Medical-surgical Nursing Demystified

(Sean Pound) #1

(^236) Medical-Surgical Nursing Demystified



  • ceftriaxone

  • cefotaxime

  • vancomycin plus ceftriaxone or cefotaxime

  • ceftazidime

  • Fungal infections are typically treated with:

  • amphotericin B

  • fluconazole

  • flucytosine

  • Administer corticosteroid to decrease inflammation in pneumococcal
    infection:

  • dexamethasone

  • Administer osmotic diuretic for cerebral edema:

  • mannitol

  • Administer analgesics for headache if needed:

  • acetaminophen

  • Administer anticonvulsant if necessary:

  • phenytoin, phenobarbital

  • Bed rest until neurologic irritation improves.


NURSING DIAGNOSES



  • Risk for injury

  • Powerlessness


NURSING INTERVENTION



  • Monitor intake and output to check fluid balance.

  • Keep room darkened due to photophobia.

  • Monitor neurologic function at least every 2 to 4 hours, changes in mental
    status, level of consciousness, pupil reactions, speech, facial movement sym-
    metry, and signs of increased intracranial pressure.

  • Seizure precautions per institution policy.

  • Isolation per policy depending on organism.

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