Question

After 8 hours on your unit, Ms. Schmidt is attempting to get out of bed and speaking about random things with an inability to focus on your questions. Her skin is hot, RR is 32, pulse is 102 and her BP is 140/78. The pulse ox alarm is going off and reads 89%. She keeps trying to take off her oxygen and the pulse ox probe. Her lungs have crackles bibasilar and in the right middle lobe. She has a nonproductive cough. She is not able to give a subjective pain level. Urine output is sufficient and her IV is intact. What is the next nursing intervention and what MD orders do you anticipate?

what medication orders do you anticipate from the doctor?

Answer 1

1. a) Nursing intervention

-Adjust and monitor factors like room temperature and bed linens are indicated.

-Eliminate excess clothing and covers .

-Increase the flow rate of oxygen therapy.

-Give antipyretic medications as prescribed.

-Raise the side rails at all times.

-Encourage ample of fluid intake by mouth.

b) MD orders I anticipate

-Antipyretics

-Increase flow rate of oxygen

-Antibiotic

-expectorants

-NSAIDs

-Mucolytic

2.Medication orders I anticipate from the doctor

-Acetaminophen ( Tylenol)

-Non steroidal anti- inflammatory drugs ( NSAIDs) such as ibuprofen ( Advil ,Motrin)

-Antibiotics

-Expectorants

-Mucolytics

-Chest physiotherapy

-increased the flow rate of oxygen

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