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g. Increased irritabilityCase study Progress You and the nursing student finish a health history with the family and determine that T.M. has impaired vision corrected with glasses, a speech impairment, and a seizure disorder and has had poor weight gain and feeding issues since birth. He has a skin-level feeding device (Mic-Key button) and receives supple- mental tube feedings in addition to oral intake. He is not able to ambulate without braces and wears ankle-foot orthotics. He receives physical, occupational, and speech therapy on an outpatient basis. T.M. is verbal and able to answer questions with simple phrases and responds to commands. T.M.weighs 12 kg.
Mobility Case StudyModule 3NUR 4103.The admitting physician orders the following. Explain the rationale for each order. Diazepam for muscle relaxer Chart View Admission Orders Baclofen (Lioresal) 5 mg every 8 hours PO- muscle spasm Diazepam (Valium) 2 mg twice a day PO- higher dose for seizure. IVP or rectally Lamotrigine (Lamictal) 60 mg twice a day PO- anticonvulsant Diet as tolerated; NPO for solids and hold tube feedings at midnight; clear fluids until 4 am Place IV on admission and begin D51NS at 45 mL/hr-prepare for surgery VS every 4 hours 4.You ask T.M.'s mother about his history of seizures. She states that he has nothad seizures since his medication doses were adjusted several months ago.