Medication Review- Case Study SBO PDF

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Medication Review: Please incorporate the following in your preparation of this case study. You will need to research the medication classification, safe dose, nursing implications, indications for why the patient is receiving this medication, as well as all the specifics related to the medication administration. We will be selecting 1-3 students per week to virtually talk through the administration of these medications and discuss all the above. The patient will be receiving the following medications: MEDICATION

CLASS

Hydromorphone 1 mg I.V. every 4 hours PRN

Therapeutic: allergy, cold, and cough remedies (antitussives), opioid analgesics Pharmacologic : opioid agonists Therapeutic: antiemetics Pharmacologic : 5-HT3 antagonists

Ondansetron 4 mg IV every 6 hours PRN

Cefazolin 1 gram IV every 12 hours

Therapeutic: anti-infectives Pharmacologic : firstgeneration cephalosporins

SAFE DOSE/ INDICATIONS NURSING CONSIDERATIONS/SIDE ADMINISTRATION EFFECTS IV, IM, Subcut pain Hypotension, constipation, sedation, (Adults 50 kg): 1.5 confusion mg q 3– 4 hr as needed initially; may increased

Assess BP, pulse, and respirations before and periodically during administration. If respiratory rate is 10/min, assess level of sedation. Dose may need to be decreased by 25– 50%. Initial drowsiness will diminish with continued use

IM, IV (Adults): Prevention of postoperative nausea/vomiting— 4 mg before induction of anesthesia or postoperatively.

nausea

CNS: headache, dizziness, drowsiness, fatigue, weakness. CV: TORSADE DE POINTES, QT interval prolongation. GI: constipation, diarrhea, abdominal pain, dry mouth, increase liver enzymes. Neuro: extrapyramidal reactions. Monitor ECG in patients with hypokalemia, hypomagnesemia, HF, bradyarrhythmias, or patients taking concomitant medications that prolong the QT interval.

Moderate-to-severe infections—500 mg2 g every 6– 8 hr; maximum 12 g/day.

Infection,

CNS: SEIZURES (high doses). GI: PSEUDOMEMBRANOUS COLITIS, diarrhea, nausea, vomiting, cramps. Derm: STEVENS-JOHNSON SYNDROME, rash, pruritis, urticaria. Hemat: leukopenia, neutropenia, thrombocytopenia. Local: pain at IM site, phlebitis at IV site. Misc: allergic reactions including anaphylaxis and

prophylaxis

serum sickness, superinfection. Observe patient for signs and symptoms of anaphylaxis (rash, pruritus, laryngeal edema, wheezing). Discontinue drug and notify health care professional immediately if these problems occur. Keep epinephrine, an antihistamine, and resuscitation equipment close by in case of an anaphylactic reaction....