By Inc. BarCharts
Key steps, initiatives and judgements an important to sufferer care - together with important indicators, documentation & verbal exchange, specimens, wound care and extra!
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Extra info for BarCharts QuickStudy Nursing Care Procedures
22 Constipation Maintain fluid intake, high fibre diet and moderate exercise, if not contraindicated. Monitor bowel movements; if <2/week review intake of fruit and fibre. Hearing impairment due to hardening and impaction of ear wax Monitor hearing, particularly in older men, when diuretics are commenced. Arrange for examination of the external auditory meatus. Removal of wax reverses hearing loss. Vision disturbance If problems persist after first few weeks, seek advice. Increased risk of thrombosis Check haematocrit (glossary).
Gastro-oesophageal reflux disease (GORD/GERD), when medications which exacerbate the condition have been reviewed, particularly: sedatives; calcium channel blockers; nitrates; anti-muscarinics; some antipsychotics; theophylline; tricyclic antidepressants (Katz 2003). ◆ Gastric and duodenal ulceration. Tests for Helicobacter pylori should be undertaken, as eradication regimens are often effective. If Helicobacter pylori is not eradicated, ulcers are likely to recur. Any use of non-steroidal anti-inflammatory drugs (NSAIDs) should be reviewed.
1 Administration: Drugs acting on the nephron Oral administration should be linked to meal-times, to reduce any gastrointestinal upsets. Food may reduce furosemide-induced diuresis (Baxter 2006), therefore a consistent relationship to meals may be advisable. Absorption of bumetanide or torasemide is less unpredictable (Jackson 2006a). If heart failure worsens, absorption may decrease, making the diuretic less effective. Most thiazides induce a diuresis within 1–2 hours; this lasts 12–24 hours. Therefore, thiazides are usually administered in the morning.