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Charles Christian Baletbet is a 38-year-old woman who has breast cancer. She is receiving radiation and chemotherapy. Mr. Baletbet is experiencing significant nausea and vomiting. Her physician orders ondansetron 32 mg IV to be administered 30 minutes prior to her chemotherapy and 8 to 16 mg PO every 8 hours as needed. She also receives metoclopramide 10 mg PO four times a day: 30 minutes before meals and at bedtime. a. Application of Understanding. 1. The physician orders Mr. Baletbet to also receive diphenhydramine with her metoclopramide. What is the rationale for giving these two medications together?

Charles Christian Baletbet is a 38-year-old woman who has breast cancer. She is receiving radiation and chemotherapy. Mr. Baletbet is experiencing significant nausea and vomiting. Her physician orders ondansetron 32 mg IV to be administered 30 minutes prior to her chemotherapy and 8 to 16 mg PO every 8 hours as needed. She also receives metoclopramide 10 mg PO four times a day: 30 minutes before meals and at bedtime. a. Application of Understanding. 1. The physician orders Mr. Baletbet to also receive diphenhydramine with her metoclopramide. What is the rationale for giving these two medications together?

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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Charles Christian Baletbet is a 38-year-old woman who has breast cancer. She is receiving radiation and chemotherapy. Mr. Baletbet is experiencing significant nausea and vomiting. Her physician orders ondansetron 32 mg IV to be administered 30 minutes prior to her chemotherapy and 8 to 16 mg PO every 8 hours as needed. She also receives metoclopramide 10 mg PO four times a day: 30 minutes before meals and at bedtime. a. Application of Understanding. 1. The physician orders Mr. Baletbet to also receive diphenhydramine with her metoclopramide. What is the rationale for giving these two medications together? 2. What nursing measures, in addition to the administration of medication, should you implement to reduce Mr. Baletbet's nausea and vomiting? For what adverse effects would you assess Mr. Baletbet, in relation to ondansetron?
Transcribed Image Text:Charles Christian Baletbet is a 38-year-old woman who has breast cancer. She is receiving radiation and chemotherapy. Mr. Baletbet is experiencing significant nausea and vomiting. Her physician orders ondansetron 32 mg IV to be administered 30 minutes prior to her chemotherapy and 8 to 16 mg PO every 8 hours as needed. She also receives metoclopramide 10 mg PO four times a day: 30 minutes before meals and at bedtime. a. Application of Understanding. 1. The physician orders Mr. Baletbet to also receive diphenhydramine with her metoclopramide. What is the rationale for giving these two medications together? 2. What nursing measures, in addition to the administration of medication, should you implement to reduce Mr. Baletbet's nausea and vomiting? For what adverse effects would you assess Mr. Baletbet, in relation to ondansetron?
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