Chat with us, powered by LiveChat In this second submission of your Course Project, you will be completing a health history, physical assessment, and client interview and determining their nursing diagnoses. This wr | Wridemy

In this second submission of your Course Project, you will be completing a health history, physical assessment, and client interview and determining their nursing diagnoses. This wr

 In this second submission of your Course Project, you will be completing a health history, physical assessment, and client interview and determining their nursing diagnoses. This written assignment should include the following 

Describe the medical diagnoses of your assigned client (you need to search it). Include the admitting diagnosis as number one and then four other medical diagnoses (for a total of 5). The admitting diagnosis and reason for being in the facility. If post-surgical, include surgery and reason for surgery. The secondary diagnoses include a history of pre-existing medical diagnoses). You need to include 4 secondary diagnoses. For each diagnosis, provide at least a 5-sentence explanation of the pathophysiology of the condition/problem. MAKE SURE YOU CITE YOUR SOURCES 

 Write a detailed physical assessment and interview on your case study client. You will have to know what to expect in your client by using the information from #1 above and your case study. You will have to be creative.

3. 5 Nursing diagnoses (only the NDx, you will complete the care plan for week10). Make sure they are in the correct format. If you give me only the label you will not get any points for nursing diagnoses. 

6

FUNDAMENTALS COURSE PROJECT (GROUP)

Introduction

Family History: Mr. Brown is from a family of six. He’s the only male child in the family with five siblings. He lost both his parent to high blood pressure when he was at the age of 35. Currently, Mr. Brown has been battling this condition for the past six years. During my assessment, his blood pressure was 165/90 which indicates that he is also experiencing high blood pressure, which is family heredity. Our focus for this project is the disease Mr. Brown is experiencing the T3 disease

Question One

Drug Name Trade & generic name, dose, route & frequency

Pharmacological & therapeutic drug class & Expected action in the body

What medical diagnosis is your patient taking this drug for? How will it help them?

Side Effects & Adverse Reactions/ Complications/Top drug interactions

Nursing Administration Special Instructions and Assessments

Client Education Evaluation of Medication Effectiveness (e.g. Pain Scale)

– Dosage:

5mg

– route:

rectally

-frequency:

3 days daily

– generic:

Bisacodyl

-Trade:

Dulcolax

(Gunnström et al., 2022).

– Therapeutic:

Fluid is altered

which results in the colon.

fluid buildup

– T3 burst

Fracture:

-the patient has

agonized injury in the spinal

cord, this

will assist in colon

clearing.

– also the patient has a problem with his

bladder and bowel. This medication

aids in making the bowel soft when he is constipating.

-Anxiety, memory loss, blurred vision, insomnia, depression, fatigue, dizziness,

– interactions:

no

applicable drug

interactions

(Vallerand, 2021).

– Assess for abdominal distention and bowel function

– evaluate

intake and

output ratios in the body.

– Do not take the dose twice or skip the dose as prescribed.

– if a dose is

skipped it

ought to be taken immediately and given a duration of 6 hours before the next dosage

(Gunnström et al., 2022).

Trade:

Gablofen,

– route:

Orally.

– dose:

5mg

-frequency:

Daily4 times

– generic:

baclofen

– Therapeutic:

Muscle

skeletal

relaxant

– contains

impulses at the

spine.

Therapeutic

effects:

bladder and bowel purpose may

also be enhanced

(Gunnström et al., 2022).

The patient has a problem with his bowel and

Bladder hence the medication may

help mend his

bowel and bladder

function

(Vallerand , 2020).

Side effects

nasal congestion, insomnia, headache, hypotension,

pruritus, fatigue,

– interactions:

Hypnotics,

Analgesics, and alcohol

(Vallerand, 2020).

– Assess

– Monitor

patient closely

during test

dose.

-preventive

apparatus

ought to be

present for

unendurable

effects on the body

(Gunnström et al., 2022).

– Advice the patient to take medication as prescribed.

– instruct the patient to avoid continuous usage of alcohol while undergoing medication.

(Vallerand, 2020).

Trade:

Sertraline

Dose: 100mg

Frequency: Daily

Generic: Zoloft

– Therapeutic:

pharmacologic:

discerning

serotonin

reuptake

inhibitors

-Contains

serotonin in the

CNS hence

Helping with Serotonin activities.

Therapeutic

effects:

decreased

incidence of

Panic attacks and Antidepressant

Action

(Vallerand, 2020).

-Patient lives alone and does not have close family members.

-He has

persistent

painful damage which has made him

became paralyzed

from the abdomen

downwards. Sertraline

can assist him in lessening

his depression

and anxiety

(Vallerand, 2020).

Side effects:

nervousness,

Suicidal

thoughts, diabetes, and agitation

Interactions:

Simultaneous use

of alcohol is

prohibited

– Monitor

appetite and

nutritional

intake.

– evaluate for

serotonin

syndrome,

particularly in

patients

taking other

serotonergic

drugs

– Evaluate for

suicidal

trends,

specifically

during therapy

(Gunnström et al., 2022).

– Instruct client

to take

medication

regularly

without

missing a dose.

– Advise

patient to

consult the doctor if side effects persist.

– emphasize on alcohol avoidance during therapy sections

(Vallerand,

2020).

Route: orally

Frequency: after every six hours

Dosage: 5/325

-generic: hydrocodone

-Trade:

Anexsia Norco

– Therapeutic:

allergy, cold,

and cough

remedies,

opioid

analgesic.

-Therapeutic

effects:

-Decrease in

rigorousness of

pain and dominance of

the cough

reflex

(Gunnström et al., 2022).

– Patient has a

stage 3 pressure

ulcer to his

coccyx. The hydrocodone will

assist in relieving pain in the body.

-Hydrocodone is

also an

anticholinergic

and could aid

with his urine

incontinence

(Vallerand, 2020).

side effects

-Sedation, euphoria, hallucinations, diplopia, dyspepsia,

– interactions:

Use with

benzodiazepines

as alcohol may

cause profound

sedation leading to death

(Vallerand,

2020).

– Assess blood pressure before and periodically

in the course of intake.

– Check the functioning of the bowel frequently (Vallerand,

2020).

– Instruct

patient on how

and when to

ask for and take pain medication.

-Recommend to the patient that hydrocodone is a drug to make him heal.

– instruct the patient to inform the doctor if pain persists. (Vallerand, 2020).

Frequency: after every three days

Route: Taken Orally

-Trade

ProAmatine

-Generic:

Midodrine

Dosage: 10mg

– Therapeutic:

vasopressor

pharmacologic:

alpha-1

agonists

-Stimulation of

alpha1-

adrenergic

receptors in veins and

arteries

Therapeutic

effects:

-blood

pressure and

vascular tone

increase

(Vallerand

2020).

Paraplegia:

-This

prescription is

used in the

indicative monitoring of

hypotension in impaired patients.

-Urinary

sickness

this

medicine can

assist in preventing

urinary

incontinence

(Vallerand, 2020).

Side effects

– hypertension, dizziness, urinary urge, nervousness, and confusion

-Drug interaction:

Simultaneous use of alcohol

(Vallerand,2020).

– check the patient’s blood pressure often.

– analyze if the drug

therapy is

successful in the incidence of reducing

hypotension

– monitor and

report signs of

CNS toxicity

– if the medication is used to

Protect the

Incontinence in the urine,

evaluate the

inconsistency to

assist in

determining if

drug therapy

is effective

– evaluate for

paresthesia

(Gunnström et al., 2022).

– Ask the patient to report cases of side effects in the body

(Gunnström et al., 2022).

Question Two

Labs and Diagnostic Tests

CMP lab test might be considered in order to monitor glucose levels. The normal range would be 65-110 mg/dL if an abnormal finding is seen it could indicate pre-diabetes or diabetes for our client (Rasmussen University, 2021). A CBC could also be considered in this case in order to check his WBC due to his pressure ulcer. White blood cell normally ranges the count between 5,000 to 10,000 mm³, while an eminent white blood cell count ranges more than 11,000, which would indicate inflammation or invasive infection (Rasmussen University, 2021). A diagnostic test could be used to determine the level of depression experienced by the patient.

Most depressed people will score between 50 and 69; if he scores between these ranges, he is at greater risk for depression (Gunnström et al., 2022). A CRP test could be ordered to determine the amount of CRP in the blood. If our patient’s CRP is persistently high following his surgery, it could indicate the presence of postoperative infection.

Conclusion

A set of core competencies can help advance adherence to rules of a newly designed health care system as shown by the report, which aims to provide patient-centered treatment, work in multidisciplinary teams, use evidence-based procedure, implement improvement activities, and utilize informatics. Finally, as the committee stresses, narrowing the quality gap can be realized at least in part by transforming health professions’ education.

References

Gunnström, M., Zdolsek, J. H., & Hahn, R. G. (2022). Plasma volume expansion and fluid kinetics of 20% albumin during general anesthesia and surgery lasting for more than 5 hours. Anesthesia & Analgesia, 134(6), 1270-1279.

Rasmussen University. (2021). Laboratory Values Resources.

Vallerand, A. H. (2020). Davis's Drug Guide for Nurses (17th Edition). F. A. Davis Company.

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