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This Concept Map has information related to: nov 5 2007, loperamide Inhibits GI peristaltic activity by direct action on circular and longitudinal intestinal muscles tx of diarrhea, tylenol tab 650mg PO nonnarcotic analgesic tx of pain, interventions: -measure and record I&O -note source of fluid loss/intake -monitor B/P response pt will -pt maintain normal B/P increase in volume -pt will be hydrated -pt will be tolerate fluctuation in fluid level, cefazolin Antibiotic active against many gram-positive organisms prophylaxis for right knee replacement, effective tx for bone and joints infection (prevention), Test & Diagnostics CMP: Na: 1395 K: 3.8 Cl: 103 H3CO: 25 BUN: 11 Cr: 0.7 all normal ranges, nursing dx: Anxiety related to change in health status, unfamiliar environment, and surgery recovery process deficit as evidenced by increased tension, apprehension, fear of pain, restlessness ND: knowledge decifit related to medical diagnose and medications as evidenced by pt verbalization. Interventions: - explain the procedure that pt had done -explain the risk and complications as well and things she can do to help the healing process -hand out pamphlets or pt education letters -before giving med, tell pt what the med does -find resources available to answer any questions pt may have, meropenem nursing dx: risk for infection related to s/p surgery wound, foley catheter, R ileostomy, right hemicranectomy Interventions: -dressing changes as needed -precaution for sterility when cleaning wound, and stoma sites, -frequent hand washing -frequent skin asssessment -monitor VS -encourage movement and ambulation -(pc) administer anti-infective meds, Maintainence fluid: lactated Ringers increase fluid volume in circulation KVO maintain homeostasis, Warfarin ???? ND: ineffective tissue perfusion related to right knee surgery, nursing dx: constipation related to immobility interventions: -review diet/nutrition -determine fluid intake - (PC) med/enema use pt will: -regain normal pattern of bowel function -pt will have no difficulty defecating