(1)
To determine:
The factors that nurse consider before beginning the lidocaine infusion?
Case summary:
A 46-year-old patient V.T. is admitted in the intensive care unit with chest pain. The result from the diagnosis reports that patient with a partial block with one of the coronary arteries. The person V.T. is awaiting for the angioplasty procedure. The person V.T.’s heart monitor in the intensive care indicates the increased episodes of premature ventricular contractions. The nurse decides to implement the standing order of lidocaine infusion after 20 second run of ventricular tachycardia. The dose of 75 mg lidocaine intravenous push for the ventricular tachycardia is prescribed and the dose is repeated for in 5 minutes. After that, the nurse starts the continuous infusion of 2 mg/ min intravenously.
(2)
To determine:
What will the nurse monitor during V.T. receiving lidocaine infusion?
Case summary:
A 46-year-old patient V.T. is admitted in the intensive care unit with chest pain. The result from the diagnosis reports that patient with a partial block with one of the coronary arteries. The person V.T. is awaiting for the angioplasty procedure. The person V.T.’s heart monitor in the intensive care indicates the increased episodes of premature ventricular contractions. The nurse decides to implement the standing order of lidocaine infusion after 20 second run of ventricular tachycardia. The dose of 75 mg lidocaine intravenous push for the ventricular tachycardia is prescribed and the dose is repeated for every 5 minutes. After that, the nurse starts the continuous infusion of 2 mg/ min intravenously.
(3)
To determine:
The patient has been started the oral quinidine after the discontinuation of lidocaine infusion. After one month later he is hearing “ringing sound”. Is this ringing sound of the person V.T. is significant?
Case summary:
A 46-year-old patient V.T. is admitted in the intensive care unit with chest pain. The result from the diagnosis reports that patient with a partial block with one of the coronary arteries. The person V.T. is awaiting for the angioplasty procedure. The person V.T.’s heart monitor in the intensive care indicates the increased episodes of premature ventricular contractions. The nurse decides to implement the standing order of lidocaine infusion after 20 second run of ventricular tachycardia. The dose of 75 mg lidocaine intravenous push for the ventricular tachycardia is prescribed and the dose is repeated for every 5 minutes. After that, the nurse starts the continuous infusion of 2 mg/ min intravenously.
(4)
To determine:
The person V.T. ask the nurse about the side effects of procainamide medication. What is the best answer to this question from the nurse?
Case summary:
A 46-year-old patient V.T. is admitted in the intensive care unit with chest pain. The result from the diagnosis reports that patient with a partial block with one of the coronary arteries. The person V.T. is awaiting for the angioplasty procedure. The person V.T.’s heart monitor in the intensive care indicates the increased episodes of premature ventricular contractions. The nurse decides to implement the standing order of lidocaine infusion after 20 second run of ventricular tachycardia. The dose of 75 mg lidocaine intravenous push for the ventricular tachycardia is prescribed and this dose is repeated for every 5 minutes. After that, the nurse starts the continuous infusion of 2 mg/ min intravenously.
Want to see the full answer?
Check out a sample textbook solutionChapter 25 Solutions
Pharmacology and the Nursing Process
- Mrs. Sara Bellum Lab data: All High GFR: 10 mL/min/1.73^2 Creatinine: 2.5 mg/dL BUN: 33 mg/dL HbgA1c: 9.2% Potassium: 5.5 mEq/L Phosphourous: 5 mg/dL Mrs. Sara Bellum's questions to answer: How much protein to eat What types of protein to eat What other liquids can she drink How to avoid being thirsty Dairy options and amount What kind of founds cound as fluid Are veggie dinners ok How much water to drink Nutrition intervention Are carbs ok with pts with ckd Calories: 1300-18200 kcal/day Protein: 52-62 g protein/kg Fluid: 18 ounces (6 cups) per day Sodium (less than 2,300 milligrams a day) Potassium Calciumarrow_forwardQuestions to as a CKD patient with diabetes during an assessment (as a dietitian)?arrow_forward* Question Completion Status: Usual Padiat Patient's Doss Directions for Micing NDC 61442-202-01 CEPHALEXIN For Oral Suspension USP Low 250 mg per 5 mL Each 5ml Arom than contain: Cephalesin Manched quant to 250 ing Cephasn Rev. 09 10 Rx Only Carlsbad Technology, Inc. 100 ml (When Mored) 61442 2020 Lot CCP50 Order: cephalexin 350 mg p.o. every 6 hrs for 7 days for a child who weighs 70 lbs. What is the child's weight in kg to the nearest tenths? Calculate the safe total "daily dose range" for this child (round to whole number) Calculate the safe "single dose range" for this child (round to a whole number) Is the ordered dose a "safe dose"? How many mLs will the nurse administer for each dose? 31 798 mg/day; 1,599 mg/day 198.7 mg/dose; 397.5 mg/dose Yes 7 mL O 31.8 795 mg/day; 1,590 mg/day 199 mg/dose; 398 mg/dose Yes 7 mL 31.8 795 mg/day; 1,590 mg/day 198.75 mg/dose; 397.5 mg/dose Yes 7 mL 31 795 mg/day; 1,590 mg/day 199 mg/dose; 398 mg/dose No 7 mL Click Save and Submit to save and…arrow_forward
- Considering the kcals the patient is receiving from propofol and D51⁄2NS, what should be the rate (ml/hr) of the tube feeding you selected? 30 ml/hr 45 ml/hr 55 ml/hr 65 ml/hrarrow_forwardYou are seeing a 68 year-old male patient admitted to the ICU. He is sedated on the ventilator with propofol at 20ml/hr, D51⁄2NS running at 75ml/hr. and a past medical history of DM2, obesity, CAD, HTN, and Pneumonia. Ht 172cm, Wt 72kg, Alb 2.3, VE=7.9 L/min, Tmax =38.4 C 4.1 What is the total kcal this patient is receiving before the initiation of TF (Hint: include propofol and D51⁄2 NS in calculation)? 306 kcal 528 kcal 678 kcal 834 kcal What is the estimated kcal goal for this patient? 1787 kcal 1847 kcal 1927 kcal 2317 kcal What is the estimated protein need for this patient? 45 – 50 g/day 86 – 108g/day 108 – 180g/day 144 – 188 g/day What type of tube feeding formula would you recommend for this patient? Standard 1.5 kcal/ml formula Glycemic control product, 1.0 kcal/ml Low residue, high protein, nutritionally balanced,1.2 kcal/ml High protein, calorie control product, 2.0 kcal/mlarrow_forwardYou are seeing a 68 year-old male patient admitted to the ICU. He is sedated on the ventilator with propofol at 20ml/hr, D51⁄2NS running at 75ml/hr. and a past medical history of DM2, obesity, CAD, HTN, and Pneumonia. Ht 172cm, Wt 72kg, Alb 2.3, VE=7.9 L/min, Tmax =38.4 C 4.1 What is the total kcal this patient is receiving before the initiation of TF (Hint: include propofol and D51⁄2 NS in calculation)? 306 kcal 528 kcal 678 kcal 834 kcal Which estimated prediction equation will you recommend to calculate the kcal need for this patient? Penn State Equation (2003b): Mifflin(0.96)+ VE (31) + Tmax (167)-6212 MifflinStJeor =(10xW)+(6.25xHt)–(5xAge)+5 Harris-Benedict equation: kcal/day (male) = 66 +13.8 (W) + 5.0(H) – (6.8 x A) Ireton-Jones equations (1992)(ventilator-dependent): 1925 – 10 (A) + 5 (W) + 281 (S) + 292 (T) + 851 (B) What is the estimated kcal goal for this patient? 1787 kcal 1847 kcal 1927 kcal 2317 kcal What is the…arrow_forward
- You are seeing a 68 year-old male patient admitted to the ICU. He is sedated on the ventilator with propofol at 20ml/hr, D51⁄2NS running at 75ml/hr. and a past medical history of DM2, obesity, CAD, HTN, and Pneumonia. Ht 172cm, Wt 72kg, Alb 2.3, VE=7.9 L/min, Tmax =38.4 C 4.1 What is the total kcal this patient is receiving before the initiation of TF (Hint: include propofol and D51⁄2 NS in calculation)? 306 kcal 528 kcal 678 kcal 834 kcal Which estimated prediction equation will you recommend to calculate the kcal need for this patient? Penn State Equation (2003b): Mifflin(0.96)+ VE (31) + Tmax (167)-6212 MifflinStJeor =(10xW)+(6.25xHt)–(5xAge)+5 Harris-Benedict equation: kcal/day (male) = 66 +13.8 (W) + 5.0(H) – (6.8 x A) Ireton-Jones equations (1992)(ventilator-dependent): 1925 – 10 (A) + 5 (W) + 281 (S) + 292 (T) + 851 (B) What is the estimated kcal goal for this patient? 1787 kcal 1847 kcal 1927 kcal 2317 kcal What is the…arrow_forwardHealth education is central to nursing practice. Discuss.arrow_forwardDon't give AI generated solution otherwise I will give you downward Evaluate the current state of the quality of care and outcomes for the opioid epidemic in veterans that have been discharged from the military. • What is the current state of the quality of care and outcomes? • To what degree does the current state of the quality of care and outcomes need to be improved? • How does the current performance compare to any relevant benchmarks? • How does the current performance adversely impact the health of the target population negatively impacted by health inequity? Give correct typing answer with explanationarrow_forward
- Don't give AI generated solution otherwise I will give you downwardarrow_forwardDiscuss and explain Health education planning, implementation and evaluation: examples of effective strategies and barriers to success using the APA academic writing style with 5 references.arrow_forwardDiscuss and explain evaluation in health education using the APA academic writing style with 3 references.arrow_forward
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:SaundersFundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
- Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning