Patients assessment

Any decision regarding bed rail use or removal from use should be made within the framework of an individual patient assessment. If a bed rail has been determined necessary, take steps to reduce the known risks associated with its use. Consider medical diagnosis, conditions, symptoms, and/or behavioral symptoms. 

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ANALEPTICS. When a CNS stimulant is prescribed for respiratory depression, initial patient assessments will include the blood pressure, pulse, and respiratory rate. It is important to note the depth of the respirations and any pattern to the respiratory rate, such as shallow respirations or alternating deep and shallow respirations. The nurse reviews recent laboratory tests (if any), such as arterial blood gas studies. Before administering the drug, the nurse ensures that the patient has a patent airway. Oxygen is usually administered before, during, and after drug administration. 

A patient is prescribed tacrine (Cognex) for mild dementia related to AD. The nurse has a meeting with the patient and family. What patient assessments would you need to make before discussing the drug regimen with the patient What would you include in a teaching plan for the patient and family ... 

Consider daily discontinuation of NMB and patient assessment if prolonged infusions are required... 

Baseline CK should be obtained in all patients prior to starting statin therapy. Follow-up CK should only be obtained in patients complaining of muscle pain, weakness, tenderness, or brown urine. Routine monitoring of CK is of little value in the absence of clinical signs or symptoms. Patient assessment for symptoms of myopathy should be done 6 to 12 weeks after starting therapy... 

In undiagnosed patients assess their risk factors for glaucoma and their recommended interval of glaucoma screening. 

Describe the patient-assessment process during the treatment of intraabdominal infections. 

Key concepts related to patient assessment and treatment. Designed to help focus learning, these key concepts are listed at the beginning of each chapter. Textual material that develops these concepts is easily identified by numbered icons throughout the chapter. 

Wilson JT, Wilkinson GR. Delivery of anticonvulsant drug therapy in epileptic patients assessed by plasma level analyses. Neurology 1974 24(7) 614-23. 

El-Khayat R, Baldwin DS (1998) Antipsychotic drugs for non-psychotic patients assessment of the benefit/risk ratio in generalized anxiety disorder. J Psychopharmacol 12 323-329 Elman MJ, Sugar J, Fiscella R, Deutsch TA, Noth J, Nyberg M, Packo K, Anderson RJ (1998) The effect of propranolol versus placebo on resident surgical performance. Trans Am... 

Wentholt IM, Maran A, Masurel N, Heine RJ, Hoekstra JB, DeVries JH. Nocturnal hypoglycaemia in Type 1 diabetic patients, assessed with continuous glucose monitoring frequency, duration and associations. Diabetic Medicine 2007, 24, 527-532. 

The pharmacists of Care-Rite Pharmacy also developed patient educational tools to be used during the patient assessment and patient education components of the Pharmacy Check-up Service. Because many of the targeted patients have similar medical conditions, education materials were developed for specific disease states, including hypertension, ischemic heart disease, diabetes, asthma, chronic obstructive pulmonary disease (COPD), etc. Also, educational materials were developed for certain therapeutic classes of medications. The Care-Rite pharmacists also determined that many patients needed individualized education materials, so they implemented a drug information/educational service as part of the MTM service. With this service, patients can ask questions regarding their medical conditions and/or drug therapies. The pharmacists will research and provide an individualized written response for each patient. 

Fig. 10. Percentage of men improved at year 2 based on a patient-assessed hair growth questionnaire. FIN 1 MG finasteride 1 mg PBO placebo. Error bars are standard errors. (Adapted from Kaufman et al., 1998.)...

Urea is a normal physiological metabolite and is generally regarded as nontoxic. No report on sensitization has been found, despite its wide use in dermatological preparations. In 1943, Rattner patch tested 500 hospital patients, 66 of whom had skin disease, with a 3% urea cream and found no adverse reaction.4 Clinical and patient assessments of the use of creams with 10% urea or lower give no evidence of skin irritation with inflammation and barrier damage,38 although occlusive exposure... 

Of the three methods, the first, or checklist technique, has the greatest tendency to make patients introspective regarding their symptoms. Not surprisingly, this approach elicits the largest number of adverse reaction reports. Regardless of the method used, however, it is imperative that the questions be applied in the same way at each patient assessment, preferably by the same person, for the duration of the study. It is also recommended that patients be carefully questioned prior to administration of the study drug. It is remarkable how many so-called adverse reactions are, in fact, symptoms of other conditions present before the study treatment starts. 

Gostout CJ. Patient assessment and resuscitation. Gastrointest Endosc Clin N Am 1999 9(2) 175-87. 

In utilizing the collaborative model in the management of bipolar disorder, as well as depression, the psychotherapist supports the inherent coping skills of the patient, assesses progress and resistance, and tracks medication compliance. The psychotherapist can then inform the psychiatrist of any changes that have occurred and/or are required, and vice versa, thereby resulting in a more comprehensive and quality-driven level of care. 

Appointment system Treatment initiation Treatment protoco Patient assessment Follow-up... 

Klein-Schwartz W, Isetts BJ. Patient assessment and consultation. In Berardi, RR., Ed., Handbook of Nonprescription Drugs, 13th ed. Washington, D.C. American Pharmaceutical Association, 2002, chap. 2, pp. 21 0. 

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