Nov 27, 200916 yr Ok, Here is a question I have on a take home quiz for school...I think I have my rationale figured out, but I am wondering what you all think. The question is:Prioritize the order in which you will administer these meds and provide a rationale.SL Nitroglycerine for a patient with chest painIM injection for pain for a patient with recent abdominal surgeryCortisone cream for a patient with a rash caused by antibioticsPO Antibiotics for a patient being treated for pneumonia.This is the order I would administer, not the way it is on the quiz.I am wracking my brain over this, does anyone have some advice?
Nov 27, 200916 yr SL Nitroglycerine for a patient with chest painIM injection for pain for a patient with recent abdominal surgeryPO Antibiotics for a patient being treated for pneumonia.Cortisone cream for a patient with a rash caused by antibioticsThis is the route i would go, with no other information provided, like orders, time the pt last took the med, etc...
Nov 27, 200916 yr Author SL Nitroglycerine for a patient with chest painIM injection for pain for a patient with recent abdominal surgeryPO Antibiotics for a patient being treated for pneumonia.Cortisone cream for a patient with a rash caused by antibioticsThis is the route i would go, with no other information provided, like orders, time the pt last took the med, etc...Thanks, yeah it's very skimpy on the information surrounding the situations. Thank you for your input though!
Nov 27, 200916 yr im a new student..so i may be entirely wrong but i chose:nitroglycerine - im thinking heart attack major priorityanti-biotic - pt with pneumonia, fluid filling up in lungs next priorityim injection - pain is priority, but not life threatening?cortisone- for rash just my 2!
Nov 27, 200916 yr Experts 1. Nitroglycerine: want to try to stop the progression towards an MI2. Antibiotics: these are given on a precise schedule in order to be the most effective3. IM injection: pain should be relieved4. Cortisone: as the reaction isn't life threatening, this can be last.What was the answer on the quiz, BTW?
Nov 27, 200916 yr Author It is a take home quiz so I won't know till Monday...I guess I am thinking the Nitro first for obvious reasons, but I feel like once I administer that drug I can't really leave the pt alone...But still I would want to give this first.IM pain med next, because you want to stay ahead of the pain and medicate before the pain gets bad.I think the last two are sort of a toss up, but I would want to give the cortisone cream next...The pneumonia patient can wait a bit because if she has been on the antibiotic for any length of time it should be built up to a therapeutic level in her system, so being a bit late with it should not be a huge deal...I am probably over thinking this whole thing, thanks to everyone for the imput!
Dec 2, 200916 yr Author SL Nitroglycerine for a patient with chest painIM injection for pain for a patient with recent abdominal surgeryPO Antibiotics for a patient being treated for pneumonia.Cortisone cream for a patient with a rash caused by antibioticsThis is the route i would go, with no other information provided, like orders, time the pt last took the med, etc...mrincc, This is the right answer...I ended up going with my original answer and got it wrong But you totally got it right!Thanks to everyone for the help!
Dec 2, 200916 yr thanks for posting the correct answers...i guess this is why i get confused with nsg school...i seriously thought pneumonia is a priority over pain....! guess i have much to learn
Dec 5, 200916 yr ok....for future reference. NITRO is a big STAT med.....then treat pain...there's a reason they call it the "6th" vital sign.po meds come above creams...especially antibiotics. the timing is very important with those. cremes can be done at any moment..
Ok, Here is a question I have on a take home quiz for school...I think I have my rationale figured out, but I am wondering what you all think.
The question is:
Prioritize the order in which you will administer these meds and provide a rationale.
SL Nitroglycerine for a patient with chest pain
IM injection for pain for a patient with recent abdominal surgery
Cortisone cream for a patient with a rash caused by antibiotics
PO Antibiotics for a patient being treated for pneumonia.
This is the order I would administer, not the way it is on the quiz.
I am wracking my brain over this, does anyone have some advice?