HEALTH TEACHING PLAN Name of Student: Alfonso C. Jamora III Section and Group number: BSN 4C Group – 2 Name of CI: Jenno Ray Senal, RN, MN Area of Exposure: Orthopedic Ward Medication Generic Name: Cefuroxime Brand Name: Ceftin, Zinacef Classification: Antibiotic H- (How will you know the drug is effective?) - inhibits cell-wall synthesis, promoting osmotic instability; usually bactericidal. It’s effectivity will show decrease Exercise Treatment Hygiene Outpatient Diet The following exercises is recommended to patients after discharge Independent - Keep body and - Instruct to - Eat whole Nursing Actions: environment patient that grains, fruits, - Assessing and clean from time pain medicine vegetables, and relieving pain to time may be given to fatty fish to help - Walking is a great exercise to begin immediately to reduce bone loss, counter fatigue and nausea, and prevent muscle atrophy. through - Patient may take away or reduce medication take a bath as decrease pain. inflammation. administration as normally as he Do not wait - Avoid well as does until the pain is processed foods nonpharmacologic - If inflammation severe before and foods high interventions. limits the range taking the in sugar and fat. - Maximize Your Shoulder Range of Motion - designed to improve the movement of the arm and - Avoid direct of motion, the medicine. - Glucosamine pressure or help of significant repetitive others may irritation - Antibiotic medicine is given to fight or sulfate, Bromelain, Omega-3 fatty in signs and symptoms of infection such as, lowered shoulders. Should be done slowly and rhythmically. WBC, no fever and no chills. - Shoulder Rolls Inhale and bring E- (Exact time to be given) shoulders up, back, then exhale - 2gm will be given every eight and relax (8) hours. The timing is 6 – 2 – shoulders down. 10. C- (Client teaching – drug reaction) - - Determine history of hypersensitivity reactions before therapy is initiated - Absorption of cefuroxime is enhanced by food - Notify prescriber about rashes or superinfections K- (Keys to remember/ nursing responsibilities /consideration) - Arm Saw - With elbow bent at 90°, pull backward to bend elbow more then move arm forward, straightening elbow. - Shoulder Walk Up Exercises With elbow straight, use fingers to "crawl" up wall until you feel a gentle stretch. - Shoulder Rotation - With - Joint protection require during prevent an (e.g., kneeling hygienic activities infection caused Vitamin C. pads, - If bursitis was by bacteria. - Potassium rich compression caused by a prick Complete the food like banana wraps and slings) or a trauma, keep course of the apple, legumes, - RICE Method: the site clean and etc. Rest, ice, well-dressed compression, - Brush teeth elevation for regularly acute phase -Activity modification medication. - Instruct patient to never save antibiotics or take leftover antibiotics that were given to you for another Collaborative illness. Treatment: - Subacromial - Take medicine Bursal Injection as directed. Call Therapy the healthcare process of provider if puncturing a medicine is not subacromial helping or if acids and - Milk and dairy products as source of calcium. - 5 steps of medication administration - Note for contraindications - Note for history and assessment. Generic Name: Hydrocortisone Brand Name: Cortef Classification: Corticosteroids elbows bent to 90°, pinch shoulder blades together and rotate arms out, keeping elbows bent - Back Scratch Reach behind back and hold hands together. Gently slide hands up back and slowly return to starting position. - Butterfly Exercise - Place hands behind head and gently bring elbows back. - Diaphragmatic H- (How will you know the Breathing - for pain control, drug is effective?) relaxation and to - Drug shows effectivity by relieve tightness in the chest wall and Decreases inflammation, back. Practice mainly by stabilizing leukocyte deep breathing bursal sac with a there is an needle and occurrence of injecting persistent side anesthetics effects. and/or corticosteroids to help treat bursitis. - Physical therapy - Surgery for bursal repair - Administration - Follow up with healthcare provider in 2 weeks: Write down questions ask during visits. of Cefuroxime antibiotic for - Limit activity infection, for 4 to 6 weeks Corticosteroids after discharge. for inflammation, Ask healthcare and Tramadaol for provider what pain as prescribed activities you by the Physician. can do. lysosomal membranes. Also suppresses the immune using your diapharagm, at least 5 times a day. Instruct patient to contact response, stimulates the bone healthcare marrow, and influences provider if: protein, fat, and carbohydrate - Allergic metabolism. reaction may occur E- (Exact time to be given) - The condition - 40mg will be given QH8 reoccurs (12am-8am- 4pm) - The analgesic does not suffice C- (Client teaching – drug or alleviate the reaction) pain - Do not use the acetate form for IV use. - When administering as an intermittent or continuous infusion, dilute solution according to manufacturer’s instructions. - Monitor signs of hypersensitivity reactions or anaphylaxis, including pulmonary symptoms. K- (Keys to remember/ nursing responsibilities/consideration) - 5 steps of medication administration - Note for contraindications - Note for history and assessment. Generic Name: Tramadol Brand Name: Ultram Classification: Opioid Analgesics H- (How will you know the drug is effective?) - Prescription medicine used as centrally acting analgesic but may act at least partially by binding to opioid mu receptors, causing inhibition of ascending pain pathways. E- (Exact time to be given) - 50mg will be give as needed IVTT C- (Client teaching – drug reaction) - Assess type, location, and intensity of pain before and 2– 3 hr (peak) after administration. - Assess BP and respiratory rate before and periodically during administration. - Assess bowel function routinely. - Assess previous analgesic history. K- (Keys to remember/ nursing responsibilities/consideration) - 5 steps of medication administration - Note for contraindications - Note for history and assessment. References: https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.appendectomy-what-to-expect-at-home.ug3573 https://wtcs.pressbooks.pub/nursingfundamentals/chapter/11-5-applying-the-nursing-process/ https://www.healthline.com/health/appendicitis
