Antiemetic

PONV has a significant impact on the patient and on the healthcare facility. Healthcare facilities are seeing increased costs related to PONV due to the resulting complications, unanticipated admission, prolonged nursing care, and delayed PACU or hospital discharge (Kovac, 2013). Not only is PONV a huge patient dissatisfier, there are life-threatening risks associated with this complication including aspiration pneumonia, esophageal rupture, subcutaneous emphysema, and bilateral pneumothoraxes…

Marie C. Louis M4D1 Assignment Response 1. My assigned patient's priority diagnosis label related to pain: Risk of discomfort due to chronic cancer pain 2. Three nursing interventions for my assigned patient: a. Administer Opioids and/or non-narcotics medications as prescribed by a physician. Rationale: Pain can be devastating; affecting someone's life at different levels. Especially in a patient like mine from scenario two fighting terminal cancer, who is subject to chronic severe pain,…

historian Avraham Barkai wrote a chapter titled “Aryanization” in the book How Was It Possible? Published in 2015 through the University of Nebraska Press Lincoln and London, How Was It Possible? explores the origins of the Nazis path to the Holocaust. Antiemetic boycotts forced the Jews in Germany to make a shift to Jews only being…

primary care nurse (ask about any changes or what to look for) • Safety assessment and priority assessment of my client • Address immediate concerns (my client was complaining of nausea) • Confer with primary care nurse about antiemetic medication • Document • Administer antiemetic • Document • Review client care plan • Heat-to to assessment (client…

In the operating room the circulating nurse has many roles. The circulating nurse is responsible for the room being set-up and making sure equipment works, having supplies ready, making sure tools have been properly sterilized, and making sure the consent form has been signed, and calls the time-out before the surgery begins. The circulating nurse is an advocate for the safety and comfort of the patient. The circulating nurse assists the anesthesiologist during initial sedation. The circulating…

The case is about a 22-year-old female who has been sick for eight days. She thought that she had the “Flu”. She complained of nausea, vomiting and had a poor appetite. To counteract her nausea, she was taking copious amounts of antacids. She fell at home and was taken to the ER. She was dehydrated and intravenous fluids were given to rehydrate her. An arterial blood gas (ABG) was drawn. The results of the ABG showed an acid-base disturbance. The patient’s acid-base disturbance was acute…

selectivity for healthy tissue as well as the aptitude to protect a larger number of tissue types. A variety of drugs have been developed to organize side effects related to chemotherapy, including Erythropoietics for anemia (Epogen, Darbepoetin), Antiemetics for nausea and vomiting (e.g. Ondansetron, Aprepitant), and Immunostimulators for neutropenia…

1. Nursing Role: In what ways did the RN utilize critical thinking in each setting? What professional/unprofessional conduct did you observe while in these settings? The nurse demonstrated flexibility by being open to change of the treatment plan. For example, a patient was scheduled for a lipid panel and was supposed to be fasting, but was eating prior to her scheduled appointment due to discomfort. The nurse was flexible by rescheduling her lipid panel and adjusting her treatment plan…

metabolism enzyme that is clinically important because about 20-25% of clinically used drug are metabolized by the CYP2D6 enzyme. CYP2D6 substrates are typically lipophilic and include drugs such as antidepressants, antipsychotics, antiarrhythmic, antiemetic, and opioids. The exact clinical effect of the polymorphism is dependent on the drug and the variant alleles expressed because individual allele variants can lead to a range of metabolic ability from ultrarapid metabolizers (UMs) to poor…

IV. Side effects: dizziness, drowsiness, orthostatic hypotension, visual disturbances, weakness, disorientation. Nursing considerations: do not stop drug abruptly, avoid alcohol, cns depressants. IM onset 15-30min peak 60-90min. Ondansetron HCL: antiemetic, 4mg Q6hrs PRN IV. Patient is on this in order to prevent nausea from receiving chemopherapy/radiation. Side effects: headache, dizziness, constipation. Nursing considerations: monitor for toxicity/ serotonin syndrome. Morphene sulfate…