Mental Health Essay

2444 words - 10 pages

Pharmacology IIIBethanecholCholinergic Agonistbethanechol- Urecholinebethanechol- Urecholine TreatmentPost op and postpartum urinary retention and neurogenic atony of the bladder with urinary retention.bethanechol- Urecholine Signs and SymptomsHeadache, malaise, bradycardia, profound hypotension with reflexive tachycardia, flushing, lacrimation, miosis, abdominal cramps, diarrhea, excessive salivation, nausea, belching, urinary urgency, bronchoconstriction, increased bronchial secretions and diaphoresis.EpoetinHematopetic, stimulates production of red blood cells(RBCs); indications include anemia related to chronic renal disease or AIDS or cancer, also to reduce need for alogenic blood transfusions in surgical clients;side effects, headache, seizures, fatigue, hypertension, nausea, vomiting, diarrhea, iron deficiency, clotting of AV graft if dialysis access line being used;nursing considerations; seizure precautions, monitor complete of blood count and serum iron and blood pressure, gently mix, do not shake medication solution, use only 1 dose per vial, do not give with any other solution.Rh o (D) immune GlobulinHormone and synthetic substitute, immune globulin;use promote lysis of fetal Rh positive red blood cells (RBCs) circulating in maternal bloodstream before Rh negative mother develops her own antibodies to them; thereby prevents isoimmunization, which otherwise could result in hemolytic disease of the newborn (erythroblastosis fetalis) affecting subsequent pregnancies; administered whenever maternal and fetal blood intermingling hemorrhage possible (if mother is Rh negative father is Rh positive such as aminocentesis or other trauma fetomaternal hemorrhage, full term delivery, miscarriage abortion, ectopic pregnancy, side effects: injection site discomfort, low fever, lethargy, myalgia; nursing considerations: immediately after delivery send sample of cord blood of infant to lab for crossmatch and typing and do not administer Rh o (D) immune globulin until results return, administer within 72 hours after delivery, ensure that mother understands reason Rho (D) immune globulin is givenCyclophosphamideAlkylating agent use: cancer, action: interferes with RNA replication, causing an imbalance of growth that leads to cell death; side effects: cardiotoxicity, nausea and vomiting, leukopenia, anemia, reversible alopecia, hepatotoxicity, nursing considerations: report hematuria, force fluids, monitor for infection, administer antibiotics, should be administered by a nurse who is not pregnantOxazepam (Serax)Sedative/hypnotic, schedule IV controlled substance; use: anxiety, alcohol withdrawl: side effects: dizziness, confusion, anxiety, insomnia, hallucinations, transient amnesia, drowsiness, light headedness, hypotension, hepatic electrocardiagram (ECG) changes, nursing considerations: blood pressure should be taken lying and standing, monitor lab results for complete blood count (CBC) and hepatic function, monitor mental status, physiological...

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