NR 293 Pharmacology Active Learning Activity

For this RUA Assignment, the drug I was approved to write on by my professor is Firvanq (Vancomycin hydrochloride). it was approved

Concept Map

Problem 2: fluid overload

Goal: Normal fluid balance is maintained clients has balanced intake and output, stable weight, clients maintains 60-100 beats/min

Intervention: Check weight, administer diuretics, I/O, fluid restriction, salt 2gm/day, auscultate lungs, check for pitting edema,

Problem 1: SOB

Impaired gaseous exchange

Goal: Normal gaseous exchange is maintained,unlabored respirations 12-20 per minute

Intervention:

Auscultate lungs, Fowlers position ,assess for headache dizziness lethargy reduce ability to fellow instruction

a dminister oxygen, check spo2, Do ABG, Nebulization if needed,assessfoheheadaches

Problem 3: Decreased cardiac output

Goal: Normal cardiac output is maintained ,improve myocardial systemic perfusion ,reduced fluid volume overload ,prevent complications, client exhibits warm dry skin ,client explains actions and precautions to take for cardiac disease

Intervention: Check BP, vitals for the patient, Check CVP, ECG,

Administer digoxin, (Ionotropics) calcium channel blockers, beta blockers, watch for SE of medications.

Problem 8: Knowledge deficiency r/t to disease process

Goal: Adequate knowledge is gained

Intervention: asses the level of knowledge regarding disease process

Provide teaching, regarding, medication, fluid restrictions, energy conservation, activity levels, rest, diet, and follow-up. Watch for pulmonary edema, with symptoms of severe restlessness, frothy sputum, make lifestyle change.

Problem 4: Fatigue rlt to HF

Goal: Decrease fatigue

Intervention:

Provide rest, quiet environment, space activities

Initiate fall precautions

Encourage small frequent meal

Key problem: inadequate pumping action of heart. Inadequate oxygenation, caused due to heart muscle disease, MI, HTN, Infection, shock,

Key Assessments:

SOB, swelling, weight gain, crackles, nausea, lack of appetite, decrease activity, fatigue, cough, sputum, distension of abdomen, ascites, hepatomegaly, JVD, altered mental status

Problem 7: anxiety r/t outcome of the disease process

Goal: Anxiety is minimized

Intervention: Assess the level of anxiety, explain procedures done or clarify doubts. Provide distraction, encourage family to visit or support system. Provide referral if needed for psychotherapy

Problem 5: Activity intolerance

Goal: Normal activity level is maintained improve the client ability to perform daily activities without feeling excessive fatigue , improve the client physiological health over time , maintain the client respiratory and cardiovascular functions during activities

Intervention: Assess the level of activity tolerance, assist with ADLs, Refer to physical therapy to maintain joint mobility, activity rehabilitation,

Problem 6: Risk for fluid electrolytes imbalance

Goal: Normal electrolyte levels are marinated treat the underline disorder , return the extracellular fluid compartment to normal , restore fluid volume.

Intervention: watch for s/s of electrolyte imbalance, monitor complete blood count sodium level, serum creatinine

Send blood for electrolyte levels, ABG, and B type neuropeptide levels,

References:

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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