EBK PHARMACOLOGY AND THE NURSING PROCES
EBK PHARMACOLOGY AND THE NURSING PROCES
8th Edition
ISBN: 9780323358989
Author: Snyder
Publisher: Elsevier Course Content Deliv.
Question
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Chapter 28, Problem 1CS

(1)

Summary Introduction

To describe:

The suspicious medical condition by which Dr. G, is affected and the prioritized recommendation.

Case summary:

Dr. G, is a university lecturer (aged 62). He has been detected with hypertension (primary). He will be advised to take hydrochlorothiazide (HCTZ- 50 mg) daily. At this time, there is no history of cardiac damage or renal deficiency (nor evidence of end-organ disease or retinopathy).  She is worried about the coming up semesters (having teaching load) but she is trying to get good health.

Dr. G, suffered by tiredness (after one month follows up). She questioned the prescriber that the drug cause sleepiness. After an inquiry, Dr. G, says that she takes the medication (HCTZ) at dinnertime as she scared about the medication will affects (interfere) her classes.

(2)

Summary Introduction

To describe:

To take dietary potassium what type of food should Dr. G, eat.

Case summary:

Dr. G, is a university lecturer (aged 62). He has been detected with hypertension (primary). He will be advised to take hydrochlorothiazide (HCTZ- 50 mg) daily. At this time, there is no history of cardiac damage or renal deficiency (nor evidence of end-organ disease or retinopathy).  She is worried about the coming up semesters (having teaching load) but she is trying to get good health by taking steps.

Dr. G, suffered by tiredness (after one month follows up). She questioned the prescriber that the drug cause sleepiness. After an inquiry, Dr. G, says that she takes the medication (HCTZ) at dinnertime as she scared the medication will affects (interfere) her classes.

(3)

Summary Introduction

To describe:

Dr. G,’s potassium level is 3.4 mEq/L that comes back after the laboratory testing. Dr. G, questioned about taking potassium pills.

Case summary:

Dr. G, is a university lecturer (aged 62). He has been detected with hypertension (primary). He will be advised to take hydrochlorothiazide (HCTZ- 50 mg) daily. At this time, there is no history of cardiac damage or renal deficiency (nor evidence of end-organ disease or retinopathy).  She is worried about the coming up semesters (having teaching load) but she is trying to get good health by taking steps.

Dr. G, suffered by tiredness (after one month follows up). She questioned the prescriber that the drug cause sleepiness. After an inquiry, Dr. G, says that she takes the medication (HCTZ) at dinnertime as she scared the medication will affects (interfere) her classes.

(4)

Summary Introduction

To describe:

In what way Dr. G, should be educated in regulating her diabetes (while taking hydrochlorothiazide diuretics).

Case summary:

Dr. G, is a university lecturer (aged 62). He has been detected with hypertension (primary). He will be advised to take hydrochlorothiazide (HCTZ- 50 mg) daily. At this time, there is no history of cardiac damage or renal deficiency (nor evidence of end-organ disease or retinopathy).  She is worried about the coming up semesters (having teaching load) but she is trying to get good health by taking steps.

Dr. G, suffered by tiredness (after one month follows up). She questioned the prescriber that the drug cause sleepiness. After an inquiry, Dr. G, says that she takes the medication (HCTZ) at dinnertime as she scared the medication will affects (interfere) her classes.

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A 65 year old male with a small bowel obstruction is to be started on TPN. He is 5’ 9” and weighs 70 kg.  3.1 What is his kcal requirements using Mifflin St Jeor equation? Assume an activity factor of 1.2. 1770 kcal 1980 kcal 2020 kcal 2080 kcal 3.2 What is his fluid requirements (ml)? 2000 ml 2100 ml 2200 ml 2300 ml 3.3 The patient has just undergone a small bowel resection. His albumin dropped to 2.2. He has no significant past medical history except for a minor bicycle accident when he was 10 years old. How many grams of protein will this patient require based on your assessment? 105 – 126 g/day 110 – 130 g/day 84 – 105 g/day 110 – 180 g/day
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