CASE STUDY #45 A student nurse has a 1-dy observational experience in the CCU As part of the preparation for the experience, the student needs to know about antiarrhythmic agents including lidocaine, propranolol, and diltiazem ( learning objectives 2,3,4, and 5 )
(A) What are the therapeutic actions for lidocaine and propranolol?
(B) What are indications and pharmacokinetics for diltiazem?
(C) What are the lifespan considerations for the older adult for the use of antiarrhythmic agents?
(D) What are the key nursing implementation considerations for patients receiving anti-arrhythmic agents?
CASE STUDY#48 A nursing student is reviewing notes on drugs that affect blood coagulation The drugs that affect blood coagulation involve a complex process that involves vasoconstriction, platelet clumping or aggregation, and a cascade of clotting factors produced in the liver that eventually react to break down fibrogen into insoluble fibrin threads The nursing student prepares a medication card for anticoagulants and drugs used to control bleeding( learning objectives 2,4,and 5)
(A) What are the therapeutic actions and most common adverse reactions for aspirin, heparin, and urokinase?
(B) What are the indications and pharmacokinetics for antihemophilic factor and aminocaproic acid?
(C) What are the key nursing implementation considerations for patients receiving antihemophilic agents?
CASE STUDY#51 A nursing student is preparing medication cards on diuretics for a clinical experience on a medical floor The student has been assigned to two patients; a young adult and an older adult The student has to do teaching with a client on Furosemide (Lasix) The faculty members has requested that the student nurse do 5- minute preconference presentation on the various types of diuretics( learning objective 2,3, and 5)
(A) What are the key therapeutic actions, indications, and most common adverse effects of diuretics?
(B) What are the key therapeutic actions and indications for the five types of diuretics?
(C) What are the most important teaching points for a patient receiving furosemide (Lasix)?
(D) What is the use of diuretic agents across the lifespan?
CASE STUDY#57 A nursing student is preparing a presentation for an in – service to the staff nurses on the unit where the clinical rotation is done The in -service is being presented on medications for gastrointestinal orders, which are among the most common complaints seen in clinical practice ( learning objectives 1,2,3 and 5)
(A) What are the current theories about the pathophysiologic process responsible for peptic ulcer disease ?
(B) What are the therapeutic actions for drugs used to decrease acid content (H2 receptor antagonists, antacids, proton pump inhibitors, and prostaglandins?)
(C) What does acid rebound occur?
(D) What are the therapeutic actions of sucralfate and misoprostol?
(E) What are the considerations for older adults when using drugs that affect GI secretions?
(F)What are the important teaching points to include for a patient receiving ranitidine?