How many mg of Percocet is prescribed to Mrs. Dettinger? I would question why the acetaminophen and Percocet medications are both prescribed, because the Percocet already contains the ingredients of APAP and has enough; so adding the APAP can increase the patient’s risk of liver damage. Even though, the patient states she is taking Percocet’s but she never mentioned taking the APAP; which is good because taking APAP with Percocet can increase her likelihood of an overdose. I would reassess the patient. I want to understand the characteristic of the pain, because the patient stated “maybe 6.” I would say, “I understand you have pain, can you tell me exactly how you feel?” Knowing that pain can increase stress and reduce healing. I want to …show more content…
I would ask the patient to rate her pain (0-10). I would check to see if the physician changed the meperidine to a more appropriate form. If the patient’s pain decreased, I would then educated the patient about the acetaminophen and meperidine. I would tell her advise her to take her meperidine q 3-4 hours if pain is severe and if it’s mild pain like what she was previously experienced I would encourage her to take the acetaminophen 1 to 2 tablets every 4 hours. When taking meperidine do not drink or take sedatives for at least 24 hours. This medication may also cause dizziness, drowsiness, and confusion; so avoid getting up without assistance. Be careful making positions changes which can cause dizziness. There are adverse effect that may occur and if the patient experience trouble breathing, seizures, increase heart rate to not hesitate to come back in. It is common to experience minor side effects like dizziness, headaches, nausea, and vomiting when this medication. When taking acetaminophen do not exceed the recommended dosage, because acute poisoning with the liver damage may result nausea, vomiting, abdominal pain. If this occurs notify your prescriber. Also, if you see bruising, bleeding, fever, dark brown urine notify your
Although there are very less situations which are reported with respect to the dual paracetamol peaks with sustained-release preparations. 2-5 It was studied in very detail. But it was clear-cut from the empty tablet blister packets present at the situation scene that the patient had taken just the basic-preparation paracetamol. The chance of another overdoes being done in the ICU was eradicated after a detail study. The levels of the paracetamol were assessed with the help of Roche Modular PPE using the acetaminophen assay kit K8001, K8002,6 which is famous for its good intra and interessay accuracy. It is a well known fact the increased level of lipids can obstruct with this assay. For this situation, the patient’s lipid profile was in normal range.
In today’s world, acetaminophen also known as Tylenol, is known to be remarkably popular drug in many countries [1]. This type of drug is known to be an analgesic and antipyretic [1]. In other words, it helps relieve pain associated with many conditions as well as reducing fever [1]. Acetaminophen can be used for many purposes, such as the relief of headaches, muscles aches, toothaches, and etc [1]. On the other hand, this drug may also be used for purposes that are not listed on the medication guide, such as, menstrual cramps [1]. However, acetaminophen ingredients are majorly used for numerous cold and flu medications as well as many prescription analgesics [1]. This drug is widely available in many drug stores/supermarkets and it is provided
In the medical profession, personnel are asked to make judgments or draw conclusions based on measureable results. Physical assessments, vitals, CT scan, MRI, biopsy are all activities engaged in to prove abnormalities and make decisions as to the way forward. So having hunches are not considered reliable and rightly so. To decide to give a particular medication because of a mere hunch can lead to serious errors. However, pain which is now considered a part of the vital signs is based on the patients’ philosophy or view point and we (nurses) are told not to ignore but respond. This is highly subjective. It’s viewed how the patient sees it and not as tangible or measurable as the other ways of proving when something is abnormal. The situation to be presented will disclose a patient’s ordeal due to a nurse’s approach to or understanding of pain management. It will also assess whether the nurse responded in accordance to protocol.
In addition, the patient may seem to understand the information or directions about treatment. However, he or she may feel uncomfortable saying "no" to the doctor for the reason that they may see it as being disrespectful. Communication is very vital, it is important to make sure the patient understands by asking open-ended questions or asking them to repeat in order to verify what they understood.
The dosage of the drug should be used according to the carton instructions. A 10 gram over dose in adults, 140 mg for kids, can cause permanent liver damage. Also if you had just taken some other drugs , The acetaminophen may become more toxic since the drugs are catabolized in the liver. To protect yourself from injury, you should take 1 gram of vitamin C and Cysteine -a bodily antioxidant.
To provide the best care for their elderly patients, nurses must incorporate pain assessment into their daily care of patients. Pain assessment is a key aspect of the nurse’s role. There are many factors to consider when assessing patients’ pain such as if they are verbal or non-verbal, what language they speak, their age and their cultural background. There are many tools that a nurse can use to assess a patient’s pain but one of the most common tools is the 0-10 scale. This tool can be asked verbally by asking what their pain level is on a scale of 0 to 10 with 0 being no pain and 10 being the worst pain they have ever had. You may also use this tool in a visual manner with faces that correlate to the numbers. 0 being a happy face and 10 being a very sad face. Elderly patients from diverse cultural backgrounds are increasing in long term care facilities so it is important to have a 0 – 10 pain scale written in their native language. Some patients are stoic and do not express their pain as much as other people so it is important to understand that a 0 – 10 pain scale might not always be sufficient and could be combined with observing any physical signs that the patient might be in pain such as facial expressions and guarding. Nurses must have a good base of knowledge and attitude towards pain and always take what the patient reports their pain scale to be as truth. If the patient does report pain it would be important to treat the pain or if it is a new occurrence to follow this assessment up with another val...
Nurse practitioner should be able to recognize these descriptors and take them as potential indicators of pain and clarify with further questioning.
Nurse Molly, who is continuing the care in the Medical Surgical Unit noted that Toby-Finn and his brother, Toto are anxious. She initiated a therapeutic communication, and encouraged both of the patient and the brother to verbalize their feelings and concerns. Toby-Finn then stated that he is worried that the pain will never go away. Nurse Molly is aware that pain is an unpleasant sensory and emotional sensation associated with actual and potential tissue damage (Porth, 2011). To her best knowledge, Nurse Molly explained about acute and chronic pain.
Conclusions. An adequate and clear understanding of the concept of pain and implementing interventions of pain treatment and management is essential in the clinical settings. Understanding the concept of pain is necessary for its relationships with other concepts that are related and similar to the pain experience for theory building. The in the end, understanding the concept of pain will ultimately benefit the patient and lead to better and approp...
Pain is universal and personal to those who are experiencing it. It is subjectively measured on a scale of 0-10 with zero being no pain and 10 being the worst pain ever. This can be problematic for patients and doctors because this score can be understated or overstated. Doctors will make quick decisions based on this score. Patients might feel not believed because only they can feel the pain. However, untreated pain symptoms may be associated with impaired activities of daily life and decreased quality of life. Pain is defined in our textbook, “as an unpleasant sensory and emotional experience associated with actual or potential tissue damage” (Ignatavicius & Workman, 2016, p 25). Actual pain is understood by most because there is an
Polypharmacy among the elderly is a growing concern in U.S. healthcare system. Patients who have comorbities and take multiple medications are at a higher risk for potential adverse drug reactions. There is a great need for nursing interventions in conducting a patient medication review also known as “brown bag”. As nurses obtain history data from patients at a provider visit, the nurse should ask “what medications are you taking?” and the answer needs to include over-the-counter medications as well. If the response does not include any medications other than prescribed meds, it is incumbent upon the nursing professionals to question the patient further to ensure that no over-the-counter medications or supplements are being consumed. This is also an opportunity for the nurse to question about any adverse reactions the patient may be experiencing resulting from medications. Polypharmacy can result from patients having multiple prescribers and pharmacies, and patients continuing to take medications that have been discontinued by the physician. Nurses are in a unique position to provide early detection and intervention for potentially inappropriate medications and its associated adverse drug reactions.
...amount of pain) is a great teaching tool for the patient who is able to self-report (Nevius & D’Arcy, 2008). This will put the patient and nurse on the same level of understanding regarding the patient’s pain. The patient should also be aware of the added information included with the pain scale: quality, duration, and location of the pain. During patient teaching, it should be noted that obtaining a zero out of ten on the pain scale is not always attainable after a painful procedure. A realistic pain management goal can be set by the patient for his pain level each day.
Next break both the paracetamol tables in half (this speeds up the process of them breaking down) and add to a conical flask with the propanone and leave in a warm water bath (set to 40 degrees Celsius) until the tablets have broken down.
In a pain assessment, the pain is always subjective, in a verbal patient; pain is what the patient says that it is. Nurses must be able to recognize non verbal signs of pain such as elevated pulse, elevated blood pressure, grimacing, rocking, guarding, all of which are signs of pain (Jensen, 2011). A patient’s ethnicity may have a major influence on their meaning of pain and how it is evaluated and responded to behaviorally as well as emotionally (Campbell, & Edwards 2012). A patient may not feel that their pain is acceptable and they do not want to show that they are in pain. For some people, showing pain indicates that they are weak. Other patients will hide their pain as they do not want to be seen as a bother or be seen as a difficult patient.
Pharmacology is a vital component in the perioperative practice. Medication use is monitored closely during the perioperative period. Preoperatively, there are certain drugs that must be discontinued prior to a surgery as they increase surgical risk, including anticoagulants, tranquillisers, corticosteroids and diuretics (Laws, 2010b). In fact, these drugs can increase the risk of respiratory depression, infection, fluid and electrolyte imbalance and increased risk of bleeding (Hamlin, 2010). Open communication is important in obtaining a medication history, and in identifying the drugs taken prior to the surgery. If any of these medications has be...