Notify hcp for joint muscle pain o monitor calcium

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Notify hcp for joint muscle pain oMonitor calcium – for osteoporosis
DAY 2 LIVE REVIEW: MUSCULOSKELETAL MEDSPrednisoneHydroxychlorequine(Antimalarial drug)NaproxenAnti-goutMethotrexateBiannual eye examMonitor infectionAvoid purinesMonitor bleeding Exercise CA++ and vit DHydroxychloroquine – for : lupus, Eye exam q2years Naproxen – note for taking w/ empty stomach – risk for bleedingGout – swelling of joint— due to Uris acid = from purine rich foods : Beer, wine, meats (foods of “kings”)Ed on limit purine intake NEUROLOGICAL SYS:MAOI:PHENELZINE: dietary avoid:tyramine foods (from aged foods)PepperoniCheddar cheese Cottage cheeseIMPORTANT MEDS TO KNOW FOR MENTAL HEALTH DX:SHORT TERM / ACUTE:ALPRAZOLAMLORAZEPAM
ZOLPIDEM TARTRATELONG TERM/CHRONICISOCARBOXAZID – MAOI – FOR DEPRESSION L/T TXLITHIUM – BIPOLAR – LIFELONG TXOLANZAPINE – ANTIPSYCHOTIC – SCHIZO , DEPRESSIONSERTRALINE – SSRI – ANTIDEPRESSANT ANTIPSYCHOTIC MEDS:Typical – haloperidol :highest risk of EPS2 roots :oThiothixene hydrochloride (prolexin) Atypical – olanzapine , apripiprazoleRemember SEA (SE), tan (AE) Typical SE:Sedation – give at night, no drivingEPS – tx benztropine oCan extend to tardive dyskinesia oIdentify early and prevent Anticholinergic - dry – no pee, see, pooTardive dyskinesia AgranulocytosisNeuroleptic malignant syndrome (NMS)Seizures Atypical :Lower risk for eps/toAdded risk of w gain, dm , dyslipidemiaDecreased risk of agranulocytosis (may occur w/ clozapine, seizures, NMS)PCA + ANESTHETIC AGENT SYNERGISTIC EFFECT= spo decreased, rr decreasedBp – decreasedEpidural analgesia : immediate intervention when: Inability to urinate Reports haBil upper ext itchingDecreased loc – true AcetaminophenNSAIDs Opioids Analgesics
Antipyretics AntiinflammRenal damageLiver damage Garlic – decreased cholesterol , increased staminaGarlic/ginseng/ginko biloba – bleeding FUNDAMENTALS: RESTRAINTS - documentation : provides insufficient evidence to support the need to restraint the client oNot : describe attempts to resolve the insomnia before using restraints APN places mitten restraints req intervention: secured to side rails of bed Wrist restraint for client w/ peripheral IV- finding that should be eval before application oReasons for pulling out IVR - rescueA - alarmC – contain E – extinguishNx cares for chemo client : actions implemented if IV tubing separates:Obtain chemo spill kit and use according to directions Cane use for left-sided weakness Hold the cane on the right side and advance left foot forward – GOES ON STRONG SIDE CRUTCHES/CANE – 6-10 inchWalker -12 inches INFECTION CONTROLDischarge teaching for client who has AIDS : which spill management technique: 10% bleach solution after initial cleaning Rooming HF + HEMOCCULT POSITIVE STOOL HIV POS . WBC 5200 + HEP BULCERATIVE COLITIS + HEP A
ROOM ASSIGNMENTS for private client:

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