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This Concept Map, created with IHMC CmapTools, has information related to: 10-13 CMAP Caddle, Cefepime Classification Broad spectrum antibiotic, cephalosporin 3rd generation, Montelukast Nursing Indications Give in PM, monitor respiratory status. Not for acute asthma attacks., Digoxin Nursing Indications Take apical pulse for 1 min before administering. Monitor electrolyte and drug levels, cardiac status., Vancomycin Classifcation Misc. antiinfective, Tricyclic glycopeptide, Digoxin Brand Name Digoxin, Lanoxin, Cardiovascular 15:00 Heart rate 73BPM. Currently in sinus rhythm with occaisional PAC's. No JVD. No carotid bruit. S1 and S2 sounds heard. Radial pulses palpable, regular, +2. Pedal pulses present with dopplar. Capillary refill ɛsec. +4 pitting edema bilateral lower extremeties. +2 non pitting edema, upper extremeties., Omeprazole Nursing Indications Assess the GI system, administer before eating, Insulin Aspart Pertinent Lab Values 17:30=210mg/dL, 4 units given, Furosemide Reason for Recieving To increase urine output and renal perfusion, reduce anasarca., Digoxin Pertinent Lab Values Digoxin level 10/8=0.5, Digoxin Reason for Recieving Antidyrhythmic for patient's Afib, Cefepime Nursing Indications Assess for nephrotoxicity. Do not administer if client is sensitive to penicilin. Administer for 7-10 days to ensure organism death., Risk for decreased cardiac output related to history of altered electrical conduction and current PAC's. Intervention Continually monitor cardiac rhythm to note effectiveness of current anti-dysrhythmic medication (Digoxin)., Gen. Chem. Interpretation Glucose elevated at times, client is diabetic. BUN is high, from acute liver shock, but is trending down as is the creatinine, showing improvement., Verapamil Reason for Recieving In combination with digoxin for dysrhythmias, GI/GU 15:00 Abdomen is soft, round, nontender. Bowel sounds are normoactive x4. No distention. Foley catheter draining yellow, clear urine at a rate greater than 49ml/hr., CBC 10/13 WBC=15.1 RBC=4.48 Hgb=12 Hct=37.8 Plt=143, Digoxin Level 10/8 Digoxin=.5, Chest X-Ray 10/10 Cardiac silhouette moderately enlarged. There is mild vascular engorgement, slightly improved since previous exam (10/8). Lung inflation is also improved., Chest X-Ray 10/12 Heart elarged but stable. Right basilar atelectasis is still present. No interval change.