Laboratory Exams 1

8/20/2019 Laboratory Exams 1

1/8

Date Order Rationale

August 4,2014

4:15pm

Please admit

Full Diet

Well-balaned diet ontaining all o! t"e

essential nutrients needed !or optimal

gro#t", tissue repair, and normal !untioning

o! t"e organs$ %u" a diet ontains !oods

ri" in proteins, arbo"&drates, "ig"-'ualit&

!ats, minerals, and (itamins in proportions

t"at meet t"e spei!i alori re'uirements

o! t"e indi(idual$

)% e(er& 4 "ours

)ital signs are obtain and reorded to obtain

t"e patient*s baseline data and be use!ul !or

!urt"er management$

+A%:

omplete blood ount

"ese are ommon routine laborator& tests

in t"e "ospital$

CBC - blood test used to e(aluate &our


2/8

t"at a!!et idne& !untion$

%tart 3) D5+R 1+

140 "our

56 De7trose in +atated Ringer8s is a

plasma e7pander$ 3t is gi(en to our lient

beause o! de"&dration$

9D%:

Paraetamol 500g

1 tab R 7 ; doses

Ampiillin sulbatam

' < 1$5g 3)=A>%?

$

Paraetamol !or !e(er

Ampiillin !or in!etion


3/8

epid sponge bat" o redue bod& temperature o! our patient

3ntae and output '

s"i!t

o monitor t"e intae and output o! our lient

10:20pm 3)F F D5>9140 "r

D5>9 solution is indiated !or parenteral

maintenane o! routine dail& !luid andeletrol&tes re'uirements #it" minimal

arbo"&drate alories !rom de7trose$


4/8

@eneri >ame: Paraetamol

rand >ame: iogesi

lassi!iation: Antip&retiOrdered dose: 500 mgtab, 1 tab '4 1 tab R 7 ; doses

PR>Date ordered: august 4, 20149ode o! Ation:

- 7"ibits analgesi ation b& perip"eral bloage o! pain impulse generation

- Produes antip&resis b& in"ibiting t"e "&pot"alami "eat-regulating entre

%uggested Dose: ;25 B50 mg

3ndiations:

- 9ild pain, !e(er

ontraindiations:

- Pre(ious "&persensiti(it&- Analgesi nep"ropat"&

- Renal and "epati impairment

Drug 3nteration:

• Drug drug

- Redued absorption o! "olest&ramine #it"in 1 "our o! administration

- Aelerated absorption #it" metolopramide

- Paraetamol ma& inrease e!!et o! #ar!arin

• Drug !ood

- "roni, e7essi(e onsumption o! alo"ol ma& inrease t"e ris o! aetaminop"en-indued

"epatoto7iit&

Ad(erse !!ets:

• @3: "epatoto7iit&, "epati !ailure

• @/: renal !ailure

• Derm: ras", urtiaria

>ursing Responsibilities:


5/8

1$ Assess !e(er note presene o! assoiated signs =diap"oresis, ta"&ardia and malaise?

Rationale: "is assessment #ill ser(e as basis !or e(aluation o! e!!eti(it& o! mediine against !e(er$

2$ Assess li(er !untion studies$

Rationale: 9ediation ma& ause "epatoto7iit&$

;$ Administer #it" !ull glass o! #ater$Rationale: "is "elps to pre(ent irritation$

4$ @i(e drug #it" meals or antaids$

Rationale: "is #ill minimiCe gastri irritation$

5$ 3n ase o! o(erdose, aet&l&steine s"ould be readil& a(ailable$

Rationale: Aet&l&steine is t"e antidote !or aetaminop"en to7iit&$


6/8

@eneri >ame: Ampiillin %ulbatam

rand >ame: /nas&n

lassi!iation: Anti-in!eti(es Anti-bateria

Ordered dose: 1$5 g 3) '


7/8

- Dereased e!!ia& o! "ormonal ontraepti(es, atenolol #it" ampiillin- 3nreased ampiillin e!!et #it" probeneid

Ad(erse !!ets:

E >%: +et"arg&, "alluinations, seiCuresE ): FE @3: @lossitis, stomatitis, gastritis, sore mout", !urr& tongue, bla "air& tongue, nausea, (omiting,

diarr"ea, abdominal pain, blood& diarr"ea, enteroolitis, pseudomembranous olitis, nonspei!i "epatitisE @/: >ep"ritisE ematologi: Anemia, t"rombo&topenia, leuopenia, neutropenia, prolonged bleeding timeE &persensiti(it&: Ras", !e(er, #"eeCing, anap"&la7isE +oal: Pain, p"lebitis, t"rombosis at inGetion site =parenteral?E Ot"er: %uperin!etionsHoral and retal moniliasis, (aginitis

>ursing Responsibilities:

E ulture in!eted area be!ore treatment reulture area i! response is not as e7peted$

E "e 3) site are!ull& !or signs o! t"rombosis or drug reation$

E Do not gi(e 39 inGetions in t"e same site atrop"& an our$ 9onitor inGetion sites$

E Administer oral drug on an empt& stoma", 1 "r be!ore or 2 "r a!ter meals #it" a !ull glass o! #ater do not gi(e #it"

!ruit Guie or so!t drins$

E ae t"is drug around-t"e-lo$

E ae t"e !ull ourse o! t"erap& do not stop taing t"e drug i! &ou !eel better$

E ae t"e oral drug on an empt& stoma", 1 "r be!ore or 2 "r a!ter meals t"e oral solution is stable !or I da&s at

room temperature or 14 da&s re!rigerated$

E "is antibioti is spei!i to &our problem and s"ould not be used to sel!-treat ot"er in!etions$


8/8

E Jou ma& e7periene t"ese side e!!ets: >ausea, (omiting, @3 upset =eat !re'uent small meals?, diarr"ea$

E Report pain or disom!ort at sites, unusual bleeding or bruising, mout" sores, ras", "i(es, !e(er, it"ing, se(ere

diarr"ea, di!!iult& breat"ing$

Laboratory Exams 1

Documents

Transcript of Laboratory Exams 1