Question
In: Nursing
Admminister Metoclopramide Hydrochloride 10 mg IV push through a locked PICC line. The Client is complaining...
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Expert Solution
QUESTION NUMBER -(A)
1. CLASSIFICATION OF INJECTION METOCLOPRAMIDE HYDROCLORIDE 10MG.
METACLOPRAMIDE HYDROCLORIDE is a class of medications called prokinetic agent .it works by speeding the movement of food through the stomach and intestine .
2 .WHY IS THE DRUG BEING GIVEN FOR THIS POST HYSTERECTOMY PATEINT
That pateint complaing nausea after her hysterectomy , Metaclopramide injection helps to prevent nausea and vomiting that may occur after surgery.
3. IS IT APPROPRIATE SITUATION ?
YES . injection metaclopramide injection can be given after the surgery , if the pateint complaing nausea or vomiting .and the injection metaclopramide can be given also before the surgery for empty the intestine .
4.CAN YOU GIVE THIS IV PUSH
YES .Doses of 10 mg may be administered slowly by the intravenous route .
5. HOW FAST WE CAN ADMINISTER THIS DRUG
Undiluted metaclopramide injection we can give slowly alowing 1 to 2 minutes .Rapid administration cause intense feeling of anxiety ,restlesness ,folowed by drowsiness.
QUESTION NUMBER (B)
1.DRUG CLASSIFICATION OF INJECTION FUROSEMIDE
It is a medication called diuretics .
2.WHY IS THE DRUG BEING GIVEN
Because this pateint having eraly renal failure .furosemide is given to help treat fluid retention (edema ) swelling caused by renal failure ,kidney failure etc .
3.IS IT APPROPRIATE SITUATION
YES . If the pateint having edema and swelling related to renal failure ,we can given this injection ,and it act as a diuretics ,and help to reduce edema and swelling .
4.IS IT SAFE FOR THE CLIENT
YES . but initialy 20 to 40 mg are giving by intravenously .and a maximum infusion rate 4mg/minutes has been recomended when admnistering greater than this for the pateint with renal failure .
5. CAN WE GIVE THE DRUG IV PUSH .
YES . The initial dose of furosemide is 40 mg slowly iv pus over 1 to 2 minutes . but if it is not satisfactory response given means we can give upto 80 mg furosemide iv push slowly one hour after the first dose .
6.HOW FAST WE CAN ADMINISTER THIS DRUGS
Injection furosemide 65 mg iv push over 1 to 2 minutes .
QUESTION NUMBER (C)
1. CLASSIFICATION OF INJECTION HEPARIN
Heparin is medication called anticoagulants .heparin works by disrupting formation of blood clots in our veins .
2.WHY IS THE DRUG BEING GIVEN
Heparine works by disrupting formation of blood clots in our vein .here the pateint partial throboplastin time (PTT) Iis an hour ago was 160 seconds that means there is a chance of blood clot formation .
3.IS IT APPROPRIATE SITUATION
YES
4.IS IT SAFE FOR THE CLIENT
YES
5.CAN YOU GIVE THE DRUG IV PUSH
YES . 8000 - 10000 UNITS initialy then 50 to 70 units/kg 4-6 hours
6.HOW FAST CAN YOU ADMINISTER THIS DRUGS
Slowly we can administer injection heparin 8000 units.and 4 hourly we can give the injection
QUESTION NUMBER (D)
1.CLASSIFICATION OF INJRCTION KETOROLAC
ketorolac is a medication called NSAIDs
2.WHY IS THE DRUG BEING GIVEN
Here the pateint complaining post operative pain .ketorolac is used to relief post operative pain .
3.IS IT A APPROPRIATE SITUATION
YES
4.IS IT SAFE FOR THE CLIENT
YES
5.CAN YOU GIVE THE DRUG IV PUSH
YES ,we can give injection ketorolac 15 mg iv push
6.HOW FAST CAN YOU ADMINISTER THIS DRUG
Ijection ketorolac 15 mg bolus must be given over or less than 15 seconds
QUESTION NUMBER (D)
1. CLASSIFICATION OF INJECTION SOLU MEDROL
It is a glucocorticosteroid
2.WHY IS THE DRUG BEING GIVEN
Here the pateint have asthma .this drug used to the treatment of asthma pateint
3.IS IT APPROPRIATE SITUATION
YES
4.IS IT SAFE FOR THE CLIENT
YES
5.CAN YOU GIVE THE DRUG IV PUSH
YES we can give injection solumedrol 40 mg iv push
6.HOW FAST CAN YOU ADMINISTER THIS DRUG
When administering this drug it should be given over a period of atleast 30 minutes
QUESTION NUMBER (E)
1.CLASSIFICATION OF INJECTION DIGOXINE
Medication called cardiac glycosides.
2.WHY IS THE DRUG BEING GIVEN
It reduce the strain on the heart and helps to maintain normal heart beats .
3.IS IT APPROPRIATE SITUATION
YES
4.IS IT SAFE FOR THE CLIENT
YES
5.CAN WE GIVE THE INJECTION IV PUSH
NO .each dose should be given by iv infusion
6.HOW FAST WE CAN ADMINISTER THIS DRUG
IV infusion over 10 to 20 minutes
QUESTION NUMBER (F)
1.CLASSIFICATION OF INJECTION DIAZEPAM
IS called benzodiazepines
2.WHY IS THE DRUG BEING GIVEN
Here the pateint complaining alcohol withrowal symptoms .
3.IS IT APPROPRIATE SITUATION
YES
4.IS IT SAFE FOR THE CLEINT
YES
5.CAN YOU GIVE THIS IV PUSH
YES
6.HOW FAST
EVERY 3TO 4HOURS
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