The following medications are Mr A’s regular medication and the ones charted during his stay in ADU. His usual insulin was prescribed with the purpose of Mr A being familiar with his administering his own insulin and also for healthcare team to monitor how he usually does this, so that we are able to provide him with the effective education based on his own level of diabetes management and medication administration.
1. Normal Saline 1000mL IV given at 100ml/hr
Indication: In this case, Normal saline is initially used to replenish electrolyte and to maintain and/or replace extracellular fluid deficits. (Sodium Chloride 0.9% Freeflex, 2016)
Mechanism of action One component of Normal saline, Sodium, is the cation of extracellular fluid and controls water distribution. The other component of Normal saline is chloride, which is a major extracellular anion, which aids in maintaining isotonicity, acid- base balance, and electrodynamic characteristic of the body’s cells (Sodium
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Commence a fluid balance chart to monitor fluid intake and output.
2. Potassium Chloride 40mmol in Normal Saline 1000mL IV given at 500mL/hr
Indication Used to prevent of treat low levels of potassium (Potassium chloride, 2017).
Mechanism of action A supplemental form of potassium in high concentration to restore potassium to its normal level (Potassium chloride, 2017).
Side effects hyperkalaemia – muscle weakness, listlessness, flaccid paralysis, cold skin, grey pallor, hypotension, ecg changes. Nausea, vomiting, flatulence, obstruction, ulceration (Potassium chloride, 2017).
Nursing consideration Monitor for fluid overload, over-hydration, and/or pulmonary
Allegra 180 mg OTA - this medication should not make the patient drowsy and since he is a student it is helpful so that he does not get tired during class and can study.
This discussion board is about the nurse’s scope of practice. The purpose of this posting is to discuss the definition and standards of the nurse’s scope of practice as defined by the American Nurses Association (ANA) and by the Ohio Board of Nursing with an example of how to use the standards of practice. Per the ANA, when determining the nurse’s scope of practice there is no one specific explanation that can be provided due to the fact that registered nurses can have a general practice or a practice that is very specialized. The limits that are placed on a RN’s scope of practice will depend on a registered nurse’s education, type of nursing, years as a nurse, and the patients receiving care. At the basic level, every nurse’s practice
Obtain a copy of the nursing organization chart. What is the position of this role within the institution 's/agency 's administrative hierarchy? What is the relationship of this position with other departments/areas within the institution/agency? Director of Nursing. In the chain of command it’s a position below the administrator.
A registered nurse (RN) is someone that went through a university or college and studied nursing; and then passed the national licensing exam to obtain a license to practice nursing. The degree earned by an RN at the need of the program is deemed a professional nursing degree. The RN top nursing staff and they usually works independently. On the hand, an LPN only earns a practical nursing degree after completion of the program. LPNs are mostly recognized only in USA and Canada; they are also named as License Vocational Nurse (LVN) in the state of California and Texas. LPN work under the supervisor of an RN or a physician.
The modern nurse has much to be thankful for because of some of the early pioneers of nursing, such as Florence Nightingale and Jensey Snow. However, the scope and influence of professional nursing, as well as the individual nurse, has seen more exponential growth and change in North America since the establishment of the first professional organization for nursing, the Nurses Associated Alumnae of the United States and Canada, which in 1911 came to be known as the American Nurses Association.
“We can’t turn away from a patient’s pain just because it’s difficult” (chapman, 2015, p. 88). I know the path of least resistance is taking a path of ignorance. Easy, is to ignore or neglect the true pain patients experience in times of crisis. As caregivers I believe we all want to heal others or we wouldn’t be in the field of nursing, but there are only handfuls willing to be present during the healing process because sharing one’s pain hurts. As a surgical nurse, I find being genuinely present takes hard work on my behalf, not only mentally but emotionally. On a unit where patient’s needs and conditions are changing at astonishing rates, being present requires mental strength in order slow down enough to recognize the value presence
There are many who believe that the next shortage will be worse and the demand for nurses will increase. There will be more jobs available especially with the baby boomer nurses retiring. Wood believes that when nurses retire, the next shortage could be even worse than the previous shortage. According to Wood this would lead to an “intellectual drain of institutional and professional nursing knowledge” (Wood, 2011, para 15). Staiger agrees as well that a shortage of nurses is expected again when nurses retire and since the economy will be more stable full-time nurses will go back to being part-time (Huston, 2017). Huston expects for the supply of nurses to grow minimally in the next couple of years and for a large number of nurses
Erica Howard is a 19-year-old African American female who dropped out of high school due to becoming pregnant with her first son, Eric. Erica’s boyfriend Jayce is supportive of her and the baby. Erica’s newborn is only 6 months old and she is surprised that she is pregnant again. She is now in her second trimester and has a lack of prenatal care. When she received her first ultrasound, at 14 weeks, she was concerned when she saw that the baby was almost fully developed. According to the doctor, she became pregnant only three months after her first delivery. When spoken with Erica she expressed that she was very ill with this pregnancy and the baby does not move at all. The doctor explained that the baby might be
The care plan is composed of the right food, exercise and medication (Mayo Clinic Staff, 2014). The person needs to know what type of foods affects their blood sugar levels and most of the time the patient is sent to a nutritionist to follow a diabetic diet. The patient needs to keep track of a food log to discuss later with the doctor or nurse on the next appointment (Mayo Clinic Staff, 2014). An exercise regimen also helps to keep the sugar levels balanced. It is important to keep an exercise schedule that will help the person to keep an exercise routine in accord with the medications and meals. It is very important to stay dehydrated and to keep track of the blood sugar levels (Mayo Clinic Staff, 2014). The medications are to lower the blood sugar levels. It is very important to store the insulin properly, check the expiration date and double check the dose before administration. The person will need to report to the doctor if the blood sugar gets too low or still high, because the doctor might need to adjust the dosage or timing. Also, it is important for the doctor to know if the person is taking medications for other conditions, because that will help the doctor to prescribe the correct medication for the person (Mayo Clinic Staff,
1. What is the difference between a. and a. Which K, S, and A pertain to the care you provided to the patient you have chosen? Why do you need to be a member? K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort.
Currently, through observations and clinical experience on Med/Surg at Cary Medical Center, medication is administered by the nurse. Nurses are responsible and accountable for administrating medications to patients. Patient me...
Within 30 minutes of teaching lesson, the patient will be able to injection insulin properly. The patient will be able to perform self-monitoring of blood glucose using a blood gl...
As much as working is very demanding especially as a nurse so is studying also. There are so many challenges which are involved in working and studying at the same time, some of which are: Goal, Finances, Stress, Time Management and Socialization. These challenges have both positive and negative effects on working and studying. As a matter of fact, it takes one determination and commitment to be able to combine the two at the same time and still be able to achieve ones aim.
Firstly, nurses are expected to practice evidence-based health care hence a mastery of information about the essential and safe dose of drugs for a patient is very important for a nurse. Consequently, it could be the determinant between the life and the death of the patient. Pharmacology is a discipline which is mandatory for the nurse to excel in to be efficient in discharging his/her duties. Understanding which drug to use, the right dosage, the expected side effects which may occur and the contra-indications of the various drugs are key in the preservation of
Secondly, they advise their patients in assuring the appropriate use of medications. It is important to tell the patient about the name of the drug, what is it for, when to take the drug, how many times per day, whether it should be taken before meals, after meals or with meals, the method of taking the drug and its side effects and possible drug-drug interactions. (Swanson, 2005)