Question

In: Nursing

Each situation must include a care plan, 3 nursing diagnosis, include a med card with 3...

Each situation must include a care plan, 3 nursing diagnosis, include a med card with 3 additional potential meds for the situation, a nurse note for each situation and SBAR note .



Situation: The nurse is completing a patient history during an admission. The patient's wife reports that when she and her husband go for their daily walks, he can only go two blocks and then must sit down because of pain in the calves of his legs. They rest a while and walk another two blocks, but then the pain is back.

1. What additional history and physical assessments are indicated?

Two days later, the patient is assigned to you for nursing care. His primary nursing diagnosis is ineffective tissue perfusion related to insufficient oxygenation of the lower limbs manifested by pain on walking two blocks and diminished popliteal pulses, bilaterally.

2. What nursing interventions are indicated during the patient's hospitalization?

3. His health care provider prescribes cilostazol (Pletal), 100 mg bid. Review the drug monograph and discuss the drug’s action and adverse effects.

4. What health teaching would be needed in relation to his prescribed drug therapy?

Situation: A 76-year-old patient has been experiencing arteriosclerosis obliterans with intermittent claudication. He refuses to give up smoking. At his last office visit, he was given a prescription for pentoxifylline (Trental), 400 mg PO tid with meals. After leaving the examination room, he tells you (the office nurse) that the health care provider did not explain how this would work to improve his “leg pain.”

5. Explain in lay terms to the patient what is thought to be the mechanism of action of pentoxifylline and draw a diagram that depicts erythrocyte flexibility. Use the visual aid to help him understand how the drug could improve his leg pain.

6. One week later, the patient calls the office and says, “That new medication you gave me for my leg pain isn’t working.” How should you respond?

Solutions

Expert Solution

1. Patient is suffering from deep vein thrombosis or burger disease it is mainly due to life style habit

For history Nd physical assessment,lifestyle habut of person should be known

And also history of

A.past injury

B.surgery.

C reduced motility or inactive life style

D. Certain medicine which can form clot

Answer 2

Nursing interventions

  • Bed rest to prevent clot dislodgment.
  • Elevate affected or both legs.
  • Turn patient every 2 hours without crossing legs.
  • Range-of-motion exercises to the unaffected leg.
  • Warm compresses to help reduce swelling.
  • Monitor vital signs every 4-6 hours

Answer 3.this medicine is used for treatment of intermittent claudication,which cause reduce blood flow in lower limbs which cause pain and difficulty in movement,this medicine let him walk with out pain for longer duration

Mechanism of action of cilatstazole is exerts its action by inhibiting phosphodiesterase activity and suppressing cAMP degradation. The inhibition of PDE3 allows for a rise in cAMP in platelets and blood vessels

Side effects

Cilostazol Side Effects

  • Diarrhea.
  • Nausea.
  • Stomach pain or gas.
  • Heartburn or indigestion.
  • Headache.
  • Dizziness or lightheadedness.
  • Increased frequency of coughing.
  • Muscle pain.

Answwr 4

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Take each dose with a full glass of water. Cilostazol is usually taken twice a day, at least 30 minutes before or 2 hours after breakfast or dinner

Get emergency medical help if you have signs of an allergic reaction: h

difficult breathing;

swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

Common side effects may include:


Related Solutions

Each situation must include a care plan, 3 nursing diagnosis, include a med card with 3...
Each situation must include a care plan, 3 nursing diagnosis, include a med card with 3 additional potential meds for the situation, a nurse note for each situation and SBAR note . Situation: The nurse is completing a patient history during an admission. The patient's wife reports that when she and her husband go for their daily walks, he can only go two blocks and then must sit down because of pain in the calves of his legs. They rest...
nursing care plan and nursing diagnosis on tbi
nursing care plan and nursing diagnosis on tbi
Nursing care plan,  The care plan must have 5 priority nursing diagnosis. Joyce Workman, Joyce Workman, 42-...
Nursing care plan,  The care plan must have 5 priority nursing diagnosis. Joyce Workman, Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. She has been documented as being obese, new onset hypertension, polyuria, and a rash on her abdomen. She was asymptomatic upon arrival. She was admitted yesterday for stabilization of her glucose levels, and assist her with lifestyle modification. She states she leads a sedentary lifestyle as a...
Create a nursing care plan with 2 nursing diagnosis, one short term goal for each diagnosis,...
Create a nursing care plan with 2 nursing diagnosis, one short term goal for each diagnosis, per diagnosis 5 interventions with rationale, and evaluation for the following patient. 75 y/o day #3 F nx HTN, DM, CAD/MI, CVA X2 W/ recent admission who presented as a notification for AMS & hypotension with unknown last know well. Noted to be hypothermia normotensive following limited commands not responding verbally withdrawing pain improved with IV bolus and warming blanket. Concern for transient AMS...
Develop a nursing care plan with a priority diagnosis, outcomes, and interventions. Be sure to include...
Develop a nursing care plan with a priority diagnosis, outcomes, and interventions. Be sure to include patient teaching, growth and development, self-concept, and lifestyle issues both in the present and going forward. Ashley is a 17-year-old Type 1 diabetic. She was diagnosed at the age of 14 and is managing her insulin needs "mostly" independently, but in the office because she is going to start using a lispro insulin pump for control, with a basal rate and boluses as needed...
Develop a nursing care plan with a priority diagnosis, outcomes, and interventions. Be sure to include...
Develop a nursing care plan with a priority diagnosis, outcomes, and interventions. Be sure to include patient teaching, growth and development, self-concept, and lifestyle issues both in the present and going forward. You are the RN assigned to George, age 62, who was admitted to the hospital with hyperglycemia and a diabetic foot ulcer. His medical history includes diabetes Type 2 (diagnosed 15 years ago) and pre-proliferative retinopathy. He is obese but states, “I am working really hard to keep...
I need a care plan for COPD. this care plan needs to have nursing diagnosis for...
I need a care plan for COPD. this care plan needs to have nursing diagnosis for COPD, 6 short term and 6 long term goals (expected outcomes). one nursing interventionn for each goal. one evaluation for each goal. THANK YOU!
Need to develop a plan of care for a client with the NANDA-1 nursing diagnosis of...
Need to develop a plan of care for a client with the NANDA-1 nursing diagnosis of deficient knowledge of STIs
Write and submit a nursing care plan; 1) One from the musculoskeletal diagnosis
Write and submit a nursing care plan; 1) One from the musculoskeletal diagnosis
A. Choose diagnosis B. Create your first care plan using the nursing process ( Assessment, Nursing...
A. Choose diagnosis B. Create your first care plan using the nursing process ( Assessment, Nursing Diagnosis, Planning, Implementation, and Evaluation). HINT: There are many examples of care plans at; http://www.efn.org/^nurses/nanda.html
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT