NUR 2407 Assignment Case Study Anaphylaxis
NUR 2407 Assignment Case Study Anaphylaxis
NUR 2407 Pharmacology
Module 2 Assignment
Case Study â€“ Anaphylaxis
M.J. is a 45 yo Caucasian female. Following a dinner with her friends, where she consumed 2 glasses of wine and shrimp stir-fry, she presented to the emergency room complaining of â€œFeeling hot and itch all over. Something bad is happeningâ€.
Her initial vital signs were T 99.8 Â°F temporal, heart rate 100 bpm, respiratory rate 28 bpm, and blood pressure 100/58 mmHg. Oxygen saturation 85% on room air. Her physical assessment noted:
Â· Red skin rash around the face, neck, and hands
Â· Bilateral wheezing in all lung field
Â· Swelling to the lips
Â· â€œI am having troubles catching my breathâ€
After being seen by the attending physician, M.J is diagnosed with anaphylaxis reaction and the following medication are prescribed:
Â· Oxygen 2L nasal cannula, titrate to keep sats above 90%
Â· Intravenous solution of 0.9% at a keep vein open rate
Â· Epinephrine 0.3 mg IV Stat
Â· Diphenhydramine 25 mg liquid IV now
Â· Prednisone 20 mg PO now
M.J. makes a full recovery and is discharged home with a prescription for an Epipen and to follow-up with an Allergist.
1. Explain the pathophysiology of anaphylaxis?
2. Name three nursing priorities?
3. List a short-term (before discharge) and a long-term (within one Module) SMART goal for the patient?
4. What is the classification, action, and therapeutic effect (reason) for each medications?
5. List drug interactions or contraindications to be concerned about for each drug?
6. What adverse effects/side effects does the nurse need to monitor for each medication?
7. What are some ethical or legal issues to consider with this case?
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ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
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Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
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Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
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Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
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Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
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