ipl-logo

Nursing Care Plan Essay

954 Words4 Pages
bulb-icon

Recommended: Practice nursing care plans

Base on the information of above, the nursing care can be as such: daily weight, intake and output chart to observe any fluid retention, oliguria due to hypotension and diarrhea, decreased intravascular volume, and/or impaired cardiac function. Insert IA line for hemodynamic monitoring keep SBP> 90, insert CVP line for medication, watch temperature for fever, heart rate to keep < 120, spo2 keep > 95 in room air, Oxygen therapy necessary and neurological assessment for mental status, pain score, and fluid restriction to 1.5 liters including IV fluid to minimize the risk of pulmonary edema. Avoid IM injection during therapy. Daily blood test for full blood count, fluid & electrolyte, liver function test, renal panel and PT/PTT. Patients should …show more content…

If patient SBP < 90 mmHg, HR> 120bpm, should stop the IL-2 administration, Study shows 75% of patient who has hypotension during high dose IL-2 need support by inotrope. fluid replacement and electrolyte replacement until condition stabilized. Add diuretic if any signs of pulmonary edema. Transfuse 2 units packed cell if Hb < 9, 2 units platelets if platelets < 20,000. Pethidine IV can give for the pain reliever, up to 100mg/24hors. Lomotil should be given at the onset of loose stools; Granisetron 3mg IV before the first dose of IL-2 and throughout therapy minimizes nausea and vomiting. Oral famotidine should give for gastric protection; piriton prn if any itchiness happens. Oral acetaminophen 650 mg should give before the therapy, 6hourly prn. Important notes are IL-2 only compatible with D5W.do not piggyback through running IV solution. Separated IV set for IL-2 only, flush with 50cc D5W before and after each dose, complete each dose of the IL-2 bolus in 15 …show more content…

The disappointing signs are most of the patient have no benefits are shown at all, and suffers side effect during IL-2 therapy. However, the side effects don’t cause any permanent damage. Just to make it clear, complete response means no tumors after scan and blood tests, purposed cancer must be totally eliminated after IL-2 treatment, then only present as the cure. Furthermore, in a cure also has shown treatment able to last

Show More
Related
451 Words | 2 Pages

I fear patient safety may be jeopardized if you continue to perform at this level. We also established that the inconsistency and inaccuracy of your work is not d/t your lack of knowledge or training in the Infusion 2 work flow. We concluded our meeting with the following action plan. (1) You will transition to Infusion 1 shift training next Monday as planned since there is no further Infusion 2 knowledge/training are needed, (2) you will be more careful and thorough with your work, and (3) I will monitor your progress closely the next two weeks. If you continue to make the same oversights, I will need to terminate your trial

Read More
538 Words | 3 Pages

An ideal bicarb is 23, that is where he is at and so continuing the sodium bicarb 1 a day is fine for now. 5. Calcium phosphorus likely fine. No Rx needed given the overall complexity of his care. 6.

Read More
1184 Words | 5 Pages

should

Read More
688 Words | 3 Pages

Module title: Principles of assessment and management of the acutely ill adult Module Leader: Briege King word limit: 500 student 's name: Hema Elizabeth Philip   This particular case study shows the assessment and management of an acutely ill adult who presented to the emergency department. This will explain pathophysiological cause of the illness, the assessment and the treatment given to the patient consent received from the patient and my manager as I am discussing the patients information. I am using mrs.Smith as patients name as I do not want to reveal the patients original name due to the confidentiality(an bord altranais 2012). Mrs.Smith 80 years old female brought by ambulance with complaints of increased shortness of

Read More
1462 Words | 6 Pages

The patient is continuously monitored, with the management of the cardiac and respiratory symptoms. As the progression managing heart failure with oxygen and medication to manage their heart rate and blood pressure and if they have an accumulation of fluids administer diuretics if administer u must evaluate intake and outputs of fluids. Monitoring Serial lab work including electrolytes kidney function liver funk cardiac markers BNP (look up something peptide) which is an indicator of heart

Read More
873 Words | 4 Pages

Case study This case study relates to Mr Brown who diagnoses with acute pulmonary oedema secondly to acute renal failure from excessive use of opioids. This assignment will address Mr Brown’s initial presentation and assessment, relevant past history, medications as well as the current assessment finding. The Mr Brown is 76 year old male that present to emergency department via ambulance with thoracic back pain that commence two days prior to presentation. Triage assessment stated patient alert, orientated, distressed, chest clear and equal, neurovascular intact with equal strength in all extremities and good strong regular pulses. Nil injury stated patient stated he ‘just woke up with it’

Read More
1079 Words | 5 Pages

If their level of consciousness changes it should be considered an emergency. If they notice swelling in the patient that is increasing it is a sign that the patient is not recovering properly. The care giver of the patient should also know that a regular diet is generally permitted in patients without complications but sodium should be restricted due to the chance of excess fluid retention. Those patients that are experiencing hypertension and edema will be placed on

Read More
129 Words | 1 Pages

IV medication can have rapid affects on the patient due to the direct access to the circulatory system. Once an IV therapy is under way the Enrolled Nurse should closely monitor the patient within the first 15 minutes for adverse reactions to the IV solutions’ or medications. Monitoring the patient can be completed by taking the patient’s blood pressure, temperature, pulse rate, respiratory rate and oxygen saturation levels. Once the IV fusion has been established the Enrolled Nurse should also monitor the insertion site and surrounding tissue plus the rate of the infusion for possible signs of infiltration and extravasation. For patient receiving hydration therapy over a long period of time close monitoring of the patient for fluid overload

Read More
1626 Words | 7 Pages

The chemotherapy includes study Velibarin or placebo 50 mg, study Carboplatin or placebo 612 on day one and study Paclitaxel 150 mg IV on days 1,8 and 15.As per patient, Mrs. T’s health history includes being hospitalized twice for depression over 30 years ago, gall bladder stones with surgery, appendix was removed, ”mini stroke” 2 years ago, hypertension, elevated cholesterol, fatty liver disease and sleep apnea. She has rheumatoid arthritis in her ankles, knees, neck and wrists. The patient has been a member of Alcoholics Anonymous(AA) for 20 years. The patient is divorced and has been living independently in an apartment in

Read More
567 Words | 3 Pages

For a nurse, effective discharge planning is important. According to BMJ (2008) discharge planning is a process that’s focuses on the coordination of services and care after a patient’s discharge from hospital. In Ian and Judi’s case the discharge planning they received left them in fear and desperation. AHRQ (n.d) express that effective discharge planning involves the client and family by giving them adequate preparation as this reduces unplanned readmissions, improves client outcomes and increase client satisfaction. It is evident in the article that Ian and Judy’s experience with discharge planning was less then optimal.

Read More
466 Words | 2 Pages

There should be a specific plan to follow once assessing all situations, barriers and consider taking any alternatives to complete my action plan and achieving my six goals. The remaining time I have to complete my Bachelors of Science in Nursing at Kaplan University, I plan to complete all of my assignments and discussions ahead of time prior to the due date, for which will give me the opportunity to keep my grades up and achieve my goal of maintaining a 3.5 or higher grade point average. I understand the issue of always being busy, especially when having kids and a family, but with the support of my lovely mentor and boyfriend, I feel that I can make time to complete whatever it is that I need and not let any barriers get in the way. Therefore, I intend to plan accordingly with our schedules, making room and time for me to study and complete my goal of sitting for the certified nursing exam to obtain my certification.

Read More
1026 Words | 5 Pages

Everyone that has worked in the medical field has experienced travelers or contract staff at least once. And if you haven’t noticed hostility comes to mind when one arrives to the floor. Gosh, the agony of seeing a traveler! Why would anyone turn away staff you must say to yourself? Someone in charge was slacking in their duties.

Read More
761 Words | 4 Pages

I am currently an undergraduate at Rowan College at Gloucester County completing my pre-nursing studies. As I was growing up, I always enjoyed the idea of helping and healing others. My inspiration to become a nurse was watching my mother make a difference in the lives of elderly at a local senior living community as an Activities Assistant for years. Even though, she was unable to go back to school due to personal circumstances, the compassion she showed towards others around her was something special as she took care of them as if they were relatives. Whenever I had free time, I would just sit and play a game with the elderly residents hearing their life stories from when they were young.

Read More
480 Words | 2 Pages

As a first generation student to attend college from a family of seven, the journey to a higher education has been arduous and overwhelming. My family gives me all the encouragement I need and are very optimistic about pursuing a higher degree. Unlike myself, my parents did not have the opportunity to attend college. My parents were born and raised in a small town in Mexico where the highest level of education they received was fifth grade. I have worked since I was 14 years old to support my parents with bills, and also saving for college and my own vehicle.

Read More
1577 Words | 7 Pages

As the Tisagenlecleucel consists of whole cells which are not absorbed by the body, route of passage through gastrointestinal tract is difficult because of its larger size so it is administered intravenously and enter the blood stream. Intravenous drug administration is the best option as it is convenient for both the patient and blood is the intended target location for the drug as most of the leukemic cells are in the blood. Tisagenlecleucel is administered once [9]. Leukeran is administered orally in the form of a tablet. The usual dosage and frequency of leukeran is 0.1-0.2mg/kg*day for 3-6 weeks.

Read More

More about Nursing Care Plan Essay

Open Document