adult in 24 hrs Yes maximum of 16 mgdose Nursing Considerations Assessment

Adult in 24 hrs yes maximum of 16 mgdose nursing

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adult in 24 hrs Yes, maximum of 16 mg/dose Nursing Considerations Assessment: Assess for absence of nausea, vomiting during chemotherapy, assess for hypersensitivity reaction: rash, bronchospasm, assess for EPS shuffling gait, tremors, grimacing, rigidity, QT prolongation: monitor ECG in those with hypokalemia, hypomagnesemia, cardiac disease and those receiving other products that increase QT Teaching: Instruct patient to report diarrhea, constipation, rash, changes in respirations, or discomfort at insertion site, serotonin syndrome, EPS symptoms, and teach patient reason for medication and expected results Lab or VS that need to be assessed BP, pule, resp. Side Effects that are critical to know Arrhythmias, chest pain, ECG alterations, cardiopulmonary arrest, shock, shortness of breath, headache, dizziness, drowsiness. What time medication administered by student Not given by student Scheduled Medication or PRN (identify) Lovenox 30mg q24h subQ Classification Anticoagulant, antithrombotic Is dose safe and what is safe dose for adult in 24 hrs Yes, max sub Q 30 mg q 12hr or 40 mg/day Nursing Considerations Assessment: Monitor blood studies (Hct, CBC, coagulation studies, occult blood in stools), anti-Xa levels q3mo; platelet count q2-3day; thrombocytopenia may occur, PT, PTT, is not needed in those with adequate coagulation; discontinue and notify prescriber if platelets <100, assess patient for bleeding
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gums, petechiae, ecchymosis, black tarry stools, hematuria, epistaxis, decrease in B/P; indicate bleeding and possible hemorrhage; notify prescriber immediately Teaching: Warn patient to avoid OTC preparations unless directed by prescriber because they could cause serious product interactions, not to start any Rx, OTC, supplements, or herbal products unless approved by prescriber, instruct patient to use soft- bristled toothbrush to avoid bleeding gums; to avoid contact sports; to use electric razor; to avoid IM injection, advise patient to report any signs of bleeding, bruising: gums, under skin, urine, stools, dizziness, rash, breathing changes, do not rub injection site Lab or VS that need to be assessed Platelets Side Effects that are critical to know Hemorrhage from any site, hypochromic anemia, thrombocytopenia, bleeding, Ecchymosis, injection site hematoma What time medication administered by student 8 am Scheduled Medication or PRN (identify) Apresoline 10mg q6h PRN IV Classification Antihypertensive, direct-acting peripheral vasodilator Is dose safe and what is safe dose for adult in 24 hrs Yes, max 300 mg/day Nursing Considerations Assessment: Assess cardiac status: B/P q5min for 2 hr, then qhr for 2 hr, then q4hr; pulse, jugular venous distention q4hr decreased after level • Monitor electrolytes, blood studies Teaching: Teach patient to take with food to increase bioavailability (PO) • Teach patient to avoid OTC preparations unless directed by prescriber
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• Advise patient to notify prescriber if chest pain, severe fatigue, fever, muscle or joint pain occur Lab or VS that need to be assessed BP and HR Side Effects that are critical to know
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  • Spring '17
  • collins
  • Cardiac arrest, Platelet, liver function tests, Drowsiness

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