Please complete the following remediation activities for your Pharmacology assessment:
1. Complete an ATI Focused Review® and send a detailed summary (2-3 sentences each) of 4
concepts that you learned from the focused
...
Please complete the following remediation activities for your Pharmacology assessment:
1. Complete an ATI Focused Review® and send a detailed summary (2-3 sentences each) of 4
concepts that you learned from the focused review to me in the messaging system.
Nonopioid Analgesics (Ch 35)
o NSAIDS are nonopioid analgesics. Some of these medications are aspirin, ibuprofen
and naproxen. These medications are typically used for patients who have mild to
moderate pain as well as a fever reducer. Some possible complications that
nonopioid analgesics can cause are impaired kidney function and GI problems.
There is a risk for heart attack and stroke in nonaspirin NSAIDS. A client with aspirin
toxicity usually display symptoms such as sweating, high fever acidosis, electrolyte
imbalances, coma and respiratory depression. It is important to give client IV fluids
and aspirin toxicity should be managed as a medical emergency.
Blood and Blood Product Transfusions: Manifestations of Anaphylaxis (Ch 40)
o An allergy of a blood transfusion can occur during or within 24 hours after given to
the client. The allergic reactions are usually mild such as flushing, itching and
urticaria. The nurse must stop the infusion and give 0.9% sodium chloride and use a
new tube. An anaphylactic reaction is more serious and includes bronchospasms,
laryngeal edema and shock. The nurse should also stop the infusion and administer
epinephrine and oxygen and also provide CPR if its needed. The nurse should also
remove the blooding tubing from the client’s IV access and give 0.9% sodium
chloride through a new tube.
Substance Use Disorders: Treatment for Severe Alcohol Withdrawal (Ch 12)
o Manifestations of alcohol withdrawal are nausea, vomiting, increased heart rate,
increased blood pressure, depressed mood, tonic-clonic seizures as well illusions.
Benzodiazepines are usually the first-line treatment for alcohol withdrawal. Common
benzodiazepines are lorazepam and diazepam. They decrease the risk of seizures
and decrease the intensity of withdrawal manifestations. When a client is on a
benzodiazepine, the nurse should obtain baseline vital signs as well as monitoring
vital signs and neurological status. They should also provide seizure precautions.
Viral Infections, HIV, and AIDS: Adverse Effects of Acyclovir (Ch 48)
o Acyclovir is used as a treatment for herpes zoster and herpes simplex viruses.
Acyclovir can cause complications such as nephrotoxicity, phlebitis, gingival
hyperplasia, as well as mild discomfort (oral therapy). If a client is experiencing
phlebitis, the nurse should rotate IV injection sites and monitor the IV sites for
redness and swelling. If a client is experiencing nephrotoxicity, the nurse should
administer acyclovir infusion slowly over an hour and that the client is adequately
hydrated during the infusing. The nurse should notify the provider if the client has
nausea, headache or diarrhea due to oral therapy of acyclovir.
2. Complete the following questions and review the suggested learning activities. Send me your
answers here.
Benzodiazepines are the first-line treatment for alcohol withdrawal due to their ability to decrease
the intensity of withdrawal symptoms. List two (2) nursing considerations for clients on
benzodiazepines.
Provide seizure precautions such as padded rails and suction equipment at the beside.
Obtain baseline vital signs and monitor client’s neurological status.
Check client’s respiratory status (respiratory depression) and have resuscitation equipment
available.
A nurse is caring for a client prescribed acetaminophen as needed for pain relief. The nurse knows
acetaminophen should not exceed ____ grams per day. The nurse will monitor for early signs of
toxicity. Name three (3) manifestations of toxicity.
Sweating
Nausea/Vomiting
Diarrhea
A client is prescribed digoxin (Lanoxin). What are contraindications/precautions for the use of
digoxin (Lanoxin)?
Hypokalemia
Pregnancy (Category C)
Cardiac Dysrhythmias (Vfib, Vtach, 2nd and 3rd degree heart block)
Advanced heart failure
Renal insufficiency
A client is receiving me
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