NURS 481L Advanced Med Surg. Medication Project

Description

The example paper is attached and the assigned medication name: Sodium Thiosulfate, but I don’t have my patient’s info, or medical history yet. She said that the patient is HYPOTHETICAL. is that mean imagined?. (For example, if you have a diuretic as your medication, what kind of disease would the patient have to need that medication? this my classmate’s explanation.)My assigned medication is Sodium Thiosulfate.I attached the rubric and the sample she sent out. The assignment worth 90 points.This is her last announcement about this assignment:Medication ProjectI have sent out messages with a medication assigned to each of you for your medication project due this week. Please check your messages and refer to the announcement with the example and rubric. If you do not have a medication that was assigned, please reach out to me so that I can assign you one.

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Medication-Focused Case Study Rubric
1. Patient Overview
a. Points: 18 (20.00%)
b. Accurately identifies demographic data, past health history, medical
diagnosis: identifies 2 priority nursing diagnosis
2. Medication Overview (Select One Medication)
a. Points: 18 (20.00%)
b. Includes medication, classification and most indications, recommended
dosing guidelines, administration routes, side effects and contra indications
included
3. Nursing Implications
a. Points: 18 (20.00%)
b. Discusses 10 or more interventions for administration monitoring and
effectiveness of medication
4. Patient Education Plan
a. Points: 18 (20.00%)
b. Develops a complete pertinent medication teaching plan including learning
needs, educational goals, and learning outcomes
5. Assignment
a. Points: 18 (20.00%)
b. Meets the following criteria 100%: typed APA format, correct grammar,
spelling; maximum 3 pages body of paper; minimum 3 references
Education Plan
• Learning Needs:
• Patient does not use glasses
or hearing aids
• Patient can read, write, and
speak in English.
• Patient is a visual learner and
is able to refer back to the
pamphlet.
• Education Goals:
• Pt understand the signs of
symptoms associated with
the use of Levophed
• Pt understands why
Levophed is used.
• Learning Outcomes:
• Pt will notify the nurse if the
I.V. site is burning, painful,
or itchy.
• Pt will use the call light if
needing assistance while on
the medication.
Teaching Aid
Norepinephrine
(Levophed)
References:
F.A. Davis. (2015). Norepinephrine. F.A. Davis
Company. https://davisplus.fadavis.com/3976/
meddeck/pdf/norepinephrine.pdf
Jones & Barlett Learning. (2019). Nurse’s drug
handbook (18th ed.). Burlington, MA: Jones &
Barlett Learning.
Multim, C. (2020). Norepinephrine. Drugs.com.
https://www.drugs.com/mtm/norepinephrine.html
Done By: Leslie Lopez
NURS 481L- Advanced Medical
Surgical Nursing
Professor Blackard
West Coast University, Los Angeles
Medication Overview
Nursing Implications
Classification/Most Indication:
• Therapeutic Class: Vasopressor
• To manage blood pressure in acute
hypotensive states such as blood
transfusion, drug adverse effect, myocardial
infarction, pheochromocytomectomy,
poliomyelitis, spinal anesthesia, and
sympathectomy reactions; adjunct in
treatment of cardiac arrest and profound
hypotension.
• Recommended dosing:
• Initial: 8-12 mcg/min of base. Then titrated
to maintain systolic blood pressure between
80 to 100 mm Hg in patients previously not
hypertensive and 40 mm Hg below
preexisting systolic blood pressure in
patients previously hypertensive.
Maintenance: 2-4 mcg/min.
• Administration Route:
Route
Onset
Peak
Duration
I.V.
Rapid
Unknown
1-2min
• Side Effects:
• Anxiety, tremor, headache, insomnia,
hypotension, hypertension, nausea,
vomiting, pallor, apnea, dyspnea, decreased
renal perfusion, and tachycardia.
• Contraindications:
• Concurrent use of hydrocarbon inhalation
anesthetics, hypersensitivity to
norepinephrine or its components,
hypovolemia, mesenteric or peripheral
vascular thrombosis.
(Jones & Barlett Learning, 2019)
1. Warning: Because extravasation can cause
severe tissue damage and necrosis, expect
prescribed to give multiple subcutaneous
injections of phentolamine around
extravasated infusion site
2. Monitor continuous ECG during therapy.
3. Monitor and assess respiratory rate along with
pulse oximetry.
4. If blanching occurs, change the infusion site and
notify the provider immediately.
5. Give the medicine with a flow control device.
6. Make sure the solution is not disclosed or dose
not have any particles before administration.
7. Monitor the BP every 2-3 minutes until stabilized
and every 5 minutes after.
8. Monitor urine output and notify the physician if
it decreases
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