NUR2474/NUR 2474 Module 8 questions with Answers

NUR2474/NUR 2474 Module 8 questions with Answers Instructon: This is your study guide for module 8. It is essental that you identfy the medicatons outlined in this document some are inferred look those up as well. Address the MOA, indicaton, adverse effects (some might encompass other complicatons such as resp depression, and or adrenal insufciency). Once you have obtained a good grasp of the medicatons then complete this worksheet. This is not a graded document this is for your reference. 1. Develop a teaching plan for someone who will be startng on morphine. This patent is extremely anxious about becoming addicted. It’s important that you address the side effects of the Morphine and discuss the differences between tolerance, dependence and addicton. Tolerance: Increased dosage needed to obtain the same response. Dependence: (This is rare when opioids are used correctly) Opioid addicton 2. This patent ends up on a Patent Controlled Analgesic (PCA): what does this mean and what kind of teaching will you be doing with the patent and family? Only the patent is to control the PCA pump. If not, this can cause an overdose. Pt educaton should be completed with the patent prior to surgery or procedure in regard to only them controlling the PCA. 3. Your patent on Morphine has not had any urine output for 5 hours what is your interpretaton of this and what do you antcipate that your interventons to you antcipate? Urinary Retenton. Depending on the results of a bladder scan the patent may need to have a straight catheter to drain the urine from the bladder. 4. The telemetry monitor calls you to ask you to check on the patent in room 214. You note the patent was admited for pain management for a motor cross accident that resulted in a flail chest. The patent is on a pain regimen of Morphine 1.0 mg IV qh and Hydrocodone-ASAP 10/325mg po. The patent is sleeping soundly and snoring, vitals BP 70/40. RR: 6 bpm, and SPO2 85% on 2L of oxygen nasal cannula. a. Explain what has happened here. Opioid overdose b. Discuss the adverse reactons of Morphine and what are you going to monitor (in general)? Can cause respiratory depression. Monitor respiratory rate, spo2 (pulse ox), respiratory depth. If the patent is using a PCA you should also monitor co2. c. What is your plan and interventons to correct the problem? Administer Naloxone (Narcan) 5. You start your 1st day as a nurse in Med/Surg and have developed seasonal allergies. You run to the gif shop and buy some diphenhydramine to get you through the day. How do you antcipate your 1st day of orientaton to go and why? Due to severe sedaton as an adverse effect, you may not remember or retain much informaton. 6. Outline patent educaton points to address for the teaching plan with the administraton of Diphenhydramine. Patents should avoid alcohol and other CNS depressants. This medicaton also has antcholinergic effects. This study source was downloaded by from CourseH on :07:21 GMT -05:00 anthistamine instead of 1st generaton. Why is she telling you this and what drug optons would that encompass? List 3 The second generaton has fewer side effects and only mild sedaton compared to the frst generaton having severe sedaton. Cetrizine, loratadine, levocetrizine. 8. What are the signs and symptoms of acute poisoning of Acetaminophen overdose? How will you diagnose it and how well you treat it. How will you evaluate the treatment of toxicity? Early signs: Nausea, vomitng, diarrhea, sweatng, abdominal pain. Treatment of overdose: Acetylcysteine (mucomyst) 9. You have had a chance to read about Glucocortcoids. What are the adverse effects of long-term therapy with a Glucocortcoid? The patent is diagnosed with Rheumatoid Arthrits. Develop patent educaton to prevent adverse outcomes. Patent Educaton: Administer before 0900, patent needs to increase during tmes of stress so should always have extra doses on hand, the smallest effectve dose possible should be used. Also, Cushing’s syndrome: hyperglycemia, fluid and electrolyte disturbances, osteoporosis, muscle weakness, cutaneous striatons, decreased resistance to infectons, redistributon of fat produces a “potbelly”, “moon face”, and a “buffalo hump”. 10. Your patent on Glucocortcoids returns with evidence of a 20lb unintentonal weight loss, what is your interpretaton of this? This study source was downloaded by from CourseH on :07:21 GMT -05:00 Powered by TCPDF ()