Pharmacology Scenario 8: Suzanne Morris
Documentation Assignments
1. Document implementation and maintenance of contact precautions.
-Before entering the room, healthcare team and visitors should take contact precau
...
Pharmacology Scenario 8: Suzanne Morris
Documentation Assignments
1. Document implementation and maintenance of contact precautions.
-Before entering the room, healthcare team and visitors should take contact precautions and apply PPE for the patient’s and their safety. Contact precaution includes applying gown and gloves. When taking PPE off, removes gloves first, then gown. Preform hand-hygiene after taking off PPE.
2. Document your initial assessment data of Suzanne Morris, including signs and symptoms of C. difficile infection and dehydration and vital signs.
-Vital Signs: BP 106/76, Pulse 122 bpm, RR 18 breathes/min, SpO2 96%, Temp 99 F
-Patient states pain of 4 out of 0-10 pain scale for abdominal pain, patient complains of nausea, dizziness and dry mouth; diarrhea for the past 4 days, fast heart rate, and increased white blood cell count.
3. Document patient education that you provided to Suzanne Morris related to administering intravenous fluids during this scenario.
-Patient education of the importance of fluid intake to treat with dehydration and monitoring vital signs during treatment to prevent fluid volume overload.
4. Document the intravenous fluids you administered during this scenario. Include IV site assessment, infusion rate, and volume infused.
-IV site showed no redness, swlling or irritation. Patinet administered bolus of 500 mL of normal saline IV, given over 30 minutes.
5. Document repeat assessments and vital signs taken during this scenario.
-Repeated vital signs taken Q15 minutes. Vital signs: BP ?? , Pulse 125 bpm, RR 19 breathes/min, SpO2 97%, Temp 99 F
6. Document patient education, including education about the mechanism of action and adverse effects of prescribed triple-combination therapy for PUD, management of PUD, and metronidazole the nurse provided to Suzanne Morris during this scenario.
-Patient education about combination drugs that treat bacteria caused by PUD can lead to C.difficile colitis; management of PUD includes combination antibiotic therapy along with a proton-pump inhibitor to decrease or block GI secretion and protect GI lining; metronidazole can treat mild C. difficile by killing harmful bacteria.
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