Case Study “\ufffd Cardiovascular and Respiratory Systems\tA 56-year-old obese African American male was transported by the paramedics to the emergency room (ER) after c\/o severe substernal chest pain radiating to his back. His EKG showed elevated ST-segments, and his blood pressure was 210\/110.\tUpon arrival in the ER, his cardiac enzymes were elevated, and his blood pressure was 190\/110. His admitting diagnosis is acute MI. While waiting for an ICU bed, your patient becomes increasingly agitated with a blood pressure reading of 90\/60, and he rates his chest pain as an 8 on a scale of 1 to 10. Medications started in the ER include the following:\t\u00b7 \ufffd\u00a0\u00a0\u00a0 Nitroglycerin drip 10 mcg\/kg\/min\t\u00b7 \ufffd\u00a0\u00a0\u00a0 Heparin 80 u\/kg bolus x1, then 18 u\/kg\/hr\t\u00b7 \ufffd\u00a0\u00a0\u00a0 Morphine Sulfate 2-4 mg IV push prn pain, o2 n\/c, keep sats >94%\tAnswer the following questions:\t\u00b7 \ufffd\u00a0\u00a0\u00a0 What are the pharmacokinetics (precautions, adverse effects, interactions, absorption, distribution, metabolism, and excretion) and pharmacodynamics of each medication?\t\u00b7 \ufffd\u00a0\u00a0\u00a0 How will the side effects of each medication influence your physical assessment of the patient?\t\u00b7 \ufffd\u00a0\u00a0\u00a0 Describe nursing interventions to enhance the therapeutic effects and decrease adverse effects of the drugs. Indicate at least two safety issues per medication that are pertinent to the patient’s diagnosis. Assume that you have adhered to the five rights of medication administration. Include your rationale for your choices.\tWhat educational information should you provide to the patient and his family on cardiovascular and respiratory system drugs?<\/p>\n","protected":false},"excerpt":{"rendered":"
Case Study “\ufffd Cardiovascular and Respiratory Systems A 56-year-old obese African American male was transported by the paramedics to the emergency room (ER) after c\/o severe substernal chest pain radiating to his back. His EKG showed elevated ST-segments, and his Read More …<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-218906","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/218906","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/comments?post=218906"}],"version-history":[{"count":0,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/218906\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/media?parent=218906"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/categories?post=218906"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/tags?post=218906"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}