Today our topic of discussion is Pharmacological Management.
Pharmacological Management
Pharmacological Management
- Intravenous diazepam or lorazepam can be given for stopping seizures
- Acid base imbalance and isotonic imbalance can be treated by giving intravenous (IV) solution
- Coma from drug overdose may be reversed by giving proper antidotes, e.g.
- Opium overdose may be reversed by nalaxone.
The points of nursing case include:
- Position of the patient Airway 0
- Observation and charting
- Hygiene
- Care of pressure area and preventions of foot drop
- Nutrition
- Eliminations.
Position
- The patient is nursed in the prone, lateral or Sim’s position.
- Airway
- An adequate airway must be manufactured at all times.
- It may be necessary to hold the patient’s jaw forward.
- Observation and Charting
- Note the level of consciousness, reaction to vocal stimulates, size of the pupil and Pupils equal, round, react to light accommodation (PERRLA)
- Check temperature and pulse rate (TPR) and BP cautioudy
- The occurrence of muscle spasm is recorded.
Hygiene
- A mosquito net should be provided.
- Sponging is performed as frequently as possible .
- Mouth wash are performed to prevent drying of mucous membrane .
- Eye care should be necessary to keep the bid margin.
Care of Pressure and Prevention of Fool Drops
- The patient should be nursed on a stipule mattress
- Bed line must be kept taut and dry
- A bed cradle may be used to take the weight of the bed clothes
- Patient’s position should be changed every hour
- The feet should be kept right angle to the leg
- Passive physiotherapy will help to keep the ankles and feet is good conditions.
Nutrition
- The diet must be containing adequate supply of all the nutrients .
- It should be given as IV infusion or gastric tube feedings.
Eliminations
- The patient is observed for any signs of urinary retention and constipation.
- If the patient is constipated, a glycerin suppository may be given.
- Incontinence of urine may occur is which case a bedpan or divided matters may be used for female patient, for male patient usual may be used.
- Apply gentle pressure on bladder if there is any urinary retention .
- Maintain intake output chart.