Pharmacology and the Nursing Process, 8e
Pharmacology and the Nursing Process, 8e
8th Edition
ISBN: 9780323358286
Author: Linda Lane Lilley PhD RN, Shelly Rainforth Collins PharmD, Julie S. Snyder MSN RN-BC
Publisher: Elsevier Science
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Chapter 25, Problem 1CS

(1)

Summary Introduction

To answer:

The purpose of amiodarone infusion.

Case summary:

A 46-year-old patient A.F is admitted in the progressive care unit with chest pain. A.F has been under the medication of warfarin for deep vein thrombosis. While under the progressive care unit, A.F had increased episodes of premature ventricular contractions (PVC). The monitor technician reported the nurse he had 20 episodes of ventricular tachycardia (VT) and when the nurse checks he had another 10 more episodes of VT. The nurse report to physician and he prescribed amiodarone (Cordarone) infusion.

(2)

Summary Introduction

To explain:

The dose of oral amiodarone that nurse needed order for A.F who is suffering from pulmonary embolism and coronary artery blockage.

Case summary:

A 46-year-old patient A.F is admitted in the progressive care unit with chest pain. A.F has been under the medication of warfarin for deep vein thrombosis. While under the progressive care unit, A.F had increased episodes of premature ventricular contractions (PVC). The monitor technician reported the nurse he had 20 episodes of ventricular tachycardia (VT) and when the nurse checks he had another 10 more episodes of VT. The nurse report to physician and he prescribed amiodarone (Cordarone) infusion.

(3)

Summary Introduction

To answer:

The priority of the patient teaching of the nurse to A.F’s query of relaxing outside the ocean by his beach house.

Case summary:

A 46-year-old patient A.F is admitted in the progressive care unit with chest pain. A.F has been under the medication of warfarin for deep vein thrombosis. While under the progressive care unit, A.F had increased episodes of premature ventricular contractions (PVC). The monitor technician reported the nurse he had 20 episodes of ventricular tachycardia (VT) and when the nurse checks he had another 10 more episodes of VT. The nurse report to physician and he prescribed amiodarone (Cordarone) infusion.

(4)

Summary Introduction

To answer:

The explanation of the nurse about the drug warfarin to A.F’s query, about the dose of the drug warfarin is lower than what he was taking before.

Case summary:

A 46-year-old patient A.F is admitted in the progressive care unit with chest pain. A.F has been under the medication of warfarin for deep vein thrombosis. While under the progressive care unit, A.F had increased episodes of premature ventricular contractions (PVC). The monitor technician reported the nurse he had 20 episodes of ventricular tachycardia (VT) and when the nurse checks he had another 10 more episodes of VT. The nurse report to physician and he prescribed amiodarone (Cordarone) infusion.

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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/hr
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   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/ml
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…
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