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NRSG 3321 Concept Map _ Care Plan Assignment (2).docx -...

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NRSG 3321 Concept Map / Care Plan AssignmentStudent Name: Alexis SpargoDate: 10/24/21Pt. Initials: J.L Pt Age: 71Chief Complaint (0.25pts):The patient is presenting with pain from a right hip fracture.Medical Diagnosis: (0.2 pts)Hip fracture and pulmonary congestionMedical History / Other Diagnoses (0.2 pts):Coronary artery disease, Atrial fibrillation,hypertension, Hyperlipidemia, Peripheral vascular disease, Gout, and Type 2 diabetes.Your Identified Top 3 priority PROBLEMS that you ANTICIPATE your patient will havetoday? Where will you focus?These may end up being different from what you actuallydetermine as the top priorities throughout the day. (these can be just a word or a few words,such as pain, hypertension / BP, ambulation, safety, etc…) (0.25 each = 0.75 total)1.Pain- focus on pain management2.Monitoring I&O’s- because of fluid in lungs3.Fall Risk- focus on safety: frequent checks and alarm padMedications:Please use an additional sheet if needed! (1 pts)
Name:Trade / GenericWhat is thismed?Class?Why is YOURpt taking thismed?Nursing considerations?(contraindications, side effects, foodor drug interactions, parameters,any assessments needed beforeand/or after, any labs to monitor?Etc..)BumaxLoop diureticTo get rid offluid, specificallyin the lungs(pulmonarycongestion)Monitor daily weights and I&O’s,monitor vitals especially bloodpressure, take vitals before givingmedication and thirty minutes after.Listen to lung sounds, assessmucous membranes.TylenolAcetaminophen,analgesicPainPossible hepatotoxicity, do notexceed 4g daily, monitor vitalsGabapentinanticonvulsantRelieve nervepainN/V/D, constipation, weight gain,edema, fatigueLidocaineLocal anestheticTargeted painreliefCheck blood pressure prior toadministration, assess neuro andrespiratory during administration,push slowly at 25mg/minute.NorcoAnalgesics,Opioid Combos,narcoticsPain reliefEducate patients: No alcoholconsumption or other CNSdepressants should be takensimultaneously, monitor vitals andreparations.AspirinsalicylatesCoronary arterydisease(prevents bloodclots)Potential renal toxicity, caution withbleeding, and making sure thepatient is safe seeing that he is a fallrisk.LipitorStatin,HMG-CoA reductaseinhibitorsHyperlipidemiaMonitor renal and liver functions/labs potentially toxic. Muscle pain,tenderness, and weakness arecommon.BupropionantidepressantsHelp improveHeadache, sleep loss, GI
patients moodtreatsdepressiondisturbances, Avoid alcohol andCNS depressants due to the risk ofincreased sedation.Vitamin D3Vitamin D3analogsSupportsimmune system,bones, muscles,and nervesMonitor calcium levels, monitor labrenal health and monitor the heart.ColaceSulfonic acidStool softener,hospital policyMonitor for signs of dehydrationand fluid-electrolyte balance vialabs.

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Term
Fall
Professor
professor_unknown
Tags
Nursing, Suffering

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