and Vicodin. She states she is allergic to strawberries and penicillin. Her weight is 100 lband her vital signs are: T-100.9. P-110 and regular, R-24.BP-100/50, SO. -97% RA, and pain scale 9/10. (Learning Objectives 1,2,3,4,6,7) 1 Describe the steps on how the nurse would obtain the scheduled medication of Demerol for this client's pain 2. Last the medication Demerol by the generic and trade brand names. Which one is most commonly used? 3. Before the nurse administers Demerol, what is the nurse's responsibility? 4. Demerol may be administered by which routes? 5. List factors for this client that may affect the dosage of Demerol 6. Mrs Cook is going to be dismissed home on Vicodin. List the components of a prescnption