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Treatment Regimen
So, the first thing I would do is check this patients’ blood sugar and put him on glucose checks every four hours. If this patient’s blood sugar goes down too low, then we will have another problem on our hands. I then would administer something for his nausea, perhaps Zofran or Phenergan IV PRN every 6 hours for help of the symptoms. I would not give the patient medication by mouth since he is not holding anything down. I would also order fluids, Lactated ringers to start with and if the patient’s sugar is low, I would go with D5 normal saline. I would keep an eye out on the patient’s blood pressure since fluids can increase the blood pressure. I would run the fluids at 100 mg per hour and when the patient starts to tolerate a diet decrease from there. The antibiotics could be the cause of the nausea and vomiting, so I would change it too a medication that is known for treating respiratory infections, Levaquin. Now even though it is rare, this medication could cause low blood sugar. I would give it once a day and check the blood sugar thirty minutes to an hour after administration, I would for about another three days. I would run test life a c x ray and labs to see if the pneumonia is getting any better. If the patient is tolerating a diet, breathing is back to baseline, I would discharge patient with an oral antibiotic. I would have the patient follow up with his primary care provider in two weeks to monitor his status.
Response week 9 Discussion post.
Thank you for the post.
How are you? I agreed that I would also find out what cause nausea and vomiting. I will start give nausea medicine Zofran 4 mg IM. On my psychiatry unit, we do not do IV therapy. Before transfer to the unit, the patient should be medically clear. On admission, we do H&P; I would check AIC, CMP, and then I decided how often to check blood glucose. I would ask what kind of diabetic medications he was taken before coming to the hospital. I agreed that I would find out what cause nausea and vomiting. On my floor, we do use Zofran 4mg PO or every 6 hours. We rarely give Phenergan po, IM into high-trend drugs. Promethazine affects the central nervous system and can get you high. But when mixed with codeine, promethazine hydrochloride can cause psychological and physical dependence (Weber, 2018).
Phenergan is an antihistamine. It is also used as a sedative or to prevent and control nausea and vomiting. The meds lists side effects of the drug and how the drug is taken. Route of administration: Oral, rectal, intravenous, intramuscular. Side effects: Confusion, sedation, blurred vision, euphoria, dry mouth, photosensitivity, urinary retention, tachycardia, bradycardia
Zofran is most common for treatment for Nausea & Vomiting. The most common gastrointestinal symptom is Phenergan not using IV when in the hospital, which causes cellulitis and phlebitis. It must be diluted if it is not done. It causes potential complications of vein irritation and vomiting. Zofran (Ondansetron hydrochloride), Zofran ODT. Classification: Serotonin 5-HT3 receptor antagonists. 5-HT3 receptor antagonists which is called serotonin receptor antagonists or serotonin blockers. It is medicines for prevent and treat nausea and vomiting. 5-HT3 is known for serotonin that may also be written as 5-hydroxytryptamine (Adra et al., 2016).
Indication for use: Nausea and vomiting caused in cancer chemotherapy, postoperative nausea, and vomiting. Average dose: 4 -8 mg. Route of administration: Oral, IM. Side effects: Headache, constipation, malaise, diarrhea. Dehydration risk is prolonged. Electrolyte imbalance can cause pH. Abnormal.
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