-BEFORE admin take apical pulse for 1 min
-withhold if <60 in adolescents
and <90 in infants
-avoid giving with meals
-therapeutic range 0.8-2 ng/mL
-toxicity s/s: N/V, diarrhea, lethargy and bradycardia
-Ginseng, hawthorn, and licorice intake increases risk for drug toxicity.
-Contraindications (ventricular fibrillation and hypersensitivity to digitalis)
- Avoid rapid IV administration, as this may lead to systemic and coronary artery vasoconstriction.
-Give digoxin at regular intervals, every 12 hours, such as at 8 AM and 8PM, 1 hour before or 2 hours after a feeding.
-If a digoxin dose is missed and more than 4 hours have elapsed, withhold the dose and give the dose at the regular time; if less than 4 hours have elapsed, give the missed dose.
-If the child vomits digoxin, do not give a second dose.
- Monitor potassium levels, as a decrease enhances the effects of digitalis, causing toxicity
Encourage clients to eat foods that are glutenfree: milk,
cheese, rice, corn, eggs, potatoes, fruits, vegetables,
fresh meats and fish, dried beans.
Remind clients to read labels on processed products.
Gravy mixes, sauces, cold cuts, soups, and many other
products have gluten as an ingredient
It is a chronic, inherited, genetic disorder with
autoimmune characteristics. Clients who have celiac
disease are unable
to digest the protein gluten.
mostly caused by RSVPrimarily affects the bronchi and bronchioles Occurs at the bronchiolar level
initial rhinorrhea, intermittent fever, pharyngitis,
coughing, sneezing, wheezing, possible ear or eye
infectionWITH ILLNESS PROGRESSION:
Increased coughing and sneezing, fever, tachypnea and retractions, refusal to nurse or bottle feed, copious secretions SEVERE ILLNESS: Tachypnea (greater than 70/min), listlessness,
apneic spells, poor air exchange, poor breat
ACTIVE LEARNING TEMPLATES
Nursing Skill
STUDENT NAME _____________________________________
SKILL NAME ____________________________________________________________________________ REVIEW MODULE CHAPTER ___________
ACTIVE LEARNING TEMPLATE:
Description of Skill
Indications
Outcomes/Evaluation
CONSIDERATIONS
Nursing Interventions (pre, intra, post)
Potential Complications
Client Education
Nursing Interventions
Myriam
Vanwinkle
Nursing
Actions
for
a
client
who
has
diarrhea
Nursing
Actions
for
a
client
who
has
diarrhea
continuous
loose
,
watery
stools
weigh
daily
,
note
weight
decreases
↳
G1
issues
monitor
bowel
movements
-
document
↳
Illness
them
↳
Diet
Avoid
medications
that
grow
peristalsis
give
antidiarrheals
as
prescribed
pt
win
understand
cause
/
treatment
T
fiber
to
form
stools
In
the
first
24
hours
the
ptwiu
drink
1500
-
T
hydration
to
prevent
dehydration
2000mL
ofttluid
to
maintain
weight
and
hydration
keep
track
of
bowel
movement
dehydration
tnnatorai
fiber
Intake
educate
on
avoiding
stimulants
Impaction
record
consistency
+
frequency
of
bowel
movements
encourage
Tin
Fluid
Intake