Assignment Task: The camp nurse has been called to the field outside the recreation centre. As the nurse arrives, a large crowd begins to separate. The nurse notes that one of the campers is lying on the ground, and the camper's arms and legs are thrashing back and forth. The nurse also notes a small cut above the camper's right eye. The nurse recognizes the camper because she visits the nurse every day for medication administration, and the nurse remembers that the medication the camper takes is carbamazepine (Tegretol). As the nurse moves closer, she also sees two of the counselors preparing to attempt to restrain the camper.
OTHER PERTINENT INFORMATION:
Temperature - 98.5 degrees Fahrenheit
Weight - 71.5 kg
Height - 5 feet & 6 inches tall
1. What should be the nurse's initial response?
2. The camper is transferred to a local emergency department, where she is stabilized. A blood level of carbamazepine is drawn, and the result is 1.2 mcg/mL. How will the nurse interpret this finding?
3. Doctors order: 2mg of Lorazepam PO and you only have 0.5mg tablets of Lorazepam on hand. How many tablets would you administer to the patient?
4. Convert the camper's temperature into Celsius, her weight into pounds, and her height into centimeters.
5. Give three examples of narrow-spectrum AEDs and three examples of broad-spectrum AEDs. What are the differences of these 2 spectrums AEDs? What are the side effects? What are your nursing considerations?
6. Why do we need to use a in-line filter for Dilantin IV?