Professional Documents
Culture Documents
NURSING DIAGNOSIS/OBJECTIVES/INTERVENTIONS
Indicate below the 2 priority nursing diagnoses that are most relevant for your patient.
#1 NURSING DIAGNOSIS (problem r/t)
Activity intolerance r/t imbalance between oxygen supply and demand (hx of COPD), AEB SOB
on exertion and exhaustion with ambulating to bathroom.
REASON PRESCRIBED
(Drug Classification,
What is it treating?)
NURSING IMPLICATIONS
FROM TEXT
(Checking for adverse
reactions, preparation &
admin concerns)
Important to note
presence of angina,
reassess pain after
admin
Assess BG frequently.
Thromboembolism
possible
Imdur
60mg PO
Antianginal
Treating angina
Solu-Medrol
80mg q8 IV
Steroidal antiinflammatory
Treating pain
Cardizem
180mg PO
Antihypertensive
Treating HTN
Cipro
250mg PO
Anti-infective
Treating pneumonia
Celexa
40 mg PO
Antidepressant
Treating depression
Synthroid
50mg PO
Apresoline
100mg
Hormones (synthetic
T4)
Treating
hypothyroidism
Antipyretic/NSAID
Prophylaxis of TIA and
MI
Antihypertensive
Treating HTN
Levamir Flexpen
50 units SC
Antidiabetic
Treating Type II DM
Toprol
100mg PO
Multivitamin
PO BID
Antianginals/
Antihypertensives
Treating angina
Lipid lowering agents
Treating
hypercholesterolemia
Bronchodilator
Treating SOB, chest
tightness
Vitamins
Treating malnutrition
Tylenol
Nonopioid analgesic
Aspirin
325mg PO
Lipitor
80mg PO
Albuterol
1 tx PRN
Assess BG for
hypoglycemia
650mg PRN
Treating pain
Lovenox
95mg SC
Anticoagulants
Treating PE,
coagulation problems
hepatotoxicity
May cause bleeding,
anemia, hemorrhage
List all diagnostic and laboratory tests pertinent to the patient's medical diagnosis or medical
treatments (i.e. medications) and provide the patient values for each test. Explain why they are
pertinent for this patient.
2.
List any screening diagnostic and laboratory tests that are not within normal limits. Explain why
these tests are increased or decreased in relation to your patient's medical condition.
Diagnostic/Lab Test
Sodium
Patient Values
137
(was 132)
Analysis of Values
Trending up (toward normal range)
Potassium
5.1
(was 5.6)
Calcium
___
___
Chloride
103
Normal value
BUN
109
(was 91)
Creatinine
2.9
(was 2.8)
Blood Glucose
325
(was in 300s)
Personal reflections:
This critical thinking activity showed my growth becauseI was able to really critically think about my
entire patient and paint the entire picture of what was going on with this patient. I feel that I was able to
explain more things than I expected and I was able to understand what all of the medications and labs
meant and how they corresponded to the diagnoses this patient had received. I believe this shows
growth because of the maturity of my thoughts. They would not have been this complex last semester or
at the beginning of this semester. I have learned to really explore a situation and piece the whole picture
together. I think this also shows curiosity, which in turn shows growth and a passion for the information.
As a result of this critical thinking activity, I have learned how toI have learned how to look at the entire
patient and think about their diagnosis, their medications, and their lab values and piece all of the
information together and think about the result.