Posted: June 29th, 2022

Hematology/Cardiac Handout -Neurology/AntiInfective Handout

Hematology/Cardiac Handout -Neurology/AntiInfective Handout ( LOOK AT
ASSIGNMENT AND ATTACHMEMT BEFORE ACCEPTING)
Anti-infective Medications
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Answer in 25 words or less if possible.
Use your own words only.
1) What is the mechanism of action for prednisone?
2) What are two side effects of taking prednisone?
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3) What type of nursing care should you provide to patients taking prednisone?
4) Name one contraindication of taking prednisone.
5) What explanation could you offer to your patient to explain the safety of a “7-day tapering course of
prednisone” order?
6) What would be an indication for blood cultures?
7) Describe the process for obtaining blood cultures.
8) Discuss the difference between viral infection and bacterial infection.
9) Give an example of a viral infection and how it is treated.
10) Give an example of a bacterial infection and how it is treated.
11) What is a nursing diagnosis and associated intervention for a patient with an infectious disease?
12) What is a gram-negative bacterium and name a medication that is used for treatment?
13) What is a gram-positive bacterium and name a medication that is used for treatment?
14) Describe the mechanism of action for each type of penicillin (Remember in your own words). Provide an
example.
Penicillin Mechanism of Action Example
1.
2.
3.
4.
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15) What nursing education would you provide to a patient who is prescribed penicillin?
Respiratory Case Study
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List at least one reference to support your answers.
Use your own words only.
1) Winter is a 4-year-old girl with a history of asthma. Her mother has brought her in an “asthma attack”. Winter
is sitting in her mother’s lap and breathing rapidly through an open mouth. She has a cough that sounds
congested and wheezy. The physician has already ordered a nebulized treatment containing albuterol (Proventil)
and ipratropium bromide (Atrovent).
2) Mr. Chung is a 68-year-old man complaining of cough, sore throat, fatigue, and weakness. His BP is 166/82,
pulse is 90, respirations are 26, and temperature is 100.4 degrees.
3) Jackson is a 19-year-old man who has had a sudden onset of right-sided chest pain and shortness of breath.
His chest x-ray film revealed a right pneumothorax, and he is currently receiving 35% oxygen by face mask
while waiting for an ambulance to transport him to the hospital for further Assessment.
4) Ms. Summers is a 45-year-old homemaker. She says she has been extremely tired, easily becomes short of
breath, and is unable to complete her chores without frequent rest breaks. She is pale and seems tired. Her vital
signs are as follows: BP 136/78, pulse 86, respirations 24 and unlabored; temp 98.4 and pulse oximetry 98% on
room air. She is now waiting for her lab results, which include a complete blood count (CBC).
Answer the following questions that pertain to the above patients.
a. Which patients are experiencing problems with ventilation? Explain your answer.
b. Which patient appears to be experiencing problems with hypoxia? Does the problem appear to be related to
oxygenation or perfusion? Explain your answers.
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c. Mr. Chung has smoked two packs of cigarettes per day for 50 years. ABGs reveal a low PO2 and a high PCO2
consistent with chronic lung disease. He is diagnosed with an acute exacerbation of chronic bronchitis. He is
placed on oral antibiotics and long acting bronchodilators by metered-dose inhaler (MDI). What teaching could
you offer to help Mr. Chung mobilize and expectorate secretions?
d. Winter receives her nebulizer treatment and markedly improves. The physician has ordered a variety of takehome medications that you must teach her mother about. The treatment plan includes a protocol based on peak
expiratory flow monitoring. Discuss how you might involve Mary in her own care.
e. Jackson’s chest x-ray film reveals a spontaneous pneumothorax. There is no apparent fluid in the pleural
space. What chest tube systems can be used to treat his pneumothorax? Explain your thinking.
f. Ms. Summers is diagnosed with severe anemia. She is hospitalized because her hemoglobin is 5.9 g/dL. How
will this affect her oxygenation? What interventions would improve her fatigue?
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