By K. Ines. Mitchell College.

NURSING Anesthetic Drugs ACTIONS NURSING ACTIONS RATIONALE/EXPLANATION 1 50 mg danocrine mastercard. Administer accurately Drug administration in relation to anesthesia refers primarily to preanesthetic or postanesthetic drugs because physicians 100mg danocrine with mastercard, dentists, and nurse anesthetists administer anesthetic drugs. In addition, critical care nurses may administer propofol or a neuromuscular blocking agent to patients being mechanically ventilated. Schedule the administration of preanesthetic medications Timing is important. It is better if these medications are adminis- so that their peak effects are reached at the optimal time, if tered so that peak sedative effects occur before administration of possible. If they are given too early, the client may be sedated longer than necessary, and the risk of postanesthetic respiratory and circulatory complications is increased. If they are given too late, the client may suffer needless anxiety and not be relaxed and drowsy when anesthesia is being initiated. Preanesthetic med- ications are often ordered on call rather than for a specific time, and the client may or may not become sedated before being trans- ported to the surgery suite. If a combination of injectable preanesthetic medications is A precipitate may develop, or one of the drugs may be inactivated ordered, do not mix in the same syringe and give as one injec- or altered when combined. Although larger amounts are some- tion unless the drugs are known to be compatible and the total times given, probably no more than 2 to 3 mL should be given in- volume is approximately 2 mL. For example, atropine and gly- tramuscularly (IM) for both drug absorption and client comfort. With propofol intravenous (IV) infusion: (1) Administer through a central or large peripheral IV The drug can irritate peripheral veins. If manufactured so- because of the potential for microbial contamination. Have drugs and equipment for resuscitation readily avail- These drugs can cause cardiovascular collapse, hypotension, and able in any location where propofol, neuromuscular blocking respiratory failure. If assisting a physician in injecting a local anesthetic solu- Although the physician is responsible for drugs he or she admin- tion, show the drug container to the physician and verbally ver- isters, the nurse often assists by obtaining and perhaps holding the ify the name of the drug, the percentage concentration, and drug vial while the physician aspirates drug solution into a syringe.

In addition generic danocrine 100 mg with visa, long-term supplements purchase danocrine 200mg online, if any, have been used to reduce weight. The use of laxatives may lead to loss of normal bowel function and nurse must be very tactful in eliciting information and as- the necessity for continued use (ie, laxative dependency). LipoKinetix, a combination dietary supplement, was re- sessing whether a client would like assistance with weight cently associated with severe hepatotoxicity in 7 young (ages management. If the nurse–client contact stems from a 20 to 32 years), previously healthy people who developed health problem caused or aggravated by excessive weight, acute hepatitis. Five Japan- the client may be more motivated to lose weight and im- ese patients were diagnosed in 1 month or less; two white prove health. Three people • Does the client have symptoms, disease processes, treat- were taking only LipoKinetix; four were also taking other ments, medications, or diagnostic tests that are likely to supplements, which they resumed later without recurrence of interfere with nutrition? The ingredient(s) • Check available reports of laboratory tests, such as serum responsible for the hepatotoxicity was unknown. Nu- tions were considered idiosyncratic, and no other cause of the tritional disorders, as well as many other disorders, may hepatitis was found. With the observation that the five Japanese developed he- patotoxicity more rapidly than the two Caucasians, there is a Nursing Diagnoses possibility that Asians are less able to metabolize and excrete • Imbalanced Nutrition: Less Than Body Requirements this product. As discussed in the early chapters of this text, related to inadequate intake or impaired ability to digest smaller doses of several prescription drugs are needed in this nutrients population because of genetic or ethnic differences in metab- • Imbalanced Nutrition: More Than Body Requirements olism. This principle may also apply to some herbal and related to excessive intake dietary supplements and should be considered in teaching • Deficient Fluid Volume related to inadequate intake clients of Asian descent. Some specific assessment factors include the fol- Planning/Goals lowing: The client will: • What are usual drinking and eating patterns? Does food intake seem adequate • Improve nutritional status in relation to body needs in terms of normal nutrition? Is the client financially able • Maintain fluid and electrolyte balance to purchase sufficient food? What are fluid and food likes • Avoid complications of enteral nutrition, including as- and dislikes? Does the client view nutrition as important in main- • Avoid complications of parenteral nutrition, including taining health?