Potential sources of exposure. B.N., a 41-year-old woman who is a dental hygienist, has had several surgeries over the past 5 years because of a knee injury. She presents to the outpatient surgery department today for her last reconstructive surgery. Her past medical history indicates she had asthma as a child and had one occurrence of contact dermatitis. She tells you she has no known drug allergies.

You start B.N.’s IV and perform a saline flush. Within three minutes, B.N. states that her IV site itches, and a few minutes later, she begins to complain of itching around her neck and tightness in her throat.

Subjective Data

• States IV site itches
• States throat and neck feel tight and says, “I feel like I can’t breathe” 

Objective Data

• Vital signs: temp 98.8°F, heart rate 120, respiratory rate 32, blood pressure 100/60
• Oxygen saturation 85%
• Wheezing in all lung fields
• Restless
• Swelling at IV site

What is the apparent causative factor and what were potential sources of exposure?

 

What are side effects, adverse reactions, and drug-drug interactions, including herbal interactions for Phenytoin Dilantin?

Cellulitis therapeutic management. K.B is a 38-year-old female who presents to the provider’s office with complaints of pain and swelling in her left lower leg. K.B thinks she had an insect bite in that same area that she has been scratching a lot. The provider thinks K.B may have cellulitis.

1. Explain the assessment findings expected for a patient experiencing cellulitis.
2. Discuss therapeutic management of a client experiencing cellulitis.
3. Explain the lab values that may be performed for K.B?

 

Discuss some of the risks and pathological changes associated with heart disease in older adults. Include any steps that can be taken in order to prevent this from happening.