Active Learning Template Medication

ACTIVE LEARNING TEMPLATE: Medicatio n STUDENT NAME _____________________________________ MEDICATION ___Adenosine_____________________________________________________ __________________ REVIEW MODULE CHAPTER___________ CATEGORY CLASS____________________________________________________________ __________ PURPOSE OF MEDICATION Cardiac Agent, Diagnostic aid, Antiarrhythmic Expected Pharmacological Action Decreases the electrical conduction through the AV node Therapeutic Use Treatment of paroxysmal supraventricular tachycardia. This includes patients associated with accessory bypass tracts (Wolff-Parkinson-WhiteSyndrome). Restores normal sinus rhythm. Complications Adverse effect of, or toxic reaction to, the medication includes a transient heart block. Allergic reactions. Respiratory issues, chest pain, headache, heart pounding, low blood pressure, nausea, sweating, flushing, lightheadedness, sleep problems, coughing, and anxiety. Medication Administration Administer by IV bolus over 1-2 seconds peripherally and flush with saline afterwards. Administer crystals may form if refrigerated, so warm to room temperature and make sure it’s clear Contraindications/Precautions Use with caution on clients who have hypothyroidism, cardiomyopathy, AV blocks, bradycardia and kidney disease. Pregnancy risk category C and contraindicated in v-fib or v-tach unrelated to heart failure Interactions Caffeine, theophylline, and other methylxanthines block adenosine receptors which prevent therapeutics effects. Dipyridamole cellular uptake is blocked which causes the effects of adenosine to increase Nursing Interventions Baseline assessment. Monitor for manifestations and changes in respiratory status, serum electrolytes, blood pressure, and EKG. Evaluation of Medication Effectiveness Absence of dysrhythmias. Vital signs, EKG, and heart rhythms are within normal ranges Client Education To minimize orthostatic hypotension, turn/change positions slowly. Contact the provider of they experience SOB, facial flushing, or dizziness ============================================= ===================================== First: Administer 2mg Morphine IV now for breakthrough pain Second: Apply anti-emoblism stockings bilaterally Third: Call the physician to get an order for Nicotine Patch and report decreased urinary output with amber urine Fourth: Administer tetanus immunization Fifth: Input consult for pain management into the electronic order system Incorrect: Decrease O2 to 2L Nasal Cannula and continue Sp02 monitoring Step-by-step explanation Since, patient is complaining of pain with a scale of 8/10, consider administering first the pain medication to give patient comfort. Next, Patient's dressings to multiple abrasions appear dry. The patient is wearing embolic stockings on left leg only. It's time to also wear stockings on the right leg to prevent DVT. Decrease in urinary output can be a sign of oliguria. Oliguria (low urine output) should be reported immediately for proper management or it may lead to fluid retention or overload and may cause pulmonary edema. Tetanospasmin and tetanolysin may be produce when tetanus spores geminate in ischemic tissue. This happens quickly after surgery so it is a must to administer tetanus postoperatively. Incorrect action: In the assessment data, it shows that that patients O2 Sat is 94% on 4L Nasal Cannula. Physicians order is to maintain an Spo2 of 92% or greater. Therefore, there's no need to decrease O2 to 2L nasal cannula, just continue monitoring Spo2 level.