Case Study: Due Week 6
After reading the following case study, answer the questions in an APA formatted paper. You will need to cite at least two (2) scientific references to support your answers. You may use your textbook as one source. The other source must be from a scientific article that was published no more than 5 years ago.
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A 75 year old woman has been admitted to the hospital because of nausea and vomiting. She also has a diagnosis of hepatitis C. She says she stopped drinking 3 years ago but has had increasing problems with peripheral edema and shortness of breath and has had trouble getting out of bed or a chair by herself. Laboratory results show that her liver enzyme levels are slightly elevated; her sodium and potassium levels are decreased. Her blood pressure is 160/98 mm Hg, her pulse rate is 98 beats/minute and her respiratory rate is 24 breaths/minute. She is afebrile and states that she is having slight abdominal pain.
- From the brief facts given, what information will be important to consider when obtaining a medication profile?
- From the nursing diagnoses in Box 1-3, choose at least two current and two “risk for” diagnosis for this patient. How would you determine the priority of the nursing diagnoses?
- The physician wrote the drug order below.
| Patient’s Name: Jane Dow F Age: 75 Medical Record Number: 1234567 Date of birth: 01/16/38 |
- What elements are missing from the medication order? What will you do next?
November 4, 2013
Give Lasix now
Charles Simmons, MD
- After the order is clarified, the pharmacy sends up furosemide (Lasix) 80 mg tablets, but the patient is unable to swallow them because of her nausea. Your colleague suggests giving the furosemide to her as an intravenous injection. What will you do next?
- After the patient receives the dose of furosemide, what will you do?