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Original Question
Pa I need help answer the assignment: You are the nurse passing the 0800 medications for 5 patients during your day shift at the TCU. Consider what you need to know about each of your patient’s medications to safely give them in a clinical setting. When completing this grid it is important to be CONCISE. Do not copy & paste directly from your drug book. Think bullet points of short phrases, not complete sentences here. P Patient 1: Marcia, a 68-year-old female, is recovering from a total knee arthroplasty. She has history of CHF and HTN. Medication Order Why is the patient taking this med? What assessment data must be obtained before giving this medication? What side effects are most important to monitor for after giving the med? What is something the patient should know about this medication? Acetaminophen 650 mg PO Q6H Due today @0800 For relief of post-surgical pain Current pain level Signs of liver toxicity Limit daily dose to 4000 mg in 24 hours Furosemide 20 mg PO daily Due today @0800 Metoprolol XL 50 mg PO BID Due today @0800 Potassium Chloride 20 m Eq PO daily Due today @0800 Pa Patient 2: Javier, a 64-year-old male, was recently hospitalized for urosepsis. He has a history of D BPH and DM 2. P Medication Order Why is the patient taking this med? What assessment data must be obtained before giving this medication? What side effects are most important to monitor for after giving the med? What is something the patient should know about this medication? Glipizide 5 mg PO BID Due today @0800 Tamsulosin 0.4 mg PO daily Due today @0800 Ciprofloxacin 250 mg PO Q12H Due today @0800 Pa Patient 3: Philip, a 43-year-old male, has a seizure disorder related to a TBI. He also suffers from chronic pain related to his injury. Medication Order Why is the patient taking this med? What assessment data must be obtained before giving this medication? What side effects are most important to monitor for after giving the med? What is something the patient should know about this medication? Levatiracetam 1000 mg PO Q12H Due today @0800 Methadone 5 mg PO Q8H Due today @0800 P Pa Patient 4: Antoinette, a 56-year-old female, has type 2 diabetes. She recently had her great left toe un amputated. Medication Order Why is the patient taking this med? What assessment data must be obtained before giving this medication? What side effects are most important to monitor for after giving the med? What is something the patient should know about this medication? Insulin glargine 20 units subq daily Due today @0800 Insulin aspart 4 units subq TID before meals Due today @0800 Insulin aspart Sliding scale subq QID before meals and at bedtime 0-150 = 0 units 151-200 = 2 units 201-250 = 4 units 251-300 = 6 units 301-350 = 8 units 351-400 = 10 units >401 = 12 units and call MD Due today @0800 An Antoinette’s blood sugar is 267 at 0745. How many units of insulin will you administer at 0800? P Patient 5: George, a 50-year-old male, has a history of GERD, seasonal allergies, and COPD. Medication Order Why is the patient taking this med? What assessment data must be obtained before giving this medication? What side effects are most important to monitor for after giving the med? What is something the patient should know about this medication? Omeprazole 40 mg PO daily Due today @0800 Cetirizine 10 mg PO daily Due today @0800 Formoterol/Budesonide 2 puffs INH Q12H Due today @0800 Pa Pa
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