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2019103001553820191028020115care Plan 1 1 Cvb 1 Generic Names

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User Generated
Subject
Nursing
Type
Homework
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Name: Date:
Care Plan for Exam #2 page 1 of 2
You’re caring for a 62 year- old man is recovering from a cardiac catheterization after a
heart attack. You’ve learned in your initial assessment that your patient has poor vision and
hearing problem. Below is a list of his medications given in the last 24 hours.He will be going
home on all of them except Morphine and Versed. Provide patient teaching regarding his “take
home” medications to the patient (and/or his family members) prior to discharge. Also, address
the nursing care needs of the medications given in the hospital before discharge as well. You
must address the patient’s vision and hearing deficit in your teaching. You will need to provide
three priority nursing diagnoses and a patient’s goal statement for each nursing diagnosis.
Drug Name
Generic name *
Route
Frequency
Dosage
Morphine
IV
Q2H PRN
2 mg
Versed
Midazolam
IV
30 mins prior to procedure
5 mg
Prinivil
Lisinopril
PO
QD
20 mg
Aspirin
Acetylsalicylic
Acid
PO
QD
81 mg
Nitroglycerin SL
Sublingual
SL
Q3-5 mins PRN
(Max: 3 doses in 15 mins)
0.3 mg (1 tablet)
Lopressor
Metoprolol
PO
QID
25 mg
Cordarone
Amiodarone
PO
QD
400 mg
Digoxin
Lanoxicaps
PO
QD
0.25 mcg
Ambien
Ambien
PO
QHS PRN
5 mg
Motrin
Ibuprofen
PO
Q6H PRN
600 mg
Dilantin ER
Phenytoin
PO
QD
100 mg
Prozac
Fluoxetine
PO
QD
25 mg
Sinemet
Carbidopa-
Levodopa
PO
TID
25 mg
Xanax
Alprazolam
PO
TID PRN
0.25 mg
Indicates take a home medication

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Name: Date:
What is his Erickson’s Developmental Stage?
The patient is above sixty years old and therefore falls in the late adulthood stage also known as
the integrity vs. despair stage. At this stage, individuals simply reflect on their life and develop a
sense of failure or satisfaction where the former causes more regrets and despair while the latter
have a high sense of integrity. Depending on how well the patient feels he lived his life, he faces
the end of his life with either despair or integrity.
Three priority nursing diagnoses using NANDA guideline: use RT (related to) and AEB (as
evidence by) statements refer to chapter 1 in Lilley
1. Priority nursing diagnosis
The patient is developing Type II Diabetes and this diagnosis can be confirmed using urine
sugar test or random blood sugar test. Poor vision and hearing loss is a characteristic of
diabetes. Studies show that high blood sugar causes damage to blood vessels and nerves in the
body including those located in the inner ear. When auditory nerves get damaged, hearing loss
occurs. On the other hand, high blood sugar levels cause blurry vision, retinopathy, glaucoma,
cataracts, and can result in blindness in the patient.
2. Priority nursing diagnosis
In an effort to promote the patient’s current health, nurses should formulate an effective system
to manage the amount of drugs being used by the patient. The use of two medications belonging
in the same classification (as evidenced by his prescription of Aspirin and Motrin, both of which
are NSAIDS) is unnecessary and should be rectified to prevent an overdose. Besides, overuse of
NSAIDs affects blood sugar levels of a patient.

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Name: Date: Care Plan for Exam #2 page 1 of 2 You’re caring for a 62 year- old man is recovering from a cardiac catheterization after a heart attack. You’ve learned in your initial assessment that your patient has poor vision and hearing problem. Below is a list of his medications given in the last 24 hours.He will be going home on all of them except Morphine and Versed. Provide patient teaching regarding his “take home” medications to the patient (and/or his family members) prior to discharge. Also, address the nursing care needs of the medications given in the hospital before discharge as well. You must address the patient’s vision and hearing deficit in your teaching. You will need to provide three priority nursing diagnoses and a patient’s goal statement for each nursing diagnosis. Drug Name Generic name * Morphine Route Frequency Dosage IV Q2H PRN 2 mg Versed ...
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