PHARMACOLOGY

NCM-106J SANAANI, NUR-FATIMA, M.

BSN-2H

CASE STUDY:
A 75-year-old woman has been admitted to the hospital due to 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/min, and her respiratory rate is 24 breaths/min. She is afebrile and states that she is having slight abdominal pain.

1. From the brief facts given, what information will be important to consider when obtaining a
medication profile?
2.From the nursing diagnoses in Box 1-3, choose at least two current and two “risk for” nursing
diagnoses for this patient. How would you determine the priority of the nursing diagnoses?
3. The physician wrote the following drug order:
dATE:NOVEMBER 4, 2013
ORDERED:GIVEN LASIX NOW
PRESCRIBER: CHARLES SIMMONS, MD
SEX:F
AGE:75
MEDICAL RECORD NO:1234567
DATE OF BIRTH:1/16/38
WHAT ELEMENTS, IF ANY, ARE GIVEN ARE MISSING FROM THE MEDICATION ORDER? WHAT WILL YOU DO NEXT?
4. 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?
5. After the patient receives the dose of furosemide, what will you do?
 PHARMACOLOGY
NCM-106J SANAANI, NUR-FATIMA, M.
BSN-2H

ANSWERS:
1. From the brief facts given, what information will be important to consider when obtaining a medication profile?
WE ARE TO ASSESS OR OBTAIN MEDICAL HISTORY FOR RECENT USED OF;OVER-THE-COUNTER MEDICATION, SUCH AS ANY TRADITIONAL
HOME REMEDIES, HERBAL TREATMENT, AND ASSESS IF ANY SUPPLEMENT OF VITAMINS THAT IS BEING PRESCRIBED BY THE PHYSICIANS
BEFORE, EVALUATE THE FACTORS THAT WOULD CAUSE ADVERSE EFFECTS ON PATIENT SUCH AS; ADDICTION OR HABITUAL OF ALCOHOLIC,
TOBACCO, AND CAFFEINE. AND LASTLY ASSESS FOR HER MEDICAL HISTORY AND HER FAMILY HEALTH HISTORY FO CERTAIN
DOCUMENTATION.

2.From the nursing diagnoses in Box 1-3, choose at least two current and two “risk for” nursing diagnoses for this
patient. How would you determine the priority of the nursing diagnoses?
THERE ARE DIFFERENT TYPES OF RISK FACTOR FOR THE PATIENT DUE TO HER CONDITION:
ACTIVITY INTOLERANCE RELATED TO IMBALANCE ELECTROLYTES
RISK FOR IMPAIED LIVER FUNCTION RELATED TO DRUGS INTOLERANCE
3. The physician wrote the following drug order WHAT ELEMENTS, IF ANY, ARE GIVEN ARE MISSING FROM THE MEDICATION
ORDER? WHAT WILL YOU DO NEXT?
CONTACT PHYSICIAN FOR THE MISSIONG DETAILS OF SUCH A MEDICATION ORDER IN THE ROUTE OF DELIVERY OF THE MEDICATION, THE
AMOUNT OF DRUGS TO BE ADMINISTER AND CONTACT PHYSICIAN FOR CLARIFICATION DUE TO INCOMPLETE DETAILS
4.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? AS A NURSE I WILL NOT TAKE ANY CERTAIN ADVISE FROM DIFFERENT HEALTH CARE PERSONNEL , AND BE REMINDED THAT
THE ORDER IS BEING APPLIED BY THE PHYSICIAN SO CONTACT FIRST THE PHYSICIAN BEFORE DOING CERTAIN ACTION. ADVISES IS NOT
ADMINISTER IN THIS PROCESS, ALWAYS NOTIFY PHYSICIAN BEFORE DOING CERTAIN ACTION. PATIENT IS AT RISK FOR MEDICATION ERRORS .
5.After the patient receives the dose of furosemide, what will you do?
BEFORE ADMINISTRATION DRUGS REMEMBER ASSESS PATIENTS WELL BEING, ASSESS FOR ALLERGIES, VITALS SIGNS FOR ADVERSE
EFFECTS, MONITOR RECENT INTAKE, OUTPUT. EVALUATE PATIENT IF RISK FOR FALL/DIZZINESS/ AN NAUSEA.