Ms Kay Kruzowski, aged 76, Ms Kruzowski had been taking an oral antibiotic (Augmentin Forte) for a chest infection. Additionally, two weeks ago, she sustained fractures of two ribs after tripping over her cat. She has a past history of hypertension, back pain (exacerbated by her recent fall), and a deep vein thrombosis in her right leg (2 years ago).
her blood test: INR 3.2 her target range 2.0 – 3.0, Urea 9.0 (2.0 – 8.5), Creatinine 0 .19 (0.05 – 0.09).
Her medication:
Warfarin OD for DVT, Perindopril 10mg OD for HTN, Felodipine 10mg OD for HTN, Spironolactone 25 mg OD for HTN, Paracetamol 1g every 6 hr for Pain, Ceftriaxone 1g BID, Erythromycin 1200 mg every 6 hr, garlic capsule 250 mg BID on patient request.
PRN medication: Aspirin and Voltaren rapid for pain.
Describe the strategies a nurse may take to prevent/manage the specific risks you have identified which are. Your answer should focus on Ms Kruzowski’s needs rather than a discussion on the actual medicines. 30 marks
Body one 200 Words:
First significant risk: bleeding.
Areas to consider when addressing this question are:
Pharmacological strategies (specific to the particular drug)
Specific nursing assessment
Specific patient education (if applicable)
Relate your answer specifically to Ms Kruzowski
Body two 200 Words:
Second significant risk: hyperkalemia.
Areas to consider when addressing this question are:
Pharmacological strategies (specific to the particular drug)
Specific nursing assessment
Specific patient education (if applicable)
Relate your answer specifically to Ms Kruzowski
Body three 200 Words:
Third significant risk: hypotension.
Areas to consider when addressing this question are:
Pharmacological strategies (specific to the particular drug)
Specific nursing assessment
Specific patient education (if applicable)
Relate your answer specifically to Ms Kruzowski
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