Pharmacology and the Nursing Process
Pharmacology and the Nursing Process
7th Edition
ISBN: 9780323087896
Author: Linda Lane Lilley
Publisher: Elsevier Health Sciences
Question
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Chapter 25, Problem 1CS

(1)

Summary Introduction

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)

Summary Introduction

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)

Summary Introduction

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)

Summary Introduction

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.

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