A graduate college nurse has to arrange a presentation for a freshman class of nursing college students on anxiolytic and hypnotic brokers. The training aims embrace a evaluate of the states which can be affected by anxiolytic and hypnotic brokers and key nursing issues for sufferers receiving these drugs. (Studying Aims 1, 2, and 5)
a.What are the definitions of the states affected by anxiolytic or hypnotic brokers?
b.What are the important thing nursing implementation issues for a affected person receiving a benzodiazepine?
c.What ought to the nurse train the scholars concerning the indications for zaleplon (Sonata) and zolpidem (Ambien)?
Case Research, Chapter 23, Antiseizure Brokers
A affected person had a tonic–clonic seizure and has been began on a phenytoin medicine. The affected person tells the nurse he’s very upset about not having the ability to drive and has a number of questions on epilepsy. (Studying Aims 1, 2, and 5)
a.What ought to be included within the affected person instructing concerning the classification of generalized seizures?
a.How does phenytoin work?
c.What are the important thing implementation and rationale issues for this affected person who’s receiving medicine to deal with generalized seizures?
Case Research, Chapter 26, Narcotics, Narcotic Antagonists, and Antimigraine Brokers
A brand new graduate RN has been assigned to a medical–surgical unit. The brand new graduate RN is within the week of nursing orientation and is administering drugs. The RN has to manage an antimigraine medicine to an grownup affected person, a narcotic to an older grownup in acute ache, and a narcotic antagonist to a 3rd affected person. (Studying Aims 1, 2, three, and 5)
a.What’s the gate management concept of ache, and the way does this block ache for a affected person?
b.What are the important thing lifespan issues for an older grownup when administering narcotics?
c.What are the important thing nursing implementation issues for a affected person receiving a narcotic antagonist?
d.What are the important thing lifespan issues for an grownup when administering antimigraine medicine?
Case Research, Chapter 30, Adrenergic Agonists
A affected person is experiencing severe ventricular arrhythmias and shock following a coronary heart transplant. The doctor has ordered isoproterenol and dopamine to be administered to the affected person. (Studying Aims 2, four, and 5)
a.What’s the therapeutic motion for isoproterenol?
b.What are the opposed results of isoproterenol?
c.What’s the therapeutic motion for dopamine?
d.What are the opposed results of dopamine?
e.What are the important thing nursing implementation issues for sufferers receiving an adrenergic agent?
Case Research, Chapter 36, Adrenocortical Brokers
A second-year nursing pupil has to arrange medicine playing cards for medical on adrenocortical brokers. The precise medicine playing cards that should be ready are for prednisone (Deltasone) and fludrocortisone (Florinef). Moreover, the scholar nurse has to arrange a affected person instructing plan for mineralocorticoids. (Studying Aims 1, 2, four, and 5)
a.What are the physiological results of the adrenocortical brokers?
b.What are the important thing nursing implementation instructing factors that have to be reviewed with a affected person receiving an adrenocortical agent?
c.What are the most typical opposed reactions for fludrocortisone (Florinef)?
d.What are the indications for prednisone (Deltasone)?
Case Research, Chapter 38, Brokers to Management Blood Glucose Ranges
A diabetes registered nurse educator is making ready an in-service presentation for pupil nurses on brokers to regulate blood glucose ranges for diabetes mellitus. The in-service will embrace a quick evaluate of the pathophysiology of diabetes mellitus. Medicine to be included within the presentation will embrace insulin, chlorpropamide (Diabinese), glyburide (Micronase), and metformin (Glucophage). (Studying Aims 1, four, and 5)
a.What alterations in metabolic pathways and modifications to basement membranes happen with diabetes mellitus?
b.What are the important thing nursing implementation issues for sufferers taking insulin?
c.What are the indications for chlorpropamide (Diabinese)?
d.What are the most typical opposed results of glyburide (Micronase)?
e.What are the therapeutic actions for metformin (Glucophage)?
f.What are the lifespan issues for youngsters who use antidiabetic brokers?
