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CASE STUDY- A patient is experiencing serious ventricular arrhythmias and shock following a heart transplant. The physician has ordered isoproterenol and dopamine to be administered to the patient.(learning objective 2,,4 and 5).

(A). What is the therapeutic action for isoproterenol?

(B). What are the adverse effects of isoproterenol?

(C). What are the therapeutic action for dopamine?

(D). What are the adverse effects of dopamine?

(E). what are the key nursing implementation considerations for patients receiving an adrenergic agents?

CASE STUDY- A second- year nursing student has to prepared medication cards for clinical on adrenocortical agents. The specific medication cards that have to be prepared are for prednisone (Deltasone) and fludrocortisone (florinef). Additionally, the student nurse has to prepared a patient teaching plan for mineralocoricoids.( learning objectives 1,2,,4 and 5).

(A). What are the physiological effects of the adrenocortical agents?

(B) What are the key nursing implementation teaching points that need to be reviewed with a patient receiving an adrenocortical agent?

(C).What are the common adverse reactions for fludrocortisone (Forinef)?

(D). What are the indcations for prednisone (Deltasone)?

CASE STUDY- A diabetes registered nurse educator is preparing an in-service presentation for student nurses on agents to control blood glucose levels for diabetes agents. The in- service will include a brief review of the pathophysiology of diabetes mellitus .Drugs to be included in the presentation will include insulin chlopropaminde (Diabinese), glyburide (Micronase), andmetformin (Glucophage). ( learning objectives 1,4,and 5).

(A). What alterations in metabolic pathways and change to basement membranes occur with diabetes mellitus?

(B). What are the key nursing implementation considerations for patients taking insulin?

(C). What are the indications for chlorpaminde (Diabinese)?

(D). What are the most common adverse effects of glyburide (Micronase)?

(E). What are the therapeutic actions for metformin (Glucophage)?

(F). What are the lifespan considerations for children who use antidiabetic agents?

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