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 49, Problem 1CS

(1)

Summary Introduction

To explain:

The best response of the nurse when Mrs. T asks whether it is one dose and if she would be immune to chickenpox.

Case summary:

Mrs. T brings her 12-month-old daughter for a check-up as well as to receive varicella vaccine and asks questions to the nurse about the vaccine.

(2)

Summary Introduction

To discuss:

The nurse tells that slight fever may develop and asks what would Mrs. T do, and Mrs. T replies that she would give aspirin to her children.

Case summary:

Mrs. T brings her 12-month-old daughter for a check-up as well as to receive varicella vaccine and asks questions to the nurse about the vaccine.

(3)

Summary Introduction

To discuss:

The further assessment of the nurse when Mrs. T. calls and tells that the skin around the injection site of her daughter is swollen, red, and warm to the touch.

Case summary:

Mrs. T brings her 12-month-old daughter for a check-up as well as to receive varicella vaccine and asks questions to the nurse about the vaccine.

4)

Summary Introduction

To discuss:

Whether it is the same vaccine Mrs. T’s mother says that she received to avoid getting shingles.

Case summary:

Mrs. T. brings her 12-month-old daughter for a check-up as well as to receive varicella vaccine and asks questions to the nurse about the vaccine.

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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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