Class notes
Kim Johnson VSIM
- Course
- PNUR125
This document provides post scenario analysis of Kim Johnson's case in VSIM Nursing with APA citation.
[Show more]
Seller
Follow
Content preview
Case: Kim JohnsonVSIM Post Scenario Analysis and Reflection Activity (Adapted from VSim For Nursing & Wolters-Kluwer)
Review the medication list from the Electronic Health Record (HER) and please complete the medication research table below based on the medication listed in the assigned VSIM.
Medications – Classification and action Indication Side Effects Nursing Implications
Generic and (reasons why this medication is (pre and post assessments a nurse should be aware of
Trade Names prescribed for?) prior to and after giving this medication)
1. Oxybutynin Classifications: Uses: Side effects: CNS: Drowsiness, Assessment
Chloride (Pr) Anticholinergic; • To relieve symptoms associated dizziness, weakness, insomnia, • Periodic interruptions of therapy are recommended to
Antimuscarinic; Gu with voiding in patients with restlessness, psychotic behavior determine patient’s need for continued treatment.
Antispasmodic Therapeutic: Gu uninhibited neurogenic bladder (overdosage). CV: Palpitations, Tolerance has occurred in some patients.
Antispasmodic (Shields et al., and reflex neurogenic bladder. tachycardia, flushing. Special • Keep prescriber informed of expected responses to drug
2019, p.1204) • Also has been used to relieve pain Senses: Mydriasis, blurred vision, therapy (e.g., effect on urinary frequency, urgency, urge
of bladder spasm following cycloplegia, increased ocular incontinence, nocturia, completeness of bladder
Action: transurethral surgical procedures; tension; GI: Dry mouth, nausea, emptying).
• Exerts a direct antispasmodic • UNLABELED: treatment of vomiting, constipation, bloated • Monitor patients with colostomy or ileostomy closely;
effect on smooth muscle and hyperemesis gravidarum: alcohol feeling; INTEG: Pruritus at abdominal distention and the onset of diarrhea in these
inhibits the muscarinic action dependence; pruritus application site, rash, application patients may be early signs of intestinal obstruction or of
of acetylcholine on smooth (Shields et al., 2019, p. 1205) site reactions, erythema; UROGEN: toxic megacolon Shields et al., 2019, p.1206).
muscle. Urinary hesitancy or retention,
• Relaxes bladder smooth impotence; SYS: Severe allergic Patient & Family Education
muscle and increases bladder reactions including urticaria, skin • Do not drive or engage in potentially hazardous activities
capacity rashes, suppression of lactation, until response to drug is known.
(Shields et al., 2019, p.1204- decreased sweating, fever (Shields • Exercise caution in hot environments. By suppressing
1205) et al., 2019, p. 1205). sweating, oxybutynin can cause fever and heat stroke.
(Shields et al., 2019, p.1206)
2. Omeprazole Classifications: Proton Pump Uses: Side effects: CNS: Headache, Assessment
(Pr) Inhibitor; Antisecretory; •Duodenal and gastric ulcer. dizziness, fatigue; GI: Diarrhea, • Monitor lab tests: Periodic LFTs with prolonged use
Therapeutic: Antiulcer Gastroesophageal reflux disease abdominal pain, nausea, mild
including severe erosive transient increases in liver Patient & Family Education
Action: esophagitis (4 to 8 wk treatment). function tests; UROGEN: • Report any changes in urinary elimination such as pain or
•An antisecretory compound •Long-term treatment of pathologic Hematuria, proteinuria; INTEG: discomfort associated with urination, or blood in urine;
that is a gastric acid pump hypersecretory conditions such as Rash (Shields et al., 2019, p.1181) severe diarrhea; drug may need to be discontinued
inhibitor. Zollinger-Ellison syndrome, (Shields et al., 2019, p.1181).
•Suppresses gastric acid multiple endocrine adenomas, and
secretion by inhibiting the H+, systemic mastocytosis.
K+-ATPase enzyme system [the •In combination with clarithromycin
acid (proton H+) pump] in the to treat duodenal ulcers associated
parietal cells. with Helicobacter pylori. Dyspepsia
•Suppresses gastric acid occurring more than twice weekly.
secretion relieving •UNLABELED USES: Healing or
gastrointestinal distress and prevention of NSAID-related
promoting ulcer healing. ulcers; stress gastritis prophylaxis.
(Shields et al., 2019, p.1180)
1
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller nrsajel. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for CA$11.60. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78291 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now