Question

7. What nursing actions are important in each phase of the nursing process? a. Assessment b. Diagnosing c. Planning d. Implementation e. Evaluation 8. Explain the relationship between protein levels and drug levels in the body. 9. Discuss the rationale for enteric coated medications. 10. What is the most serious allergic reaction? Common S/S? Treatment? 11. Which laboratory values should be monitored to assess for kidney damage?

Answer 1

ANSWER - 7) a) Assessment are important in each phase of nursing process.

9) Rationale for enteric coated medications;

• it prevent its dissolution in the gastric environment
• prevent the release of drug from the medication.
• Avoid chemical incompatibility.
• Mask the odour , taste or color of the drug.

10) ANAPHYLAXIS is the most serious allergic reaction.

Anaphylaxis is an acute allergic reaction to an antigen. Substances that causes anaphylaxis include food, medication , dyes, etc

SIGN AND SYMPTOMS;

In mild reaction:- symptoms begins with in 2 hours of exposure. symptoms are warm sensation, sweating,tingling sensation, pruritus, swelling around the eyes , sneezing.

In moderate reaction :- In addition to mild symptoms other symptoms include itching, warmth , flushing of skin , restlessness.

In Severe reaction :- sudden onset . symptoms include bronchial spasm, laryngeal edema, dyspnoea, cyanosis, hypotension, . Cardiac arrest and coma may occur.

TREATMENT ;

Medication : Epinephrine, antihistamines, corticosteroids

IV Fluids : Vasopressor agents and volume expanders to maintain blood pressure

• corticosteroids and aminophylline to improve airway patency.

​​​​​​​

ANSWER ; 11) Laboratory values should be monitored to asses for kidney damage are;

KFT ( Kidney function test) include or Renal function test include:-

• Sodium - normal value ; 135 - 145 mEq/L
• Potassium - normal value ; 3.5 - 5.5 mEq/L
• Chloride - normal value ; 98 - 107 mEq/L
• Bicarbonate - normal value ; 24 - 32 mEq/L
• BUN (Blood Urea Nitrogen) - normal value ; 7 - 20 mg/dL or 2.5 - 8.0 mmol/ L
• Creatinine - normal value ; 0.6 - 1.2 mg/dL or 60 - 125 umol/L