Question

In: Nursing

T.M, a 72 year old female was admitted to the medical-surgical floor for abdominal pain. The...

T.M, a 72 year old female was admitted to the medical-surgical floor for abdominal pain. The nurse is reviewing the orders and sees that the patient is scheduled for surgery (a laparotomy) in the morning. The nurse discusses post-op orders with the patient. The provider prescribes morphine.

Why was morphine ordered?

What are the nursing considerations for patients who are prescribed morphine? What are your concerns? Explain your answer.

Would a PCA pump be appropriate for this patient? Explain your answer. What are the advantages of patient controlled analgesia?

T.M asks if he can have aspirin for his headache- that's what usually helps at home. How would you respond? Explain your answer.

Due to low urinary output, T.M stays in the hospital for 2 days. After clear diagnostic renal workup, T.M is discharged with a prescription for acetaminophen.

   5. What drug classification is acetaminophen? How does it work?What are the nursing considerations and patient teaching for acetaminophen?

Solutions

Expert Solution

Why was morphine ordered?

Morphine is used to relieve moderate-to-severe pain. Preoperative administration of morphine helps in reducing the physiological consequences of the nervous system's response to potentially harmful stimuli (nociceptive transmission) stimulated by invasive procedures and alleviate the patients’ postoperative pain. More than short-acting opioids like fentanyl, a single dose of morphine has the capacity to reduce pain and has longlasting effects. It is much more convenient and safer than adopting sedative drugs for morphine's relatively slight effect on patients’ respiratory and circulatory function.

What are the nursing considerations for patients who are prescribed morphine? What are your concerns? Explain your answer.

  • Patient may feel nauseous
  • Provide adrquate hydration
  • Monitor the respiratory rate and blood pressure
  • Being old age the patient should be closely monitored for shortness of breath, pauses in breathing , and hypotension

Would a PCA pump be appropriate for this patient? Explain your answer. What are the advantages of patient controlled analgesia?

Patient-controlled analgesia pump, which contains a syringe of pain medication as prescribed. It is connected directly to a patient's intravenous line. The pump is set to deliver constant dosage of pain medication. PCA is useful for a patient trembling in pain. Optimal pain reduction is the basic need of the patient . Using PCA helps in effective delivery of morphine and also reduces anxiety in patient and vitals are monitored easily.

T.M asks if he can have aspirin for his headache- that's what usually helps at home. How would you respond? Explain your answer.

There is no need of aspirin because already he is receiving morphine which helps in relieving pain and also makes him relaxed.


Related Solutions

Ms. K, who is 32 years old, is admitted to the medical/surgical floor with abdominal pain,...
Ms. K, who is 32 years old, is admitted to the medical/surgical floor with abdominal pain, diarrhea and rectal bleeding. Her initial diagnosis is inflammatory bowel disease. Test results indicate inflammation of the mucosa and submucosa of her rectum and colon. Which form of IBD does Ms. K most likely have? You review the medication record and note that Ms. K is to receive sulfasalazine. What will your teaching for this medication include? Ms. K wants to know more about...
Lilly Davenport is a 70 year old female, admitted with acute abdominal pain, nausea, and vomiting....
Lilly Davenport is a 70 year old female, admitted with acute abdominal pain, nausea, and vomiting. CT scan of the abdomen shows diverticulitis. What treatment do you anticipate for Mrs. Davenport? What risk factors (known and assumed) predispose Mrs. Davenport to diverticulosis? What are the possible complications referred to as diverticular diseases? What teaching will you give to help Mrs. Davenport avoid diverticulitis in the future? Mrs. Davenport asks you, “Why do the doctors use so many different words for...
Mr. Henderson is a 49-year-old patient who is admitted to the medical-surgical floor in a hypertensive...
Mr. Henderson is a 49-year-old patient who is admitted to the medical-surgical floor in a hypertensive crisis. The patient's vital signs are B/P: 200/98, HR: 62; RR: 12; T: 98.4 F, and oxygen saturation: 96% on room air. The patient is complaining of a headache and blurred vision. The patient's past medical history: hyperlipidemia, borderline diabetes, and gout. The patient takes atorvastatin and allopurinol. The patient states, "l control my diabetes with my diet." He is ordered Cardene, 5 mg/hr.,...
Joan Wright is an 84 year old female admitted to the medical surgical unit via the...
Joan Wright is an 84 year old female admitted to the medical surgical unit via the emergency department with complaints of persistent pain in lower back and hips after sitting down abruptly on the toilet. The client has a history of rheumatoid arthritis treated with steroids since 2001, diabetes mellitus type 2, hypertension, heart failure, COPD, peripheral artery disease, hypothyroidism, and depression since death of spouse 2011. The client’s daughter reports over the past year the client has been repeatedly...
Mrs. Hernandez is a 72-year-old Hispanic female who was admitted to the medical unit yesterday afternoon...
Mrs. Hernandez is a 72-year-old Hispanic female who was admitted to the medical unit yesterday afternoon with a diagnosis of pneumonia in her right lobe. Chest X-ray shows infiltrates in right lower lobe, indicative of pneumonia. She was started on antibiotics after a sputum specimen for Gram stain culture was obtained. We are monitoring her respiratory status closely Background: Mrs. Hernandez was experiencing symptoms of dry cough, fever, and malaise, and was diagnosed with influenza 10 days prior to admission....
Ricky Waltz, a 50-year-old American-Asian patient, is admitted to the medical-surgical floor from the emergency department...
Ricky Waltz, a 50-year-old American-Asian patient, is admitted to the medical-surgical floor from the emergency department with severe abdominal pain thought to be from acute pancreatitis. He has a history of drinking at least a case of beer a day. He also smokes and appears cachectic. His old chart indicates a history of COPD, but he does not take drugs for this. He does have a new productive cough. At change of shift, the nurse finds the patient dyspneic and...
A 55-year-old male client is admitted to the nursing unit with complaints of abdominal pain that...
A 55-year-old male client is admitted to the nursing unit with complaints of abdominal pain that is sharp and burning. The client gives a history of experiencing bloating and gas after eating and heartburn during the night. The client had a colonoscopy done 5 years ago that revealed six polyps, which were removed, biopsied, and found to be negative for cancerous cells. Upon interviewing the client, the nurse notes that the abdominal pain increases when the client eats fried and...
A 23-year-old woman was admitted to your institution with abdominal pain with nausea and vomiting for...
A 23-year-old woman was admitted to your institution with abdominal pain with nausea and vomiting for the past 2 weeks. She immigrated to the United States 1 year ago from a Latin American country, has limited English skills, and has not been able to work. As her nurse, you attempt to engage her in conversation. She rarely makes eye contact and has a flat affect. You note that she is holding onto a rosary What pertinent data can you gather...
62 year old male admitted into hospital with a history of colicky abdominal pain associated with...
62 year old male admitted into hospital with a history of colicky abdominal pain associated with increasing ascites and jaundice. liver function at this time was markedly abnormal with a bilirubin of 257, INR 2.4, Albumin 23. Clinical signs were of hepatic encephalopathy with marked ascites. several litres of fluid were drained and a culture isolated pseudomonas sp. he was treated with antibiotics but continued to deteriorate and also developed renal failure due to hepatorenal syndrome. unfortunately, he died 6...
The patient is a 62 year old female with nausea and abdominal pain. Routine screening endoscopy...
The patient is a 62 year old female with nausea and abdominal pain. Routine screening endoscopy shows a diffuse gastritis and biopsy reveals small bacteria in the superficial gastric mucus. What type of organisms do you suspect? The biopsy also shows lymphoepithelial lesions with lymphocytes invading and destroying gastric glands. The gastric mucosa is diffusely infiltrated by small mature lymphocytes. What is your diagnosis? How should this patient be treated?
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT