Questions
methotrexate 4 mg PO daily for a child with leukemia Child weighs 70 lb and is...

methotrexate 4 mg PO daily for a child with leukemia

Child weighs 70 lb and is 67 inches tall

The safe dosage range is 3 – 3.5 mg per square meter per day

A. Calculate the BSA for this child.

B. Is the BSA needed to calculate the safe dosage range, in mg per day, for this child? Why or why not?

C. Calculate the safe dosage range, in mg per day, for this child.

D. Is the order safe? Why or why not? Explain.

In: Nursing

Case study (3)Myocardial Infarction (MI) Scenario Mr FG is a 69-year-old retired school teacher who was...

Case study (3)Myocardial Infarction (MI)
Scenario
Mr FG is a 69-year-old retired school teacher who was admitted to the emergencydepartment complaining of severe chest pain after climbing stairs at hisdaughter’s house. In the ambulance he is administered aspirin 300 mg. Onarrival at hospital and subsequent examination and review by the admittingdoctor the following information is obtained.
Previous medical history
Hypertension (10 years). Type 2 diabetes mellitus (recently diagnosed, currentlydiet controlled). The patient is a regular cigarette smoker (>40 per day) anddrinks approximately 10 units of alcohol per week. He has osteoarthritis of theknee.
Family history
Father died following a myocardial infarction at 60 years of age. No maternal
history of cardiovascular disease.
Drug history
Allergies: Trimethoprim. Mr FG has been taking diclofenac MR tablets 75 mg
(twice daily) and nifedipine (Adalat Retard) MR tablets 20 mg (twice daily). Both
were stopped on admission.
Signs and symptoms on examination
▪ Temperature 36.4°C
▪ Blood pressure 160/80 mmHg
▪ Heart rate 75 b/m, regular
▪ Respiratory rate 15 breaths per minute
▪ No basal crackles in the lungs.
▪ An ECG taken immediately on arrival reveals ST elevation of 3 mm in the inferior
▪ leads.
Diagnosis
A preliminary diagnosis of myocardial infarction is made.
Relevant test results
Full blood counts, liver function tests, electrolytes and renal function, CXR,total cholesterol, full blood count and blood glucose were taken at admission.
The following tests taken at admission are reported:
Na+ 134 mmol/L (135–145 mmol/L)
K+ 4.3 mmol/L (3.5–4.0 mmol/L)
Urea 5.2 mmol/L (0–7.5 mmol/L)
Creatinine 81 micromol/L (35–125 micromol/L)
Total cholesterol 5.9 mmol/L (<4 mmol/L)
Blood glucose 4.4 mmol/L (4–10 mmol/L)
Initial treatment
About 45 minutes after the onset of chest pain the patient received the following
treatment in the emergency department:
▪ Heparin 5000 units stat
▪ Reteplase 10 units i.v. bolus followed by a further 10 unit i.v. bolus after 30minutes
▪ Diamorphine 2.5 mg IV stat
▪ Metoclopramide 10 mg stat.
▪ A sliding scale insulin infusion of Actrapid 50 units made up to 50 mL with
sodium chloride 0.9% was initiated and titrated against blood glucose.
The patient is subsequently transferred 2 hours later to the coronary care unit as he is pain-free. As the ward cli
nical pharmacist, you are responsible for dailyreview of drug charts and advice to medical and nursing staff on all aspects ofdrug treatment for patients on the ward.

1.What further diagnostic and biochemical tests should be ordered to help confirm the diagnosis?

2. What is myocardial infarction and what are the classic symptoms?

3. Explain the mechanism of action of thrombolytics such as reteplase in acute MI?

4. The physician order Beta-blockers, Statins, ACE inhibitors, Antiplatelet therapy as standard secondary prevention treatment following acute myocardial infarction in this patient?For each of the classifications give an example of drug name, indication, action, adverse effect, and how can you minimize the adverse effect?

5. Mr FG experiences a chest infection 4 days post admission and is prescribedamoxicillin 500 mg three times daily and erythromycin 500 mg four times daily.What problems may this cause with this patient’s statin therapy and what advicewould you give in order to avoid this problem occurring? (Drug interaction)

6. What effect may occur if this client has decreased renal function and the physician order to give him digoxin? What actions could be taken to minimize this effect?

7. What advice should be given to the patient at discharge with regard to lifestyle
issues?

In: Nursing

Search for Digoxin  information: Generic Name, Brand Name, Type of drug, Pregnancy Category, Therapeutic action, . Indications,...

Search for Digoxin  information: Generic Name, Brand Name, Type of drug, Pregnancy Category, Therapeutic action, . Indications, Contraindications,. Dose / Adult and Pediatric, Adverse effects, Interactions, Nursing considerations in implementation and Patient Education

In: Nursing

1} List the benefits of providing good customer service to both internal and external customers in...

1} List the benefits of providing good customer service to both internal and external customers in relation to health care.

2} Discuss how each interaction and response may differ when providing customer service to internal and external customers in relation to health care.

Include your personal experience.

Task: Write 3 paragraphs (5 to 7 sentences each)

NOTE: Please could answer be in 3 paragraphs AND answering both 1 & 2 questions.

If done this way, I will give a thumbs up & positive comment. Thanks *smile*

In: Nursing

Search for Gentamycin information: Generic Name, Brand Name, Type of drug, Pregnancy Category, Therapeutic action, ....

Search for Gentamycin information: Generic Name, Brand Name, Type of drug, Pregnancy Category, Therapeutic action, . Indications, Contraindications,. Dose / Adult and Pediatric, Adverse effects, Interactions, Nursing considerations in implementation and Patient Education


In: Nursing

Search for Labetalol information: Generic Name, Brand Name, Type of drug, Pregnancy Category, Therapeutic action, ....

Search for Labetalol information: Generic Name, Brand Name, Type of drug, Pregnancy Category, Therapeutic action, . Indications, Contraindications,. Dose / Adult and Pediatric, Adverse effects, Interactions, Nursing considerations in implementation and Patient Education

In: Nursing

Search for Nitroprusside Sodium information: Generic Name, Brand Name, Type of drug, Pregnancy Category, Therapeutic action,...

Search for Nitroprusside Sodium information: Generic Name, Brand Name, Type of drug, Pregnancy Category, Therapeutic action, . Indications, Contraindications,. Dose / Adult and Pediatric, Adverse effects, Interactions, Nursing considerations in implementation and Patient Education


In: Nursing

Search for Furosemide information: Generic Name, Brand Name, Type of drug, Pregnancy Category, Therapeutic action, ....

Search for Furosemide information: Generic Name, Brand Name, Type of drug, Pregnancy Category, Therapeutic action, . Indications, Contraindications,. Dose / Adult and Pediatric, Adverse effects, Interactions, Nursing considerations in implementation and Patient Education


In: Nursing

Search for Metoprolol information: Generic Name, Brand Name, Type of drug, Pregnancy Category, Therapeutic action, ....

Search for Metoprolol information: Generic Name, Brand Name, Type of drug, Pregnancy Category, Therapeutic action, . Indications, Contraindications,. Dose / Adult and Pediatric, Adverse effects, Interactions, Nursing considerations in implementation and Patient Education

In: Nursing

In the discussion preparation, you were asked to analyze the major connections between liability of professionals,...

In the discussion preparation, you were asked to analyze the major connections between liability of professionals, insurance policy coverage, and settlement of claims due to health care liability issues. Consider the concept of insurance coverage denial. Ascertain the manner in which such denial is built on the limitation clauses and conditions set forth by the insurance provider.

In: Nursing

QUESTION 10 In the current constantly changing healthcare environment, professionals may begin to see patients as...

QUESTION 10

  1. In the current constantly changing healthcare environment, professionals may begin to see patients as numbers and forget why they became part of health care. Using the information from Chapter 10, discuss two reasons why spirituality is important to today’s healthcare professionals.

In: Nursing

QUESTION 14 FEMA’s mission is to provide assistance in preparing for, responding to, and recovering from...

QUESTION 14

  1. FEMA’s mission is to provide assistance in preparing for, responding to, and recovering from disasters. It is currently involved in increasing community support for disaster preparedness and response. Using the information in Chapter 14, explain two reasons why community involvement is an ethical action.

In: Nursing

Delhi Police in the Netflix documentary Daughters of Mother India, what changes have been made since...

Delhi Police in the Netflix documentary Daughters of Mother India, what
changes have been made since Nirbhaya and Gudiya’s rape cases? Why?                    
What was the most common type of abuse reported? Use examples from
the film and explain your answer.

In: Nursing

Explain the term identity abuse and create your own example as to how this can happen...

Explain the term identity abuse and create your own example as to how this can
happen to someone.

In: Nursing

1. How do Diabetes mellitus leads to stroke? State its prevention? 2. Type 2 Diabetes Mellitus...

1. How do Diabetes mellitus leads to stroke? State its prevention?

2. Type 2 Diabetes Mellitus and Cardiovascular Disease: State its Genetic and Epigenetic Links

3. Sheds light on how to manage diabetes and also prevent heart attack and stroke by giving us the guideline on lifestyle management to reduce their risk

In: Nursing

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