Rasmussen NUR2407 Module 2 Assignment Case Study – Anaphylaxis Latest 2019 November

NUR2407 Pharmacology

Module 2 Assignment

Case Study –
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 “Feeling hot and itch all over.
Something bad is happening”.

Her initial vital signs were T 99.8 °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:

·
Red skin rash around the face,
neck, and hands

·
Bilateral wheezing in all lung
field

·
Swelling to the lips

·
“I am having troubles catching
my breath”

After being seen by the attending physician, M.J is
diagnosed with anaphylaxis reaction and the following medication are prescribed:

·
Oxygen 2L nasal cannula,
titrate to keep sats above 90%

·
Intravenous solution of 0.9% at
a keep vein open rate

·
Epinephrine 0.3 mg IV Stat

·
Diphenhydramine 25 mg liquid IV
now

·
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.

Assignment:

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?