NUR 2407 nursing priorities of Anaphylaxis

NUR 2407 nursing priorities of Anaphylaxis

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NUR 2407 nursing priorities of AnaphylaxisNUR 2407 nursing priorities of Anaphylaxis

NUR 2407 Pharmacology

Module 2 Assignment

Case Study – Anaphylaxis

M.J. is a 45 yo Caucasian female. Following a dinner with her friends, where she consumed 2 glasses of wine and shrimp stir-fry, she presented to the emergency room complaining of “Feeling hot and itch all over. Something bad is happening”.

Her initial vital signs were T 99.8 °F temporal, heart rate 100 bpm, respiratory rate 28 bpm, and blood pressure 100/58 mmHg. Oxygen saturation 85% on room air. Her physical assessment noted:

· Red skin rash around the face, neck, and hands

· Bilateral wheezing in all lung field

· Swelling to the lips

· “I am having troubles catching my breath”

NUR 2407 nursing priorities of Anaphylaxis – Nurses Homework | Nurses Homework

After being seen by the attending physician, M.J is diagnosed with anaphylaxis reaction and the following medication are prescribed:

· Oxygen 2L nasal cannula, titrate to keep sats above 90%

· Intravenous solution of 0.9% at a keep vein open rate

· Epinephrine 0.3 mg IV Stat

· Diphenhydramine 25 mg liquid IV now

· Prednisone 20 mg PO now

M.J. makes a full recovery and is discharged home with a prescription for an Epipen and to follow-up with an Allergist.

Assignment:

1. Explain the pathophysiology of anaphylaxis?

2. Name three nursing priorities?

3. List a short-term (before discharge) and a long-term (within one Module) SMART goal for the patient?

4. What is the classification, action, and therapeutic effect (reason) for each medications?

5. List drug interactions or contraindications to be concerned about for each drug?

6. What adverse effects/side effects does the nurse need to monitor for each medication?

7. What are some ethical or legal issues to consider with this case?

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

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