INTRODUCTION Dan primary nurse at the medical unit in the hospital
Your name, position (RN), unit
you are working on
SITUATION Kenneth Bronson is a 27-year-old male he went to the emergency
department two hours ago w
...
INTRODUCTION Dan primary nurse at the medical unit in the hospital
Your name, position (RN), unit
you are working on
SITUATION Kenneth Bronson is a 27-year-old male he went to the emergency
department two hours ago with chest tightness, difficulty breathing, and a
productive cough for a week, and fever of 102.6 Patient’s name, age, specific reason for degrees Fahrenheit.
visit
BACKGROUND Chest x-ray revealed right lower lobe pneumonia he was admitted
on6/20/2020 a few hours ago. Current orders:
-diet: regular, activity: up as tolerated, vital signs with SpO2 every 4 hours,
Oxygen to maintain SpO2 greater than 92%, IV infusion of normal saline at 75
ml/hour, Ceftriaxone 1 g IVPB every 12 hours, Acetaminophen 1000 mg PO
every 6 hours PRN (if temperature greater than 101 F)—given at ER prior to
handoff
When given ceftriaxone patient appeared to have am allergic to medication
new orders as followed; Oxygen to SpO2 greater than 92%, Cardiac and
respiratory monitoring, Epinephrine 1:1000 0.5 mg IM, Diphenhydramine 50
mg IV push, Albuterol 5 mg in 3 ml normal saline via nebulizer, Ranitidine 50
mg IV infused over 30 min. every 6 hours, Normal saline 500 ml bolus if
needed for hypotension, and Methylprednisolone 125 mg IV push
Patient’s primary diagnosis, date of
admission, current orders for patient
ASSESSMENT BP: 136/82
RR: 17 breaths per minute
SpO2: 95 %
HR: 96 bpm
Temperature: 102 F
Normal findings throughout assessment, except for diminished breath sounds
at the right lower lobe of lungs. Chest expansion was symmetrical.
Current pertinent assessment data
using head to toe approach, pertinent
diagnostics, vital signs
RECOMMENDATION -Smoking cessation
-Chest physiotherapy
-Incentives spirometry
-Suctioning
-Sputum cultures
-Increase fluids
Any orders or recommendations you
may have for this patient
PHARM-4-FUN PATIENT EDUCATION WORKSHEET
NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE
MEDICATION: Acetaminophen
CLASSIFICATION: Antipyretics/Analgesics
PROTOTYPE: Tylenol
SAFE DOSE OR DOSE RANGE, SAFE ROUTE
Adults: 325 to 650 mg PO every 4 to 6 hours. Or, two extended-release caplets PO every 8 hours. Maximum, 3,250
mg daily unless under health care provider supervision,
Safe route: PO, IV, or Rectal
PURPOSE FOR TAKING THIS MEDICATION
Use for mild to moderate pain and reduce fever
PATIENT EDUCATION WHILE TAKING THIS MEDICATION
Do not take other medications that contains acetaminophen without medical advice
Avoid taking medication longer than 10 days
Do not use without medical direction for fever persisting longer than 3 days over 103 F
Do not give children more than 5 doses in 24 hours
Holland, R. (2007). Pearson Prentice Hall Rob Holland Drug Guide. Retrieved from
http://www.robholland.com/Nursing/Drug_Guide/
PHARM-4-FUN PATIENT EDUCATION WORKSHEET
NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE
MEDICATION: Ceftriaxone
CLASSIFICATION: Antibiotic 3rd generation cephalosporin
PROTOTYPE: Cefotaxime sodium
SAFE DOSE OR DOSE RANGE, SAFE ROUTE
Adults and children older than age 12: 1 to 2 g IM or IV daily or in equally divided doses every 12 hours. Total
daily dose shouldn’t exceed 4 g. Treat for 4 to 14 days. Complicated infections may require longer treatment in
patients with significant renal disease and hepatic dysfunction, maximum dose is 2 g/day.
Route: IV or IM
PURPOSE FOR TAKING THIS MEDICATION
This antibacterial drug used to treat conditions such as lower respiratory tract infections, skin
and skin structure infections, urinary tract infections, pelvic inflammatory disease, bacterial
septicemia, bone and joint infections, and meningitis.
PATIENT EDUCATION WHILE TAKING THIS MEDICATION
Tell patient to report adverse reactions promptly.
Instruct patient to report discomfort at IV insertion site.
If home care patient is diabetic and is testing urine for glucose, tell patient drug may affect results of
cupric sulfate tests and to use an enzymatic test instead.
Tell patient to notify prescriber about loose stools or diarrhea.
Holland, R. (2007). Pearson Prentice Hall Rob Holland Drug Guide. Retrieved from
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