CASE SCENARIO (NURSING) MEDICATIONS ADMINISTRATION QUESTIONS.

There are ten GOLDEN RULES of medications administration safety. There has to be doctor’s orders. First, Administration of the right medication. Remember that some medications look alike and sound alike. So administer the right medications. Secondly, Administration of medications to the right patients. Make sure that the medication is not labeled with another patient name. […]

31ST CASE SCENARIO (NURSING)SCHIZOPHRENIA.

Questions: (1)Haloperidol(Haldol) 5mg po tid is ordered for patient with Schizophrenia. Two days later the patient complain of tight jaws and a stiff neck.The nurse should recognize that these complain are: Answer: (A)Early Symptoms of extrapyramidol reactions to the medications. (B )That is normal for this patient. (C) None of the above. (D) All of […]

24TH CASE SCENARIO. (NURSING) DEPRESSION.

Age/Sex 65years Male. Patient name: Butler,David. Admitted 06/12/2004. MR : Q000099923236 Admitting Doctor: Abraim ,Jesus. Location: 2West CODE STATUS Full code. Height :5ft 9inches. Weight: 125lbs. Admitting Diagnosis: Depression. Signs and symptoms of depression are withdrawn, regressive behavior, Obsessive thoughts, unkempt appearance, insomnia, psychomotor retardation. NURSING RESPONSIBILITIES: Check for possible suicide, report behavioral changes, meet […]

15TH CASE SCENARIO. (NURSING)MRSA.

WHAT IS MRSA?. MRSA stands for methicillin resistant staphylococcus aureus. MRSA is the cause of the staphylococcus aureus infection that is resistant to some antibiotics.It is also known as a strain of Staph aureus that is differentiated from other strains due to its resistance to the antibiotics use to treat the organism.It was first discovered […]

14TH CASE SCENARIO.(Nursing)DIFFICULTY BREATHING.

Emergency Room Report. Patient: Lodogod,Way James. Age 83years. Sex : Male. Date: 12/29/2010 MR: Q0000999629. TRIAGE: Triage time: 1850pm. Acuity: Level 2 Chief Complaint :Difficult Breathing. Diagnosis: Acute asthma exacerbation with pneumonia. 1850PM: BP 120/80,Hr: 76,Respiration 24,Temperature 98.2,02 Saturation 94%room air. Pulse oximeter applied.Alert and oriented ×4. EMERGENCY MEDICAL SERVICE (EMS) treatment PTA (Prior to […]

7TH CASE SCENARIO.(Nursing)Diabetic foot ulcer.

Mr A.J. 44years old man came into the Emergency room. Alert and oriented ×4 .Full code. Diagnosis: Diabetic foot infection Right great toe and second toe abcess,blister pop opened. Consultation: Podiatrist doctor consulted. ( Doctor Too Cute) Adaptive dressing change Qday. Incisions and drainage to be done at 1045am. NPO after midnight. Room air. Lungs […]

3RD CASE SCENARIO.( Nursing)

Mr. Y . J.74 years Male brought into the Emergency room by his daughter, because of confusion for the past two days. Diagnosis: Hyponatremia ( Sodium 125), Sepsis. Secondly Diagnosis:High Cholesterol, Diabetes, Dementia, Hypertension. Allergy: Morphine, Vancomycin. Diet :Cardic Heart health diet. Generalized rashes( reaction to antibiotic – Vancomycin) Bilateral upper Extremity skin tears. Tegaderm […]

MEDICATION ADMINISTRATION TIME AND MEANING.

It is very important to know the eight rights of medication administration. When administrating medications to your patient.The number one rule is to use two patient identifiers.It should NOT be the patient room number. Rather use patient ID,his date of birth and medical record number. Before giving medications you should know the eight rights of […]