Case Studies in Medical-Surgical Nursing 2nd ed. - G. Anker (Cengage 2012)

INDEX 133 Glycyrrhiza, 7 Hydrochlorothiazide, 57 J Gout, 101 Hydrocodone bitartrate/ GPIIb/IIIa agents, 13 Jackson-Pratt ( JP) drain, 126 Graduated compression stockings acetaminophen, 113 Jerbero, 103 Hydrocodone/acetaminophen, 114 Joint crisis, sickle cell, 22 (TEDs), 86, 112 Hydrocortisone, 63 Granulation tissue, 114 Hydromorphone hydrochloride, 21 K Gravida 2, 125 Hydroxyurea, 21 Hypercholesterolemia, 41 Kardex, 114 H Hyperglycemia, 103–104 Kenacort, 63 Kenalog, 63 Heart failure (HF), 7, 17–19, 65, 66, 130 medical assessment for, 104 Kidneys, ureters, and bladder (KUB) medical tests for diagnosing, 18 symptoms of, 104 symptoms of, 18 Hyperreflexia, 52 abdominal X-ray, 80 Hypertension (HTN), 13, 17, 23, 31, Hematocrit (Hct), 10, 22, 42, 86 L Hemodialysis, 97 41, 57, 103, 129 Hemoglobin (Hgb), 10, 22, 42, 86 Hypotension, 117 Lamivudine, 3 HemoVac drainage system, 113, 114 Hypothyroidism, 105 Language barrier, strategies for Heparin, 29, 41 Heparin sodium, 13, 41 I overcoming, 109–110 Herpes Simplex virus type 1, 39 Lanoxin, 7 Herpes zoster, 63–64 Ibuprofen, 21, 51, 52, 79 Lasix, 17, 130 Impaired mobility, 61 Latex allergy, 83–84 medications for treatment of, 64 Imuran, 83 Left axillary edema, 126 pain management strategies for, 64 Incontinence, on impaired skin Left lower lobe pneumonia, 109–110 symptoms of, 64 High-power field (HPF), 94 integrity, 61–62 antibiotic therapy for, 110 Hip fracture, 111–112 Indinavir sulfate, 3 Levalbuterol, 93 extracapsular fracture, type of, 112 INF-alpha 2b, 67 Levaquin, 47, 48 open reduction of the fracture Inflammatory bowel disease Levofloxacin, 47, 48 Levothyroxine sodium, 105 and internal fixation (ORIF) (IBD), 83, 84 Licorice, 7 surgery for, 112 Infliximab, 83 Licorice root, 7 physical examination for Injectable vitamin B12, 9 Lidocaine, 29 assessment of, 112 Insulin, regular, 103 Lidocaine hydrochloride, 121 postoperative nursing Integumentary system, 59–72 Linezolid, 113 interventions for, 111 Lipitor, 23, 41 preoperative nursing interventions herpes zoster, 63–64 Lisinopril, 17, 18 for, 111 incontinence, on impaired skin Lomotil, 75 X-ray for assessment of, 112 Lorazepam, 49, 50, 93 Hip replacement, 113–114 integrity, 61–62 Lovenox, 5, 13 HemoVac drainage system, medications, signs and symptoms Lumpectomy with lymph node maintenance of, 113, 114 osteomyelitis, manifestation of adverse reaction to, 71–72 dissection, 126 characteristics of, 113, 114 melanoma, 67–69 peripherally inserted central MRSA (methicillin-resistant M catheter (PICC), purpose/ complications of, 113 Staphylococcus aureus), 65–66 Macrodex, 5 postoperative wound infection Intensive care unit (ICU), 94 Magnetic resonance angiography following, 113 surgical incision site, 113–114 septic shock, admission to, 129 (MRA), 42 Hip, abscess of Interferon alpha-2b recombinant, 67 Magnetic resonance imagery (MRI), diagnosis and symptoms of, 114 Intermediate-acting corticosteroids, 83 intravenous antibiotic therapy International normalized ratio 42, 52 for, 114 Malabsorption syndrome, 85–87 needle aspiration of, 114 (INR), 42 Human immunodeficiency virus Interpreter medical assessment for, 86 (HIV), 11–12 medical treatment for, 86 functional health pattern communication through, for nutrition deficiencies, 85 assessment for, 12 assessment of condition, 110 symptoms of, 86 symptoms of, 12 Mammogram, 126 Humulin R, 103 legal/ethical concerns regarding Mean cell hemoglobin (MCH), 86 Hydrochloric acid (HCI), 9 use of, 109 Mean cell volume (MCV), 86, 94 Mean corpuscular volume (MCV), Intramuscular site landmark technique, 4 10, 22 Medications, signs and symptoms of Intravenous (IV) fluids, 28 Intravenous antibiotic therapy adverse reaction to, 71–72 Mefoxin, 75 for hip, abscess of, 114 Intravenous pyelogram (IVP), 92 Intron A, 67 Irritable bowel syndrome (IBS), 121, 122

134 INDEX Melanoma, 67–69 Nicoderm CQ, 5 Persantine, 23, 24 signs and symptoms of, 68 Nicotine transdermal system, 5 Personal protective equipment Nipple discharge, 126 Menstrual period, 126 Nitroglycerin, 13 (PPE), 66 Mental status, acute change in, Nitroglycerin tablets, sublingual, 14 Phenytoin, 71, 72 Norgestimate/ethinyl estradiol, 79 Physical examination for hip 47–48 Normal saline (NS), 76, 80, 86 physical safety measures for, 48 Nothing by mouth (NPO), 76, fracture, 112 symptoms of, 48 Plavix, 17 Meperidine hydrochloride, 21, 113 78, 106 Pneumococcal polysaccharide Mesalt, 86 Novolin R, 103 Metabolic acidosis, 93 Nutrition deficiencies, 85 vaccine, 85 Metoclopramide, 105, 106 Nystatin, 77 Pneumonia, 7, 11, 12 Metronidazole, 75, 76, 83 Morphine, 92 O Claforan IV, treatment of, 130 Morphine IV, 91 Pneumonia vaccine, 85 Morphine sulfate, 13, 21, 75, 83, 84, Obesity, 35 Port-a-cath device, 125 Omeprazole, 79 Positive myocardial perfusion 105, 106, 113 Ondansetron, 91, 92 Motor vehicle crash (MVC), 93, 94, Open reduction of the fracture imaging study, 23 Postoperative wound infection 97, 98 and internal fixation (ORIF) Motrin, 21, 51 surgery, 112 following hip replacement, 113 MRSA (methicillin-resistant Oral vitamin B12, 9 Potassium chloride (KCl), 7, 17, 76, Ortho Tri-Cyclen, 79 Staphylococcus aureus), 65–66 Orthostatic (postural) hypotension, 78, 105, 106 personal protective equipment 117–119 Prednisone, 39, 83 diagnosis of, assessment for, 118 Premarin, 23 for, 66 symptoms of, 118 Premature ventricular contraction MS Contin, 21, 83, 84, 105, 113 Orthostatic vital signs, 118 Multi-system failure, 127–130 Osteomyelitis, manifestation (PVC), 14 characteristics of, 113, 114 Prilosec, 79 septic shock, 129–130 Osteoporosis, 111 Prinivil, 17 Mupirocin, 65 Oxycodone/acetaminophen, 31, 32, Pro re nata (prn) medications, 76 Muscular system, 115–122 63, 64, 117 Pro-Banthine, 75 Probenecid, 101 fibromyalgia, 121–122 P Prochlorperazine, 79, 80 orthostatic (postural) hypotension, Propantheline bromide, 75, 76 Pancreatitis, acute, 105–106 Propofol, 93 117–119 medical assessment for, 106 Prothrombin time (PT), 42 Mycostatin, 77 medical treatment for, 106 Protonix, 79, 105, 121, 122 Myocardial infarction (MI), 17, 129 symptoms of, 106 Proventil, 27, 31, 32 Myocardial perfusion imaging Puckering, 126 Pantoprazole, 79, 80, 122. See also Pulmonary edema, 14 study, 24 Pantoprazole sodium Pulmonary embolism (PE), 5 Purinethol, 83 N Pantoprazole sodium, 105, 106, 121 Pyridoxine hydrochloride, 93 Para 2, 125 Nascobal, 9 Partial mastectomy, 126 R Nasogastric (NG) tube, 106 Patient-controlled analgesia (PCA) Necrotic tissue, 114 Red blood cell count (RBC), 10, Needle aspiration pump, 22 22, 86 Penicillin allergy, 105 of hip, abscess of, 114 Percocet, 31, 32, 63, 64, 117 Red cell distribution width Needlestick Perineum, 62 (RDW), 22 Peripheral vascular disease (PVD), blood-borne pathogen exposure Reglan, 105 from, 3 109, 117 Relaxation, 21 Peripherally inserted central catheter Remicade, 83 injury from, 3–4 Renal calculi, 91–92 intramuscular site landmark (PICC), 113 Pernicious anemia, 9–10 medical treatment for, 92 technique for, 4 nursing assessment for, 92 Nervous/neurological system, 37–53 complete blood count for symptoms of, 92 diagnosing, 10 Reproductive system, 123–126 alcohol abuse, effects of, 49–50 breast cancer, 125–126 amyotrophic lateral sclerosis, 51–53 Shilling test for diagnosing, 10 Respiratory distress, 31–33 Bell’s palsy, 39–40 symptoms of, 10 medications for treatment delirium, 45–46 vitamin B12 deficiency causing, 9 dementia, 45–46 of, 32 mental status, acute change in, symptoms of, 32 47–48 transient ischemic attack, 41–43 Neurontin, 63

INDEX 135 Respiratory system, 25–36 Stump care for amputation, 109–110 Urinary catheter, 130 arterial blood gas testing method, Succinylcholine chloride, 93 Urinary incontinence, 45, 61 29–30 Suicide, 93, 94, 97 Urinary system, 89–98 asthma attack, 27–28 Sulfasalazine, 83 respiratory distress, 31–33 Sulfinpyrazone, 101 ethylene glycol, 93–98 sleep apnea syndrome, 35–36 Surgical incision site from hip renal calculi, 91–92 Urinary tract infection (UTI), 47, Reticulocyte count, 22 replacement Retrovir, 3 daily dressing change of, 113, 114 48, 76, 77 Rhonchi, 28 medication for, 114 Rilutek, 51 Syncope, 117 V Riluzole, 51 Synthroid, 105 Valacyclovir hydrochloride, 63 S T Valtrex, 63 Vancocin, 65, 113 Sarna HC, 63 Tamoxifen, 125, 126 Vancomycin, 65–66 Seizure, 71, 72 Tamoxifen citrate, 125 Vancomycin hydrochloride, 113 Sensory system, 55–58 Tape, 85 Vasotec, 31 Tenormin, 23, 41 Ventolin, 27, 31, 32 glaucoma, 57–58 Tetracycline, 85 Vicodin, 113 Septic shock, 129–130 Therapeutic nurse-client relationship, Videx, 3 Vitamin B, 49, 50 causes of, 129 formation of, 109 Vitamin B1, 49, 50, 93 diagnosis of, 129 Thiamine, 49, 50, 93 Vitamin B12 deficiency, 9 intensive care unit (ICU) for, Thromboembolic devices (TEDs), 6. Vitamin B6, 93 admission to, 129 See also graduated compression W nursing assessment for, 130 stockings symptoms of, 130 Thrush, 11 Warfarin sodium, 5 Sequestrum, 114 Tissue plasminogen activator (tPA), 13 Wheezing, 28 Shellfish allergy, 23 Tonometry, 58 White blood count (WBC), 22, 42, Shilling test, 10 Total abdominal hysterectomy, 23 Sickle cell anemia, 21–22 Total iron binding capacity (TIBC), 86 78, 86, 92, 106, 130 medical tests for diagnosing, 22 Total knee replacement (TKR), 6 Within normal limits patient-controlled analgesia pump Transcutaneous nerve stimulation (TENS), 21 (WNL), 94 for managing, 22 Transient ischemic attack (TIA), 41–43 symptoms of, 22 medical tests for diagnosing, 42 X Sickle cell disease, 21 symptoms of, 42 Sinus rhythm, 42 Triamcinolone, 63 X-ray for assessment of hip Skeletal system, 107–114 Troponin, 18 fracture, 112 amputation, stump care for, 109–110 Tums, 14 hip fracture, 111–112 Tylenol, 21, 22, 31, 32, 75, 113, 121 Xopenex, 93 hip replacement, 113–114 Type 1 diabetes, 103, 109 Xylocaine, 29 Sleep apnea syndrome, 35–36 Type 2 diabetes, 57, 103, 129 symptoms of, 36 Z Small bowel obstruction (SBO), 9 U Spironolactone, 105, 106 Zestril, 17 Stage II breast cancer, 126 Ulcerative colitis, 83 Zidovudine, 3 Stress test, 23, 24 Urinalysis, 76, 92 Zofran, 91, 92 Stroke, 41 Zoloft, 57 Stroke volume, 18 Zovirax, 63, 64 Zyvox, 113

Notes 136