Nursing care plan complete NURSING CARE PLAN assignment

Patient is a 72 y/o male. Patient is here for suspected diagnosis of rhabdomyolysis. He is a full code with NKA. B: Patient has history of hypertension and osteoarthritis, and no past pertinent surgical history. Patient lives alone and was found on the floor by his daughter. A: (for assessment) – define what the med does, state why the patient needs the med. R: (for recommendation)- state if you would give or hold med. If you choose to hold the med, state why and that you would alert the patient care provider. Generic Name: Acetaminophen Trade Name: Tylenol Therapeutic Class: Analgesics Pharmacologic Class: Antipyretics Rationale for use: pain Expected therapeutic effect: relieve pain Action: Inhibits synthesis of prostaglandins that may serve as mediators of pain and fever, primarily in the CNS. (Nursing Central, 2014) Dosage: 650 mg Safe dose: total dose NTE 3g / 24 hr Frequency: every 6 hours prn Route: PO Time: prn (last dose 4 hours ago) A: Acetaminophen is metabolized by the liver (Nursing Central, 2014). It reduces production of prostaglandins in the brain, which elevates a person’s pain threshold. It also reduces fever through action on the heat-regulating center of the brain. Patient’s vitals revealed a febrile state and patient reported pain and severe cramps in lower back and legs R: I would recommend giving this medication. Patient’s very high fever, 40.1 degrees Celcius, needs to be decreased. The patient is also experiencing severe discomfort in lower back and legs with movement, and this medication would relieve that discomfort. I would check the patients fever and BP q 4 hours and once the fever is controlled, hold medication so HR is not decreased unnecessarily as pt vitals revealed a low systolic (80).