RNiPharmacologyiVATIiRe-evaluationiAssessment
Theinurseishoulditeachitheiclientitoidiscardianyiregulariinsulinithatiappearsicloudy,iasiregulariinsulinishouldibeiclea
r.iNPHiinsulinihasiaicloudyiappearance.
TheinurseishoulditeachitheiclientitoiinjectiairiintoitheiNPHivialifirst.iTheinurseishoulditeachitheiclientitoidrawiupitheire
gulariinsuliniintoitheisyringeifirst.
Nystatinioralisuspensionishouldibeistorediatiroomitemperature.iTheiactioniofinystatiniisilocal,iandiitiisinotiabsorbedi
throughiintactiskiniorimucousimembranes.iThereiisinoireasonitoitakeitheimedicationionianiemptyistoma.iNystatinim
ustibeiswalloweditoimaximizeitheimedication'silocalieffectsionitheimucosaliliningiofitheiupperigastrointestinalitract.
Ferrousisulfateiprovidesitheiironineededibyitheibodyitoiproduceiredibloodicells.iTakingiironisupplementsibetweeni
mealsihelpsitoiincreaseitheibioavailabilityiofiitheiiron.iTakingitheimedicationiwithifoodicanireduceitheiGIisymptomsi
associatediwithiit.iHowever,itakingitheimedicationibetweenimealsimaximizesiabsorption
Recliningiimmediatelyiafteritakingiferrousisulfateimayileaditoiesophagealicorrosion.iClientsishouldiremainiuprightifo
ri15-30iminifollowingiadministering.
Theinurseishouldiexplainithatifeverfewiinterferesiwithiplateletiactioniandicanithereforeicauseibleeding.iItiisiunsafeifori
theiclientitoitakeiduringipregnancy.
Sucralfateiforigastriciulcer:iTheinurseishouldiadministeritheimedicationitoitheiclientionianiemptyistomachiforibestia
bsorption.iTheinurseishouldiinstructitheiclientitoiincreaseifluidsiwhileionisucralfateitherapyitoidecreaseitheiriskioficon
stipationirelateditoitheimedication.iTheinurseishouldiinstructitheiclientitoiavoiditakingiantacidsi30iminibeforeioriafterit
heiadministrationiofisucralfate.
Packediredibloodicellsiforianemicipatient:iTheinurseishouldicheckitheiclient'sivitalisignsieveryi15iminiatitheistartiofii
theitransfusion,ithenieveryi1ihritoimonitoriforiaitransfusionireaction.i(answerisaidi“checkitheiclientsivitalsieveryihour)i(
Iichoseitoiinfuseiatirateiofii200iml/hr)iTheitransfusionishouldiinfuseiini2itoi4ihritoipreventifluidioverload.
Lactulose,iaidisaccharide,iisiaisugarithatiworksiasianiosmoticidiuretic.iItipreventsiabsorptioniofiammoniaiinitheicolo
n.iAccumulationiofiiammoniaiinitheibloodstream,iwhichioccursiinipathologiciconditionsiofiitheiliver,isuchiasicirrhosis,
imayiaffectitheicentralinervousisystem,icausingihepaticiencephalopathyioricoma.
Theipilliisienteric-
coateditoipreventibreakdowniinitheistomachiandidecreaseitheipossibilityiofiGIidistress.iCrushingitheipillidestroysitha
tiprotection.iCrushingitheipilliwillidestroyitheientericicoating,ianditheiclientishouldibeiadvisediagainstithis,ibutitheiente
ricicoatingidoesinotipreventitheireleaseiofimedication.iSustainedireleaseipreparationsidisburseitheimedicationioverit
ime.
Phenytoiniisianianticonvulsantiuseditoitreativariousitypesiofiseizures.iClientsionianticonvulsantimedicationsicomm
onlyirequireithemiforilifetimeiadministration,iandiphenytoinishouldinotibeistoppediwithoutitheiadviceiofitheiclient'sipr
ovider.iTheiclientiunderstandsithatiphenytoinicausesianiovergrowthiofitheigumsithatimakesidentalimonitoringiimpor
tant.
Thisistudyisourceiwasidownloadedibyi100000829219024ifromiCourseHero.comioni05-10-2022i11:53:50iGMTi-05:00
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, Furosemideiisicorrect.iThisimedicationiisiuseditoireduceiedemaiandihypertension,iandianiadverseieffectiisiortho
staticihypotension.
Telmisartaniisicorrect.iThisimedicationiisiuseditoicontrolihypertension,iandianiadverseieffectiisiorthostaticihypoten
sion.
Duloxetineiisicorrect.iThisimedicationiisiuseditoitreatidepressioniandianxietyidisorder,iandianiadverseieffectiisiort
hostaticihypotension.
Clopidogreliisiincorrect.iThisimedicationiisiuseditoireduceitheiriskiofiiMIiandistrokeiandidoesinoticauseiorthostatici
hypotension.
Atorvastatiniisiincorrect.iThisimedicationiisiuseditoidecreaseicholesteroliandidoesinoticauseiorthostaticihypotensi
on.
Captopril:ineutropenia
Captopril,ianiACEiinhibitor,icanicauseihyperkalemiaidueitoipotassiumiretentionibyitheikidney.iTheiclientishouldiavo
idisaltisubstitutes,iasimostiofiithemiareihighiinipotassium.iTheiclientishoulditakeicaptoprilionianiemptyistomach,i1ihri
beforeiori2ihriafteriaimeal,iiniorderitoinotireduceitheimedication’siabsorption.
Theinurseishoulditeachitheiclientithatiextendedireleaseitabletsishouldibeitakeniwholeiandishouldinotibeibroken,icrus
hed,iorichewed.
Theiclientishouldiavoidiactivitiesithatirequireialertness.iDiazepamiisiaibenzodiazepineithaticausesisedationiandidiz
ziness.iTheiclientishoulditakeithisimedicationiintermittentlyi(3iori4inightsiperiweek)itoipreventiphysicalidependence.
Metabolicialkalosisicanioccuriiniclientsiwhoihaveiexcessiveivomitingibecauseiofiitheilossiofiihydrochloriciacid.
Hyperventilationicanicauseirespiratoryialkalosis.
Hypermetabolism,isuchiasiwithifeverioriexercise,icanicauseimetaboliciacidosis.iRespiratoryid
epressionicanicauseirespiratoryiacidosis.
Theiclientishouldikeepitheivialiiniuseiatiroomitemperatureitoiminimizeitissueiinjuryianditoireduceitheiriskiforilipodystro
phy.i(insulin)iTheiclientishouldiinjectitheimedicationiintoisubcutaneousitissue.iTheiclientishouldimixicompatibleisoluti
ons,isuchiasiregulariinsuliniandiNPHiinsulin,itoireduceitheineediforianiadditionaliinjectioniandireduceitheiriskiforilipod
ystrophy.
Adverseieffectsiofinalbuphineiincludeivisualidisturbancesisuchiasimiosis,iblurredivision,iandidiplopia.iNalbuphineic
anicauseiconstipation,icramps,iandiabdominalipain,ibutiitidoesinotihaveidiarrheaiasianiadverseieffect.iNalbuphineiisi
unlikelyitoicauseijointipain;ihowever,iiticanicauseiheadacheiandiabdominalicramps.
Nalbuphineiisiunlikelyitoicauseioliguria;ihowever,iiticanicauseiurinaryiurgency.
Lithiumiisiaisalt.iIfiisodiumilevelifalls,itheiclientiwilliretainilithiumiandihaveianiincreasediriskiforilithiumitoxicity.
Theinurseishouldifirstiassessitheiclient’siairwayiandioxygenisaturationitoidetermineitheineediforirespiratoryisupport
.iIntubationioritracheotomyiisiconsiderediifiadequateioxygenationiisinotimaintained.iTheisecondistepitheinurseisho
ulditakeiisitoicallitheirapidiresponseiteamitoiprovideiemergencyitreatmentiinicaseioficardiaciorirespiratoryiarrest.iNe
xt,itheinurseishouldiapplyihigh-
flowioxygenitoiincreaseioxygenationianditheniinitiateianiIVisite,iifiioneiisinotipresent,iandiadministeriisotoniciIVifluid
sitoipreventihypotensioniandiprovideiaccessiforiIVimedications.iTheinurseishoulditheniadministeriIViepinephrineitoi
constrictibloodivessels,idilateibronchioles,iandiincreaseicardiacifunction.iAndifinally,itheinurseishouldiadministeriI
Viantihistaminesiandicorticosteroidsitoiblockitheieffectsiofihistamineiandidecreaseiedema.
Furosemideiisiailoopidiureticithatipromotesitheiexcretioniofiipotassium.iTheinurseishouldimonitoritheiclient'sipotassi
umilevelitoiwatchiforihypokalemia.
Grapefruitsiandigrapefruitijuiceicanireduceimetabolismiofiiatorvastatin,iwhichiincreasesitheiriskiforitoxicity.
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Theinurseishoulditeachitheiclientitoidiscardianyiregulariinsulinithatiappearsicloudy,iasiregulariinsulinishouldibeiclea
r.iNPHiinsulinihasiaicloudyiappearance.
TheinurseishoulditeachitheiclientitoiinjectiairiintoitheiNPHivialifirst.iTheinurseishoulditeachitheiclientitoidrawiupitheire
gulariinsuliniintoitheisyringeifirst.
Nystatinioralisuspensionishouldibeistorediatiroomitemperature.iTheiactioniofinystatiniisilocal,iandiitiisinotiabsorbedi
throughiintactiskiniorimucousimembranes.iThereiisinoireasonitoitakeitheimedicationionianiemptyistoma.iNystatinim
ustibeiswalloweditoimaximizeitheimedication'silocalieffectsionitheimucosaliliningiofitheiupperigastrointestinalitract.
Ferrousisulfateiprovidesitheiironineededibyitheibodyitoiproduceiredibloodicells.iTakingiironisupplementsibetweeni
mealsihelpsitoiincreaseitheibioavailabilityiofiitheiiron.iTakingitheimedicationiwithifoodicanireduceitheiGIisymptomsi
associatediwithiit.iHowever,itakingitheimedicationibetweenimealsimaximizesiabsorption
Recliningiimmediatelyiafteritakingiferrousisulfateimayileaditoiesophagealicorrosion.iClientsishouldiremainiuprightifo
ri15-30iminifollowingiadministering.
Theinurseishouldiexplainithatifeverfewiinterferesiwithiplateletiactioniandicanithereforeicauseibleeding.iItiisiunsafeifori
theiclientitoitakeiduringipregnancy.
Sucralfateiforigastriciulcer:iTheinurseishouldiadministeritheimedicationitoitheiclientionianiemptyistomachiforibestia
bsorption.iTheinurseishouldiinstructitheiclientitoiincreaseifluidsiwhileionisucralfateitherapyitoidecreaseitheiriskioficon
stipationirelateditoitheimedication.iTheinurseishouldiinstructitheiclientitoiavoiditakingiantacidsi30iminibeforeioriafterit
heiadministrationiofisucralfate.
Packediredibloodicellsiforianemicipatient:iTheinurseishouldicheckitheiclient'sivitalisignsieveryi15iminiatitheistartiofii
theitransfusion,ithenieveryi1ihritoimonitoriforiaitransfusionireaction.i(answerisaidi“checkitheiclientsivitalsieveryihour)i(
Iichoseitoiinfuseiatirateiofii200iml/hr)iTheitransfusionishouldiinfuseiini2itoi4ihritoipreventifluidioverload.
Lactulose,iaidisaccharide,iisiaisugarithatiworksiasianiosmoticidiuretic.iItipreventsiabsorptioniofiammoniaiinitheicolo
n.iAccumulationiofiiammoniaiinitheibloodstream,iwhichioccursiinipathologiciconditionsiofiitheiliver,isuchiasicirrhosis,
imayiaffectitheicentralinervousisystem,icausingihepaticiencephalopathyioricoma.
Theipilliisienteric-
coateditoipreventibreakdowniinitheistomachiandidecreaseitheipossibilityiofiGIidistress.iCrushingitheipillidestroysitha
tiprotection.iCrushingitheipilliwillidestroyitheientericicoating,ianditheiclientishouldibeiadvisediagainstithis,ibutitheiente
ricicoatingidoesinotipreventitheireleaseiofimedication.iSustainedireleaseipreparationsidisburseitheimedicationioverit
ime.
Phenytoiniisianianticonvulsantiuseditoitreativariousitypesiofiseizures.iClientsionianticonvulsantimedicationsicomm
onlyirequireithemiforilifetimeiadministration,iandiphenytoinishouldinotibeistoppediwithoutitheiadviceiofitheiclient'sipr
ovider.iTheiclientiunderstandsithatiphenytoinicausesianiovergrowthiofitheigumsithatimakesidentalimonitoringiimpor
tant.
Thisistudyisourceiwasidownloadedibyi100000829219024ifromiCourseHero.comioni05-10-2022i11:53:50iGMTi-05:00
https://www.coursehero.com/file/36256769/pharm-re-evaluationdocx/
, Furosemideiisicorrect.iThisimedicationiisiuseditoireduceiedemaiandihypertension,iandianiadverseieffectiisiortho
staticihypotension.
Telmisartaniisicorrect.iThisimedicationiisiuseditoicontrolihypertension,iandianiadverseieffectiisiorthostaticihypoten
sion.
Duloxetineiisicorrect.iThisimedicationiisiuseditoitreatidepressioniandianxietyidisorder,iandianiadverseieffectiisiort
hostaticihypotension.
Clopidogreliisiincorrect.iThisimedicationiisiuseditoireduceitheiriskiofiiMIiandistrokeiandidoesinoticauseiorthostatici
hypotension.
Atorvastatiniisiincorrect.iThisimedicationiisiuseditoidecreaseicholesteroliandidoesinoticauseiorthostaticihypotensi
on.
Captopril:ineutropenia
Captopril,ianiACEiinhibitor,icanicauseihyperkalemiaidueitoipotassiumiretentionibyitheikidney.iTheiclientishouldiavo
idisaltisubstitutes,iasimostiofiithemiareihighiinipotassium.iTheiclientishoulditakeicaptoprilionianiemptyistomach,i1ihri
beforeiori2ihriafteriaimeal,iiniorderitoinotireduceitheimedication’siabsorption.
Theinurseishoulditeachitheiclientithatiextendedireleaseitabletsishouldibeitakeniwholeiandishouldinotibeibroken,icrus
hed,iorichewed.
Theiclientishouldiavoidiactivitiesithatirequireialertness.iDiazepamiisiaibenzodiazepineithaticausesisedationiandidiz
ziness.iTheiclientishoulditakeithisimedicationiintermittentlyi(3iori4inightsiperiweek)itoipreventiphysicalidependence.
Metabolicialkalosisicanioccuriiniclientsiwhoihaveiexcessiveivomitingibecauseiofiitheilossiofiihydrochloriciacid.
Hyperventilationicanicauseirespiratoryialkalosis.
Hypermetabolism,isuchiasiwithifeverioriexercise,icanicauseimetaboliciacidosis.iRespiratoryid
epressionicanicauseirespiratoryiacidosis.
Theiclientishouldikeepitheivialiiniuseiatiroomitemperatureitoiminimizeitissueiinjuryianditoireduceitheiriskiforilipodystro
phy.i(insulin)iTheiclientishouldiinjectitheimedicationiintoisubcutaneousitissue.iTheiclientishouldimixicompatibleisoluti
ons,isuchiasiregulariinsuliniandiNPHiinsulin,itoireduceitheineediforianiadditionaliinjectioniandireduceitheiriskiforilipod
ystrophy.
Adverseieffectsiofinalbuphineiincludeivisualidisturbancesisuchiasimiosis,iblurredivision,iandidiplopia.iNalbuphineic
anicauseiconstipation,icramps,iandiabdominalipain,ibutiitidoesinotihaveidiarrheaiasianiadverseieffect.iNalbuphineiisi
unlikelyitoicauseijointipain;ihowever,iiticanicauseiheadacheiandiabdominalicramps.
Nalbuphineiisiunlikelyitoicauseioliguria;ihowever,iiticanicauseiurinaryiurgency.
Lithiumiisiaisalt.iIfiisodiumilevelifalls,itheiclientiwilliretainilithiumiandihaveianiincreasediriskiforilithiumitoxicity.
Theinurseishouldifirstiassessitheiclient’siairwayiandioxygenisaturationitoidetermineitheineediforirespiratoryisupport
.iIntubationioritracheotomyiisiconsiderediifiadequateioxygenationiisinotimaintained.iTheisecondistepitheinurseisho
ulditakeiisitoicallitheirapidiresponseiteamitoiprovideiemergencyitreatmentiinicaseioficardiaciorirespiratoryiarrest.iNe
xt,itheinurseishouldiapplyihigh-
flowioxygenitoiincreaseioxygenationianditheniinitiateianiIVisite,iifiioneiisinotipresent,iandiadministeriisotoniciIVifluid
sitoipreventihypotensioniandiprovideiaccessiforiIVimedications.iTheinurseishoulditheniadministeriIViepinephrineitoi
constrictibloodivessels,idilateibronchioles,iandiincreaseicardiacifunction.iAndifinally,itheinurseishouldiadministeriI
Viantihistaminesiandicorticosteroidsitoiblockitheieffectsiofihistamineiandidecreaseiedema.
Furosemideiisiailoopidiureticithatipromotesitheiexcretioniofiipotassium.iTheinurseishouldimonitoritheiclient'sipotassi
umilevelitoiwatchiforihypokalemia.
Grapefruitsiandigrapefruitijuiceicanireduceimetabolismiofiiatorvastatin,iwhichiincreasesitheiriskiforitoxicity.
Thisistudyisourceiwasidownloadedibyi100000829219024ifromiCourseHero.comioni05-10-2022i11:53:50iGMTi-05:00
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