Nursing Process Nursing Diagnosis Impaired Comfort related to IV administration

Nursing process nursing diagnosis impaired comfort

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Nursing Process: Nursing Diagnosis Impaired Comfort related to IV administration of amphotericin B Risk for Ineffective Tissue Perfusion: Renal related to adverse reactions of antifungal drugs
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Planning Nursing Process: Planning The expected outcome depends on the reason for administering the antifungal drug but includes an optimal response to therapy: Patient relates to the management of adverse reactions and has an understanding of and compliance with the prescribed treatment regimen
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Implementation Nursing Process: Implementation Promoting an optimal response therapy: Amphotericin B: Protect IV solution from exposure to light; administer immediately after the drug is reconstituted; renal damage is the most serious adverse reaction to the use of amphotericin B— hence, serum creatinine levels and BUN levels are checked frequently
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Implementation (cont.) Nursing Process: Implementation (cont.) Promoting an optimal response therapy (cont.): Topical antifungal infection preparations: Inspect the area at the time of each topical application; if administered vaginally, question the patient regarding any discomfort or other sensations experienced; evaluate and chart the patient’s response to therapy daily
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Implementation (cont.) Nursing Process: Implementation (cont.) Monitoring and managing patient needs: Impaired comfort: Medication administration Use precautions when administering amphotericin B intravenously; inform before the drug is given that the side effects can be uncomfortable; provide warm blankets; reassure that the medications administered before the antifungal are to help ease the reaction
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Implementation (cont.) Nursing Process: Implementation (cont.) Monitoring and managing patient needs (cont.): Risk for ineffective tissue perfusion: Renal Carefully monitor fluid intake and output, serum creatinine levels, and BUN levels Gerontologic alert: Fluconazole
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Implementation (cont.) Nursing Process: Implementation (cont.) Educating the patient and family: For topical antifungal drugs include the importance of cleanliness and using the correct ointment amount in the prescribed frequency in the teaching plan For ringworm infections advise keeping towels and facecloths used for bathing separate from those of other family members
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Implementation (cont.) Nursing Process: Implementation (cont.) Educating the patient and family (cont.): Teach drug-specific points for the following drugs Flucytosine; griseofulvin; ketoconazole; itraconazole; miconazole
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  • Spring '17
  • Pharmacology, Adverse drug reaction, Wolters Kluwer Health, Lippincott Williams & Wilkins

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