STAGE 2: Mr. Shapiro is admitted to the CCU with a diagnosis of… STAGE 2: Mr. Shapiro is

STAGE 2: Mr. Shapiro is admitted to the CCU with a diagnosis of… STAGE 2: Mr. Shapiro is admitted to the CCU with a diagnosis of Acute MI with acute decompensated heart failure. The following orders are obtained:           Vital Signs q1h           Continuous ECG monitor           Bedrest           Foley catheter           Heparin IV infusion @ 1000 units/hr           PTT q6h and call results if <60 or > 90           Troponin level q12h x2           O2 at 2 1iters/min per NC—titrate to maintain  O2 saturation >91%           Lopressor 25 mg PO BID                      Available form: 25mg immediate release tablet Lovenox 50mg Sub-Q Q 12hrs              Available form: 50mg/ml graduated prefilled syringe           Bumex 4mg IV Push Daily                   Available form: 2.5mg/10ml vial           Ambien 5 mg PO qHS PRN sleep         Available form: 5mg immediate release tablet Dobutamine 2mcg/kg/min (found on IV pump)   Range: 2-20 mcg/kg/min  Available Form: 500mg/500ml D5W   Administration Instructions: titrate by 1 mcg/kg/min Q 5 min to maintain CO between 5-6 L/min Nitroglycerin 10 mcg/min (found on IV pump)   Range: 5mcg/min- 50mgc/min Available form: 50mg/250ml D5W in glass bottle  Administration Instructions: titrate by 5mcg/min Q 5 min to keep chest pain below a 3 on a scale of 0-10 Precedex 0.4mcg/kg/hr (from IV Pump)    Range: 0.1mcg/kg/hr to 0.5mcg/kg/hr Available form: 200mcg/50ml NS            Administration Instructions: Titrate by 0.05mcg/kg/hr Q 5 min to keep RASS score 0 to -1 Critical thinking exercisesWhat patient and family teaching is important? Be specific. (i.e elaborate on the disease process, the tubes/lines, the important meds, s/s to watch for, etc.). You should have a minimum of five detailed teaching with rationales. Health Science Science Nursing NURS 4581 Share QuestionEmailCopy link Comments (0)

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