A Critical Discussion Paper Related To The Nursing Management

case study below:

The critical discussion paper should address the following issues:

  1. Describethe patient’s presenting problem focusing on the pathophysiological issues.
  2. Reviewand use of literature to explain the pharmacokinetics of the prescribed medications and their indicati
  3. Discussthe nursing management appropriate for the patient including management of the adverse effects of the medication(s)  using evidence-based literatur
  4. Describein detail the information you would share with the patient and how you will educate the patient about the interactions and long term effects of the medications prescribed in the ED? A Critical Discussion Paper Related To The Nursing Management

    ORDER YOUR PAPER HERE

Mr Ferguson is a 76 year old male who presented to your emergency department at 0800hrs complaining of a 2/24 history of chest heaviness. He has self administered x2 sprays of his glyceryl trinitrate pump spray totaling 800mcg with minimal relief. On arrival to your allocated bed Mr Ferguson appears pale, diaphoretic & short of breath.

Regular Medications Medications Prescribed Administered in ED
Aspirin 100mg PO, OD Aspirin 300mg Po
Metoprolol 50mg PO, OD Morphine sulphate IV 2.5mg administered on four

(4) occasions PRN

Rosuvastatin 10mg, PO, OD Low molecular weight (LMW) heparin infusion
glyceryl trinitrate pump spray- PRN Fentanyl 50mcg IV, x2 STAT doses
Vitals Signs
Blood pressure 172/86
Heart rate 103bpm, irregular
Spo2 97% RA
Respiratory rate 24b/min
Temperature 36.8C tympanic
Glasgow Coma Scale 15/15 – E4V5M6

AMPLE

A llergies: Amiodarone

M edications: as stated above

P ast medical history: Angina

Non ST Elevated Myocardial Infarction (NSTEMI) (1998 & 2006) Hypertension

Hypercholesterolemia

L ast time the patient ate and drank: toast and tea at 0630hrs

E vents preceding admission: chest heaviness 2/24