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Nursing Care Plan

Gum, sips of water for dry mouth•PO with meals to decrease gastric irritation•Syrup to children (no alcohol, sugar)Perform/provide:•Storage in light-resistant container, do not expose to temperatures over 86 F (30 C)Evaluate:•Therapeutic response: absence of dyspnea, wheezing after 1 hr, improved airway exchange, improved ABGsTeach patient/family:•Not to use OTC medications; extra stimulation may occur•Use of inhaler; review package insert with patient•To avoid getting aerosol in eyes; blurring may result•To wash inhaler in warm water qd and dry•To avoid smoking, smoke-filled rooms, persons with respiratory infections•That paradoxical bronchospasm may occur and to stop drug immediately•To limit caffeine products such as chocolate, coffee, tea, and colas Treatment of overdose: Administer a b2-adrenergic blockerPANCRELIPASECreon Capsules, Func. class.: DigestantChem. class.: Pancreatic enzyme-bovine/porcineAction: Pancreatic enzyme needed for proper pancreatic functioning Uses: Exocrine pancreatic secretion insufficiency, cystic fibrosis (digestive aid), steatorrhea, pancreatic enzyme deficiencyDosage and routes:•Adult and child: PO 1-3 caps/tabs ac or with meals, or 1 caps/tab with snack or 1-2 pdr pkt acAvailable forms: Tab 8000, 11,000, 30,000 U; caps 8000, 30,000 U; enteric coated caps 4000, 5000, 20,000, 25,000 U; powd 16,800 USide effects/adverse reactions:GI:Anorexia, nausea, vomiting, diarrheaGU:Hyperuricuria, hyperuricemiaContraindications: Allergy to pork, chronic pancreatic diseasePrecautions: Pregnancy Interactions/incompatibilities:•Decreased absorption: cimetidine, antacids, oral ironNURSING CONSIDERATIONSAssess:•I&O ratio; watch for increasing urinary output•Fecal fat, nitrogen, pro-time during treatment•For polyuria, polydipsia, polyphagia (may indicate diabetes mellitus)Administer:•After antacid or cimetidine; decreased p...

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