1.Honey Bear is taking prednisone (a glucocorticoid)so she won’t…
QuestionAnswered step-by-step1.Honey Bear is taking prednisone (a glucocorticoid)so she won’t…1. Honey Bear is taking prednisone (a glucocorticoid) so she won’t reject her brand new, transplanted liver. She recently broke a bone in her paw- how come?Why might she start retaining fluid, and what should she monitor for (including an electrolyte?)Name two classes of drugs who’s side effects will compensate for her K+ issues (dig into your brain)Looks like she has put on some weight- how is her glucose metabolism being affected?2. Mrs. Cox is a sore lady. She fell down the stairs and broke and bruised everything. What is a first generation NSAID and a 2nd generation NSAID that she could take?What signs might indicate that she has developed an ulcer?What should you have taught her about taking NSAIDs that might have helped prevent the ulcer?Which organ may become dysfunctional and what signs will you see?Mrs. Cox’s little daughter has chicken pox- any advice for Mrs. Cox about sharing her aspirin (ASA)?What are 3 meds or herbs that she could take to make herself bleed more while taking NSAIDs:what should not be done at the party.What is a NSAID that she could take safely if she is at risk for bleeding and why?What is an NSAID that might help her with post op pain? And is it safe to take with narcotics? Is it safe to take with other NSAIDs?3. The Human Torch is a superhero who wants to get his fever down- he takes some acetaminophen. He takes a whole bottle- what toxicity do you anticipate?What medication should be administered to protect his organ function and how does it smell?He is still hot so he is planning a trip to the bar to have a six pack of cold beer- any advice for him?4. Morpheus, the Greek God of Dreams, is a patient on your unit. He keeps asking for opioid drugs- what should they be used for?When you check on him his respiratory rate is 8/min; what dangerous adverse reaction is occurring? Name the Opioid OD triad signs: What reversal drug should you have nearby?What are 2 reasons he may stay in the bathroom extra long?While he is here he is going to have a cholecystectomy for his gall bladder pain. What drug should you give him pre op for biliary pain? Any problem for his recovery if you give him lots of opioids post op ? What can you do to compensate?His roommate has cancer and has an order for 2 mg of Morphine every 4 hours as needed. Any issues with this dosing?If the doctor orders a fentanyl patch, how long until it reaches the desired effect (may have to look it up).5. A client with a history of narcotic abuse has had surgery and the doctor orders nalbuphine for pain. Do you expect the patient to feel ‘high’ ?If the patient goes into narcotic withdrawal, what symptoms do you expect to see?6. You come across a man collapsed in the street outside of a bar. When you examine him (after calling 911) you find him unresponsive, breathing shallowly and with pin point pupils. What kind of drug OD do you suspect?What is a drug that will reverse these symptoms?What happens if you give it to someone who did NOT take opioids?If you have accidently given a post op patient too much narcotic medication for pain and have to use naloxone , what is he going to immediately complain of when he wakes up?7. There are a number of familiar drugs that can be used as adjuvant medications for pain (find the list in the Pharm module). Name 5 actual drugs:What is the advantage of using an adjuvant instead of just giving more narcotic?What are some conditions where this kind of treatment is useful?Will there be any additional benefit to the patient besides analgesia?In general, if a drug has a particular side effect/adverse reaction, there are standard nursing interventions to anticipate/prevent harm. Please mention those for each of these: Orthostatic hypotension: Bone marrow suppression: Insomnia: Sedation: Osteoporosis: Peptic ulcer/gastric irritation: Venous irritation at injection site:8. King Henry Vlll has to take a break from beheading queens because his foot hurts. You are to give him a drug to decrease inflammation from gout- what could it be? How about a drug to prevent uric acid production for the future? How about a drug to help him pee the uric acid out? How should he take the colchicine so as to avoid GI distress? If he tells you that he is going to take his meds with a meal of creamed scallops, beef with gravy and a 6 pack of beer, what will be your nursing advice? 9. Father Time is reeeeally old and has bad arthritis. His doctor wants him to take a combination of DMARDs, glucocorticoids, and NSAIDs. Briefly, what is the difference between what each of those will do for him?10. If he takes methotrexate, what are 2 lab tests to monitor?How should he take the med? If he is given hydroxychloroquine (in book), what damage should you look out for? How soon after a diagnosis of rheumatoid arthritis should DMARDs be given to minimize joint damage? How will you know they are working?11. Stickman feels bad. He is nauseated and can’t look at the light and has a bad headache. What class of medication is he taking if he takes sumatriptan?- he complains that his arm feels heavy. What is the significance of this?- what factor in his medical history would make it dangerous for him to use this drug?-what if he wants to go sunbathing? any issues?Health ScienceScienceNursingShare Question
