Assignment; NUR 6521 Women and Men Health Infection Disease and Hematological

Assignment; NUR 6521 Women and Men Health Infection Disease and Hematological

Assignment; NUR 6521 Women and Men Health Infection Disease and Hematological

The patient has nutritional needs. Since he is not tolerating feeds and he is complaining of nausea and vomiting he should be given medication to reduce vomiting and the nausea and offered feeds that he can tolerate. He has emotional needs that should be carted for. Given the fact that he has chronic illnesses that have probably reduced his quality of life he should be counselled on his condition, given education on his prognosis and how to take care of himself. Patient should be made comfortable like making sure that their oxygen delivering machine is functional, prop him up in bed to improve his breathing since he has difficulty in breathing and help him in moving around.

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Treatment Regimen

            To manage the vomiting and nausea, give ondansetron 0.15mg/kg IV, give antihypertensive. Give insulin infusions or subcutaneous injections to achieve hyperglycemic control. For the hyperlipidemia give oral atorvastatin 10- 15mg once per day to reduce the cholesterol levels. For the blood pressure control give ACE inhibitors as they have been proven to have benefits in hypertensive patients apart from lowering the blood pressure(Messerli et al., 2018). ACE inhibitors reduce the risk of myocardial infarction. He will also benefit from low dose aspirin i.e. 75mg once daily P.O to reduce cardiovascular events(Veronese et al., 2020).

Patient Education Strategy

            Patient should be educated on the importance of healthy eating and physical activities to reduce on his weight as he has a BMI of 29.8kg/m2 (overweight). This will be of great help in the management of hypertension, diabetes and hyperlipidemia should also be taught on the importance of adhering to medication since the condition he has are chronic and cannot be cured but rather controlled(Parra et al., 2021). Mr. HH should be educated against practices that will worsen his conditions such smoking and some of the danger signs to look out for while at home.

References

Messerli, F. H., Bangalore, S., Bavishi, C., & Rimoldi, S. F. (2018). Angiotensin-Converting Enzyme Inhibitors in Hypertension. Journal of the American College of Cardiology, 71(13), 1474–1482. https://doi.org/10.1016/j.jacc.2018.01.058

Parra, D. I., Guevara, S. L. R., & Rojas, L. Z. (2021). ‘Teaching: Individual’ to improve adherence in hypertension and type 2 diabetes. British Journal of Community Nursing, 26(2), 84–91. https://doi.org/10.12968/bjcn.2021.26.2.84

Veronese, N., Demurtas, J., Thompson, T., Solmi, M., Pesolillo, G., Celotto, S., Barnini, T., Stubbs, B., Maggi, S., Pilotto, A., Onder, G., Theodoratou, E., Vaona, A., Firth, J., Smith, L., Koyanagi, A., Ioannidis, J. P. A., & Tzoulaki, I. (2020). Effect of low‐dose aspirin on health outcomes: An umbrella review of systematic reviews and meta‐analyses. British Journal of Clinical Pharmacology, 86(8), 1465–1475. https://doi.org/10.1111/bcp.14310

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Please find below the case study for week 9’s discussion forum:

HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomiting.

Ht: 5’8” Wt: 89 kg

Allergies: Penicillin (rash)

To Prepare:

• Review the Resources for this module and reflect on the different health needs and body systems presented.
• Your Instructor will assign you a complex case study to focus on for this Discussion.
• Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected.

Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

Resources:

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants(2nd ed.) St. Louis, MO: Elsevier.

Roberts, H., & Hickey, M. (2016). Managing the menopause: An update. Maturitas, 86(2016), 53–58. https://doi.org/10.1016/j.maturitas.2016.01.007