Medication: Dilaudid ; hydromorpnone
Respirations ZIo/min Pu sn sI0W
Category Class: oPioid
Expe[ted Phavmacological Action bindyto opiatc reprov in tne CNs. alttry Pre(tption and emotional yci pontt to poin.
Thevaptutic use - treatina moderate to Jevere pain Uorraxddnf ubno)
Jide effects CNJ:confusion.jeaation Sv:hy POtenjioN lcontipation
Administaton Ditar Kar+ mL t Jtetic watvev O.9%Nacl
Nurjma Conjideration
aJICiJ B10Od presjuve Aste Bowel tunction
Education Points tonJtipaton I may (auk arowJintjf or dizziness. 2. Advirt panent i (nange pasitions Jiowly to minimize ortmoJtatic hypotension 3.encouvaq< patient to turn, (ougn, and vveatn q znv: prevint ateictanir
JPecial Cosideration Avoid chronic urt auving pregnancy ov lactation catcaon c. PlaJma amyialc F lipare (ongntration
Medication: Pheneraan; Prometnaz'ine Category Class Pncnotniazine
AJJ({sS AlKeVajic reaCTion (ran)
Expetted Phamacological Action Bl0crs tne effect of nistamine Hal innibitory iffect on tme cncmore(eptor triggcY zone in tme medulla,rejulting in anticmetic properties Alteri ine etfcts ot dopamine in tne cNs.
Thevaptutic use -Yelief of symptoms 0f nistamine tX(JJ uJuaIly Jeen in allergic condifions. diminisned naurea or vomiting Jeaation treat motion sici-ness
Jide effects confusion disorientation Jedation -ary-moutn
AdminiJtration MGONO Aamin: Jargc wre vein meit alial pr) Eat:mg oveY 10-16min rapid=tall InBP
Nurjma Conjideration monitov Bp.P,P,tor Pt reccivina v doe Ajs(JS leve) of Kdation ater aaminiJtvation concurrmt cns depression arugs can cause Jedahon F respiratory aepression. (nutlon admin td childcm
Education Points Review dor Jmedule may caues arowJiness Advist good oral nygiene (ombat drymoutn: >aweer contnct Proviacv
Special Cosideration evaiunte cBc CaMes tolle-Positive p taie neganive pregnany teuts.
Medication: LasiXjfurosemide Category Class: diuretic,loop aiuretic
ticctvolyre Jtatus Htpatic tunc. Potassium r creatinine Digoxin ?
Expetted Phavmatological Action -innibit tne reabjorption of sodium and cnloride from tne loop of nenie and distal renal tubule increakd renal jecyetion of water.Jodlum,cnioriae,magne jum,nyaro gen and (aicium (tfectiveners Persists in impaired renal function
Inevaptutic use
Diuresis and Jubseguent mobilization of extess fiuid (cdcma,pleuraletfusion) Decrcarea blood pressure wntn uning turoJemide tor nyper alcemia repiate cxirarllulav volume and Naci to maintain Huld volume ana ingear (alcium cx(retion
Jide effects AdminiJtration aenyaration metabolic atralosi ailute:unaiuted airect) tJliy vev I-min -nyporaltmia ((Vintuaiut0.9Nc nypomagneJemia xat<1mg/min prcven+ cicctro lyte imvalange
Nurjing Conjiderafion AjsejJ fiuid Jtatus Notify Providev if: tnirt, dvy moutn, Ictnav gy. wearness,hypatenjion or oliguria ofturs. BP r P before and during adminitration AsteJs Patientt recieving Digoxinincreared toxicity
Education Points do not double aot-if doe is misred injtruct patient to inquire win Provider avout a die hign in Potnetium Jiow movement to dcareare ormostatc nypotension
JPecial Cosideration (ation witn pntentj wno nave livev diseak
Alkray to jultonamiacj
Medication:
Kef|CX: ccpnalcxin Category Cla SS: Anti-intccrive I Antibion Expected Phavma(oiogical Action
Hittory ot Penicillin reathon. -Keev epi nepnrine, antinistomine r reJuecitaton equip ciote wnen ad mistrarion ot meairahen oturs. -monitov vowe! movemenfj Thevaptutic use
bina to bacterial (fll wall memvrane cauring rell dcath
Bactricidal nction aganist JuJKkptibic bactevia
Jide effects diarrhea.(Naulen r vomitning) rasnes pnin (1o(a)) Phicbitis
AdminiJtrafon Mange Jite ys -7ahr prevent phievit's DO NoT uIc cloudy oluhe 0.9NOCI
Nurjing Conjiderafion Asf(ers(vital signs,nBc,woundJputum,urine,Jtool) netore ? aunng therapy. Betore initating inerapy, Ibtaina nirtry to dettymine previou