10mg\5lm, Administer: PO route, IM route, and SUBCUT route (Linda Skidmore-Roth, 2015)”. Methadone causes side effects such as drowsiness, dizziness, and headaches. Can also cause nausea, vomiting and anorexia. CV (Cardiovascular) Palpitations, bradycardia, change in B\P (Blood pressure), cardiac arrest, shock and hypotension. In some cases it can cause life-threatening heart rhythm disorders. Side note Methadone can cause legged breath or completely stop your breathing when you have a…
Nursing Interventions Applicable to Alongside Obstetricians Establishing therapeutic relationship is the most significant intervention for the woman and her family. The woman’s first impression will have influenced her perception of the quality of care in her birth experience, a warm greeting provided to the woman and her family will make them feel valuable (Perry, 2012). Sometimes professionals of the health care team will encounter women who speak a different language and it is recommended to…
Case Study: Assessment 3 Nursing Management Plan Nursing management of the patient is important to make sure the patient is safe and comfortable. Nursing care plans are created to aid in communication and organization of Mr. C's specific care needs and actions that can be addressed by the changing nursing staff. Upon arrival to the neurosurgical ward, Mr. C was alert, obeying commands and presenting a GCS of 15, along with a pain score of 5/10 where he was given appropriate analgesia. Left…
with a fruity odor. The effects of overexposure include “nervousness/restlessness, miosis (contraction of the pupil), rhinorrhea (runny nose), excessive salivation, dyspnea (difficulty in breathing due to bronchoconstriction/secretions), sweating, bradycardia (slow heartbeat), loss of consciousness, convulsions, flaccid paralysis, loss of bladder and bowel control, apnea (breathing stopped) and lung blisters” (Facts About Tabun, http://emergency.cdc.gov/agent/tabun/basics/facts.asp). As stated…
The Aminata muscaria is a very toxic plant to dogs and cats. If ingested, dogs can result in acute gastrointestinal distress that precedes a potentially life-threatening central neurologic syndrome characterized by seizures, tremors, and somnolence (Rossmeisl, Jr.,Blodgett, Jones, Higgins, Ellis, 2006). In a case study three dogs were presented with the toxic mushroom Amanita muscaria that developed respiratory arrest. Of the three dogs, one was euthanized and the remaining two recovered fully…
Introduction Amnioinfusion is a procedure in which a germ-free (sterile) saline solution is added into the uterus. This may be done for various reasons, including: To increase the amount of amniotic fluid around the baby when there is not enough (oligohydramnios). Amnioinfusion may be done before an ultrasound test so that the ultrasound pictures provide a better view of the baby. It may also be used to help provide better care for the baby if certain kinds of problems are found with its lungs,…
for a pacemaker placement. The astute internist I was working with obtained a thorough history and physical examination and made a case for Lyme carditis based on circumstantial evidence. A subsequent serology confirmed the same and the patient’s bradycardia resolved with appropriate antibiotics (which meant no pacemaker…A procedure avoided…expensive and limited medical resources to be put to good use somewhere else). It is instances like these that have been…
A 70-year-old male patient develops a large anterior wall myocardial infarction. He is currently being managed with oxygen, aspirin, nitrates and a beta-blocker. He develops recurrent episodes of ventricular tachycardia and remains conscious however has dizzy spells and also becomes diaphoretic and hypotensive. An IV bolus of lidocaine is given followed by IV lidocaine infusion. • Which class of antiarrhythmics does lidocaine fall under? Lidocaine is a Class IB antiarrhythmic, fast sodium…
Introduction Sufficient analgesia is essential for canine patients undergoing oral surgery, such as dental extractions and orthopaedic procedures involving the maxilla and/or mandible. These procedures produce strong sensory stimulation that impact on general anaesthetic requirements and produce post-operative pain (Woodward 2008). Providing multimodal analgesia for our patients is beneficial for several reasons. From a clinical standpoint, pre-operative local nerve blocks decrease the level of…
CASE MYSTERY: THE PROFESSOR Nursing is a profession that offers a broad spectrum of choices for practice. Each nurse gathers tools for use in a chosen specialty as experience and knowledge is gained through practice. One of the most interesting tools gathered by professional nurses is the ability to be a detective of sorts. Working with a team of medical professionals, nurses contribute to the plan of care and treatment by providing outstanding assessment skills, evaluating interventions for…