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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 |
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Metoprolol XL 50 mg PO BID Due today @0800 |
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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 |
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Tamsulosin 0.4 mg PO daily Due today @0800 |
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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 |
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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 |
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Insulin aspart 4 units subq TID before meals Due today @0800 |
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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 |
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Cetirizine 10 mg PO daily Due today @0800 |
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Formoterol/Budesonide 2 puffs INH Q12H Due today @0800 |
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