- Key Points:
- Ensure all prescriptions for a patient with meningitis are appropriate for their condition, particularly concerning antibiotics, antivirals, or corticosteroids.
- Clarify any unclear orders, especially regarding drug dosages and potential drug interactions.
- Monitor for signs of increased intracranial pressure and adjust medications as necessary.
2. Angina and Myocardial Infarction: Preventing Coronary Artery Disease
(Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 31)
- Key Points:
- Educate patients on lifestyle changes to prevent coronary artery disease, such as smoking cessation, regular exercise, and a heart-healthy diet.
- Discuss the importance of controlling blood pressure, cholesterol levels, and diabetes.
- Recommend medications like statins, antiplatelets, and antihypertensives as preventive measures.
3. Musculoskeletal Trauma: Caring for a Client in Continuous Buck’s Traction
(Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 71)
- Key Points:
- Maintain the proper alignment of the limb in Buck’s traction.
- Regularly assess the skin under the traction device for signs of breakdown or pressure ulcers.
- Ensure weights are hanging freely and not resting on the floor, and check the patient’s neurovascular status regularly.
4. Blood and Blood Product Transfusions: Manifestation of Allergic Transfusion Reaction
(Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 40)
- Key Points:
- Symptoms of an allergic transfusion reaction include hives, itching, and anaphylaxis (dyspnea, hypotension).
- Stop the transfusion immediately if a reaction is suspected.
- Administer antihistamines, corticosteroids, or epinephrine as prescribed.
5. Kidney Transplant: Adverse Effects of Cyclosporine
(Active Learning Template - Medication, RM AMS RN 10.0 Chp 58)
- Key Points:
- Common adverse effects of cyclosporine include nephrotoxicity, hypertension, and gingival hyperplasia.
- Monitor kidney function regularly through blood tests (creatinine, BUN).
- Educate patients on the importance of regular dental hygiene to prevent gingival issues.
6. Medications Affecting Coagulation: Medication Interactions With Warfarin
(Active Learning Template - Medication, RM Pharm RN 7.0 Chp 25)
- Key Points:
- Warfarin has many drug interactions, including with NSAIDs, certain antibiotics, and herbal supplements like St. John’s Wort.
- Patients should be advised to maintain a consistent intake of vitamin K-rich foods.
- Regular monitoring of INR levels is crucial to adjust dosages appropriately.
7. Skin Disorders: Teaching About Adverse Effects of Topical Glucocorticoid Therapy
(Active Learning Template - Medication, RM AMS RN 10.0 Chp 74)
- Key Points:
- Potential adverse effects include skin thinning, stretch marks, and increased risk of infection.
- Use topical glucocorticoids sparingly and only on affected areas.
- Educate patients to avoid long-term use without medical supervision.
