Discussion #1
Ed Beatty is a 52-year-old client with a history of chronic renal insufficiency who presents to the medical clinic reporting a severe sore throat. He is diagnosed with a streptococcal pharyngitis. He is informed by the primary care provider that he will be treated with an IM injection of penicillin G.
1. What information should be collected from Mr. Beatty before the administration of the penicillin G?
2. Mr. Beatty asks why he cannot receive the medication in oral form. How should the nurse respond?
3. Describe the equipment that the nurse should have available before administering the medication to Mr. Beatty. Why is this necessary?
4. After receiving the penicillin G, Mr. Beatty experiences cardiac arrest. He is successfully resuscitated. Discuss the potential causes of the cardiac arrest.
5. Mr. Beatty has recovered from the arrest and the nurse is preparing his discharge teaching. What information related to the penicillin G should the nurse include?
Instructions:
Your discussion post should be at least 140 words. Follow APA guidelines for references. At least one reference is required to support your response.
Discussion #2
Mark Ilescu is a 44-year-old client who has been diagnosed with primary hypertension. His medical history includes type 1 diabetes mellitus, with early signs of nephropathy. He had a myocardial infarction 2 years ago and has been treated with a beta-blocker, metoprolol, since that time. He has been taking hydrochlorothiazide in addition to the beta-blocker to treat his hypertension. His blood pressure today is 138/92 mm Hg, which is consistent with the readings on his last three visits. His physician has added captopril to his treatment regimen.
1. Mark states that he does not understand why he needs an additional medication considering his blood pressure is below 140 mm Hg systolic. How should the nurse respond?
2. Discuss the rationale for choosing captopril in Mark’s case.
3. What should the nurse include in teaching Mark in order to minimize adverse effects of the captopril and metoprolol?
Instructions:
Your discussion post should be at least 140 words. Follow APA guidelines for references. At least one reference is required to support your response.
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