Diet to to the disorder npo tpn may be used

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Diet to to the disorder NPO , TPN may be used - PANCREATITIS Clear liquids – high fiber - DIVERTICULITIS Low fat diet – CHOLECYSTITIS Decreases protein intake – LIVER o CIRRHOSIS – build up of ammonia = hepatic encephalopathy Tx: lactulose Avoid glutens - Celiac Clear liquids – N/V Avoid purines - gout Small freq meals – dumping syn Avoid lg meals, eating late, alcohol , caffeine = GERD DIETARY CONSIDERATIONS: High biological protein sources: Egg whites, soy prod Milk Fish and fowl Organ means Potassium rich Banana Apricots Prunes Beans Baked potatoes Calcium rich Milk Kale Broccoli Shellfish
High iron Fish Mean Green leafy Enriched breads Cereals Macaroni Whol-grain prod Dried fruits o Raisins and apricot , egg yolks WHICH MEDS MIGHT BE GIVEN Prevents heart disease ATORVASTATIN Prevent MI / stroke CLOPIDOGREL Slow the progression of arthritis ENTERNECEPT (immunomodulator drug) Prevent urinary incontinence Oxybutynin Prevent rubella MMR VACCINE Lower bp Valsartan Treat neuropathy PREGABALIN Treat gerd ESOMEPRAZOLE Treat bipolar disorder QUETIAPINE Treat COPD TIOTROPIUM TREAT DEPRESSION DULOXETINE Decrease symptoms of herpes zoster VALACYCLOVIR Prevent bronchospasm MONTELUKAST MENTAL HEALTH : ANXIETY PG 178-179 Minimize situations that increase anxiety Encourage problem solving Therapeutic comm Use firm / simple statements Stay w/ client Defense mechanisms Automatic May be adaptive – allows anxiety to be lowered and goals to be achieved ANTIDEPRESSANTS – 2-4 weeks ( NCLEX – 2 wks should show improvement w/ pts)
Phobias – support desensitization OCD – allow rituals SEPARATION ANXIETY – assist w/ developing goals GAD (generalized anxiety disorder) – reinforce coping Anti anxiety meds – risk for addiction Schizophrenia Promote safety / phys care Validate client’s experience , reorient to reality Don’t confront, argue or deny Avoid phys contact / touching o Esp those having hallucinations Approach in calm, quit manner o Client pacing- monitor – remove to avoid violence Client statement: “I am gesticulated and the confrazzlement of the issue warrants you to leave the room” – example of exhibiting a disruption in thought process (Word salad) Apripiprazole (ability – only ANTIPSYCHOTIC THAT ENDS IN -OLE) – therapeutic effect – reduce delusional thoughts ANTIPSYCHOTICS PG 57, 180 HALOPERIDOL -highest risk of EPS CLOZAPINE – monitor CBC Quetiapine – somnolence (sea tans- sedation) Benztropine – manages eps Risperidone – low eps risk Olazapine – hyperglycemia AUDITORY – ask what they’re saying Hallucinations – go after what they are seeing -think of interventions that could keep them more safe ADHD : PG 181 Manifestations Hyperactive Impulsive Inattentive Interventions:
Observe level of phys activity, attn span, talkativeness, frustration tolerance, ability to follow directions

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