Scenario 2 Nurse M. is caring for a 73 year old male Patient Joe. Joe was...
Homework Answers
1. Extrapyramidal symptoms happened because of adverse effect of Haldol . Tardive dyskinesia is the terminology.
One more extra pyramidal symptoms includes Neuromalignant syndrome which includes seizures. Carbamazepine adverse effect also presents Neuromalignant syndrome. Usage of carbamazepine in this case need to be investigated whether it is really needed or not.
2. Exyrapyramidal system is a neural network involved in motor function and coordination. They are located in basal ganglia. they need dopamine for their function. First generation antiphyshotics block dopamine by binding to dopamine receptors and cause the above symptoms. Switching on to 2nd generation antiphychotics doesnot block the dopamine receptors and provide dopamine to basal ganglia to function. Any dosage correction need to be made. or any change of medicines need to done .
3. Referring to neurologist for further assesment. Educating the patient on the side effects of the drugs and when to report to doctor. Clozapine can help this case. Anticholinergics and Dopamine agonists can be prescribed to improve the patient life.
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Scenario 2
Nurse M. is caring for a 73 year old male Patient Joe. Joe was...
L.C. is a 78-year-old Caucasian man with a 4-year history of Parkinson’s disease (PD). He is...
L.C. is a 78-year-old Caucasian man with a 4-year history of Parkinson’s disease (PD). He is a retired engineer, is married, and lives with his wife in a small farming community. He has 4 adult children who live close by. He is taking carbidopa-levodopa, pergolide, and amantadine. L.C. reports that overall he is doing “about the same” as he was at his last clinic visit 6 months ago. He reports that his tremor is about the same, his gait is...
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Case study: Parkinson’s Disease A 65-year-old patient with a 2-year history of PD has been experiencing an increase in symptoms, especially muscle tremors and rigidity. The patient has been taking carbidopa–levodopa (Sinemet CR) and selegiline since diagnosis. The physician has chosen to add benztropine to the patient’s medication regimen. The nurse is administering the first dose of benztropine and intends to provide patient teaching about the drug and its adverse effects. OTHER PERTINENT INFORMATION: Temperature - 98.6 degrees Fahrenheit Weight...
Case 5: Sahita, a 33-year-old female Subjective • The patient is here today for a follow-up...
Case 5: Sahita, a 33-year-old female Subjective • The patient is here today for a follow-up regarding a recent diagnosis of Early Onset Parkinson's Disease • Her symptoms include involuntarily motor movements, memory loss, confusion, and balance difficulties • Her medical history includes exposure to heavy pesticides during her work as a farmer chickenpox, migraines, and I pregnancy • Medication List: Sinemet (carbidopa levodopa) 25mg 100mg. Osmolex (amantadine) 100mg. Celexa (citalopram) 40mg. Micronor (norethindrone acetate), and a Multivitamin • Allergy...
You as a nurse are caring for a 62-year old male patient in the hospital who...
You as a nurse are caring for a 62-year old male patient in the hospital who has an exacerbation of his emphysema. The patient currently takes the following medications lorazepam, Xanax, Cardizem, Flonase, prednisone, Advair, aspirin and uses 2 L of O2 via NC. Based off these medications what other medical conditions do you think has? How do these medical conditions impact this patients emphysema? What diagnostics would you want to see on this patient and why? What nursing interventions...
you as a nurse are caring for 62 year old Male patient in the hospital who has an exacerbation of his emphysema. the pat...
you as a nurse are caring for 62 year old Male patient in the hospital who has an exacerbation of his emphysema. the patient currently takes the following medications lorazepam, xanax, cardizem, flonase, prednisone, advair, aspirin and uses 2 L of 02 via NC. based off these medications what medical conditions do you think he has? how do these medical conditions impact this patient's emphysema?. what diagnostics would you want to see on this patient and why? what nursing interventions...
Joe Nguyen is a 15-year-old brought to the clinic for a routine visit by his mother....
Joe Nguyen is a 15-year-old brought to the clinic for a routine visit by his mother. With antiepileptic therapy, he currently has a seizure every 2 to 4 months. He asks: “How long do I gotta take this stuff?” His seizures are described as partial complex with secondary generalization. Joe developed meningitis at age 3, with onset of seizures at that time. He has been on multiple antiepileptic drugs over the years, but his old records are unavailable and his...
prior to administering the cef Case Study L Labra is a 05 year old male patient...
prior to administering the cef
Case Study L Labra is a 05 year old male patient who presented to the local Emergency Department with increased shortness of breath, cough, and a low-grade fever. His current medications are warfarin (Coumadin) mg taken as directed and metoprolol Omg twice daily. He is admitted to the hospital and the physician writes an order for Mi Labra to receive ceftriaxone (Rocephin) 1 g every 12 hours via IV infusion Prior to administering the ceftriaxone...
PN 200 Fundamentals of Nursing II Case Study: Bronchial Asthma Michael Allen, a 55-year-old patient, was...
PN 200 Fundamentals of Nursing II Case Study: Bronchial Asthma Michael Allen, a 55-year-old patient, was recently diagnosed with bronchial asthma. His mother and three brothers also have asthma. In the past year, Michael has had three asthma attacks that were treated with prednisone and albuterol (Proventil) inhaler. At the office visit today, prednisone is preseribed for 4 weeks, and the order is written as follows: Day 1 1 tablet by mouth four times a day Day 2 I tablet...
PN 200 Fundamentals of Nursing II Case Study: Bronchial Asthma Michael Allen, a 55-year-old patient, was...
PN 200 Fundamentals of Nursing II Case Study: Bronchial Asthma Michael Allen, a 55-year-old patient, was recently diagnosed with bronchial asthma. His mother and three brothers also have asthma. In the past year, Michael has had three asthma attacks that were treated with prednisone and albuterol (Proventil) inhaler. At the office visit today, prednisone is prescribed for 4 weeks, and the order is written as follows: Day 1 1 tablet by mouth four times a day Day 2 I tablet...
PN 200 Fundamentals of Nursing II Case Study: Bronchial Asthma Michael Allen, a 55-year-old patient, was...
PN 200 Fundamentals of Nursing II Case Study: Bronchial Asthma Michael Allen, a 55-year-old patient, was recently diagnosed with bronchial asthma. His mother and three brothers also have asthma. In the past year, Michael has had three asthma attacks that were treated with prednisone and albuterol (Proventil) inhaler. At the office visit today, prednisone is prescribed for 4 weeks, and the order is written as follows: Day 1 1 tablet by mouth four times a day Day 2 I tablet...
Case 5: Sahita, a 33-year-old female Subjective • The patient is here today for a follow-up regarding a recent diagnosis of Early Onset Parkinson's Disease • Her symptoms include involuntarily motor movements, memory loss, confusion, and balance difficulties • Her medical history includes exposure to heavy pesticides during her work as a farmer chickenpox, migraines, and I pregnancy • Medication List: Sinemet (carbidopa levodopa) 25mg 100mg. Osmolex (amantadine) 100mg. Celexa (citalopram) 40mg. Micronor (norethindrone acetate), and a Multivitamin • Allergy...
prior to administering the cef
Case Study L Labra is a 05 year old male patient who presented to the local Emergency Department with increased shortness of breath, cough, and a low-grade fever. His current medications are warfarin (Coumadin) mg taken as directed and metoprolol Omg twice daily. He is admitted to the hospital and the physician writes an order for Mi Labra to receive ceftriaxone (Rocephin) 1 g every 12 hours via IV infusion Prior to administering the ceftriaxone...
PN 200 Fundamentals of Nursing II Case Study: Bronchial Asthma Michael Allen, a 55-year-old patient, was recently diagnosed with bronchial asthma. His mother and three brothers also have asthma. In the past year, Michael has had three asthma attacks that were treated with prednisone and albuterol (Proventil) inhaler. At the office visit today, prednisone is preseribed for 4 weeks, and the order is written as follows: Day 1 1 tablet by mouth four times a day Day 2 I tablet...
PN 200 Fundamentals of Nursing II Case Study: Bronchial Asthma Michael Allen, a 55-year-old patient, was recently diagnosed with bronchial asthma. His mother and three brothers also have asthma. In the past year, Michael has had three asthma attacks that were treated with prednisone and albuterol (Proventil) inhaler. At the office visit today, prednisone is prescribed for 4 weeks, and the order is written as follows: Day 1 1 tablet by mouth four times a day Day 2 I tablet...
PN 200 Fundamentals of Nursing II Case Study: Bronchial Asthma Michael Allen, a 55-year-old patient, was recently diagnosed with bronchial asthma. His mother and three brothers also have asthma. In the past year, Michael has had three asthma attacks that were treated with prednisone and albuterol (Proventil) inhaler. At the office visit today, prednisone is prescribed for 4 weeks, and the order is written as follows: Day 1 1 tablet by mouth four times a day Day 2 I tablet...
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