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1. Diphenhydramine 50mg OD Antihistamine drug
1.2. Mechanism of action
1.3. Indications and also drug rationale (why the drug is being given to the patient)
1.5. Common side effects
1.6. Nursing considerations while taking the drug.
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- Shirley Smith Age: 52Race: CaucasianGender: FemaleHeight: 68 inchesWeight: 153 lb. (69.4 kg) Occupation: Retired Marital Status: Widowed Religion: AgnosticAllergies: None knownAddress: Assisted Living facilityImmunizations: Up to date HistoryShirley's husband died unexpectedly 2 months ago, which is the time she enteredan assisted living facility. Shirley states she has become depressed from the lossof her husband and the inability to physically do activities she desires due to theCOPD.Shirley presents to the ER with difficulty breathing and shortness of breath atrest, and increased fatigue. The patient is currently on 2 Liters of oxygen nasalcanula at all times. Shirley smoked cigarettes for 32 years and just recently quit 2months ago when she was put on full-time oxygen.Past medical history: hysterectomy at the age of 48, Gastroesophageal refluxdisease (GERD), and Atrial Fibrillation. MedicationsPrednisone (HOLD) 20 mg oral DailyPantoprazole 40 mg oral DailyWarfarin 5 mg oral…Upon presentation:An 18-month-old female arrives by ambulance at the emergency department. Theparamedics report that there was no known history of any recent trauma, and no knownfever, vomiting, or other unusual behavior. There were no known ingestions ormedications in the household. There was no evidence of trauma.Interview and History:At 9 PM the previous night, Ella was described by her mother as appearing more quietthan usual. They had spent the day traveling from the grandmother's house and Ella hadbeen carsick so had not eaten very much during the day. When they got home, Ella hadsome water and went to bed. Ella slept longer than usual and was found unresponsive by her mother at 9AM; at this time her mother called 911.Follow-up tests:1. Blood glucose: 23 mg/dL (normal range 90 – 125 mg/dL)2. Repeat blood glucose: 50 mg/dL following administration of glucagon3. Urinary acids: Markedly elevated levels of glutaric, ethylmalonic, and dicarboxylicacids; ketones absent4. Serum free…According to your analysis of the case, what factors are contributing to the patient’s presenting signs and symptoms? Should she/he continue her/his current medication regimen? Why or why not? Which medications should be continued and which medications should be eliminated? What treatments or interventions do you anticipate being ordered for this client?
- essay on thoughts, ideas, perspectives and/or insights regarding psychiatric and mentally ill patientsJerry Decker, a 90-year-old male, is admitted to Sunny Valley Residential Center. The H&P reports an admission diagnosis of vascular dementia with violent behavior. The two ICD-10-CM codes reported are:Name: William Shear Age: 18 Diagnoses: Autism (high functioning) and borderline personality disorder (has behavioural outbursts especially if nicotine craving is not alleviated)- nicotine dependence Interests: Sports, video games, hanging out with friends (enjoys someone older for guidance), outdoors Needs: education on diagnoses, support for employment, recreation & leisure support, support with anger & learning to relax Using the information above, please find resources or organizations that can support William with his diagnoses, his interests, and his needs. Please explain each choice (where you found it, why you chose it, how it will benefit the client).
- It is four months after Ertha's transfer to the long-term care facility. She is even more confused, going into other patient's rooms looking for Henry and stealing items. She recently began striking out at other residents, and staff finds food stashed under her mattress. She has been taking two antidepressant medications, an anti-anxiety agent and Aricept for the past four months but there has been no improvement. Brief Description of Client Name: Ertha Williams Date of Birth: 01/19/xx Gender: F Age: 74 Weight: 124 lb (63.5 kg) Height: 64 in Race: (Faculty can select) Religion: (Faculty can select) Major Support: Betty Williams (daughter-in-law) Support Phone: 320-222-1111 Allergies: none known Immunizations: up to date Attending Provider/Team: Joan Rivers, MD, and Mary Lake, MS, APRN/Geriatric Nurse Practitioner Past Medical History: Hypertension, depression, hyperlipidemia, arthritis History of Present Illness:…It is four months after Ertha's transfer to the long-term care facility. She is even more confused, going into other patient's rooms looking for Henry and stealing items. She recently began striking out at other residents, and staff finds food stashed under her mattress. She has been taking two antidepressant medications, an anti-anxiety agent and Aricept for the past four months but there has been no improvement. Brief Description of Client Name: Ertha Williams Date of Birth: 01/19/xx Gender: F Age: 74 Weight: 124 lb (63.5 kg) Height: 64 in Race: (Faculty can select) Religion: (Faculty can select) Major Support: Betty Williams (daughter-in-law) Support Phone: 320-222-1111 Allergies: none known Immunizations: up to date Attending Provider/Team: Joan Rivers, MD, and Mary Lake, MS, APRN/Geriatric Nurse Practitioner Past Medical History: Hypertension, depression, hyperlipidemia, arthritis History of Present Illness:…It is four months after Ertha's transfer to the long-term care facility. She is even more confused, going into other patient's rooms looking for Henry and stealing items. She recently began striking out at other residents, and staff finds food stashed under her mattress. She has been taking two antidepressant medications, an anti-anxiety agent and Aricept for the past four months but there has been no improvement. Brief Description of Client Name: Ertha Williams Date of Birth: 01/19/xx Gender: F Age: 74 Weight: 124 lb (63.5 kg) Height: 64 in Race: (Faculty can select) Religion: (Faculty can select) Major Support: Betty Williams (daughter-in-law) Support Phone: 320-222-1111 Allergies: none known Immunizations: up to date Attending Provider/Team: Joan Rivers, MD, and Mary Lake, MS, APRN/Geriatric Nurse Practitioner Past Medical History: Hypertension, depression, hyperlipidemia, arthritis History of Present Illness:…
- What counseling points you can provide to the patients as a for crushing’s syndromeFrom the data provided, formulate a nursing diagnosis and a nursing care plan (by using A-ssessment, D-iagnosis, P-lanning/Goal, I-ntervention with Rationale, E-valuation) to be implemented in the emergency room for this client.Sheila, an RPN has been working at the Victoria General Hospital for the last 15years. The first seven years she worked on a busy medical unit where she was part-time and worked both days and nights and the equivalent of full time hours because shewent in more or less whenever she was called. She really enjoyed the work on this unitbut when a full-time posting came up on the Palliative Unit she really felt she shouldapply as she was getting married, saving to buy a house and thought it was veryimportant to have more stable work. Sheila was the successful applicant in competingfor this position. She was thrilled and eager to work in another area of nursing;Palliative Care.Sheila has been working on this unit for 8 years now. She has really found thework on the Palliative Unit to be very rewarding; supporting families as they deal withthe end stages of life; losing a loved one. Recently, she is beginning to find 12 hourdays, nights and weekends and the intensity of the care along with…