Ed Beatty Is A 52-Year-Old Client

Ed Beatty Is A 52 Year Old Client With A

Ed Beatty is a 52-year-old client with a history of chronic renal insufficiency who presents to the medical clinic reporting a severe sore throat. He is diagnosed with streptococcal pharyngitis and is scheduled to receive an intramuscular injection of penicillin G. Before administering the medication, the nurse should gather comprehensive information about Mr. Beatty’s medical history, including his kidney function status, previous allergic reactions to penicillin or other antibiotics, and any current medication regimen. Given his renal impairment, assessing renal function through recent laboratory tests such as serum creatinine and glomerular filtration rate is essential to prevent drug accumulation and toxicity.

In response to Mr. Beatty's inquiry about why he cannot receive penicillin G orally, the nurse should explain that the intramuscular injection ensures a rapid and complete delivery of the medication, which is critical in treating streptococcal infections effectively. Oral administration might be less reliable in achieving therapeutic levels quickly or might be contraindicated if Mr. Beatty has gastrointestinal issues or a history of poor oral absorption. Moreover, certain formulations of penicillin G are only available for IM injection, making this the preferred route for effective treatment in his case.

Before administering the medication, the nurse should have available equipment such as sterile syringes, proper needles, alcohol swabs, gloves, and a resuscitation kit equipped with emergency drugs like epinephrine, oxygen, and a defibrillator. These are essential because they ensure safe administration, maintain asepsis, and prepare the nurse for potential adverse reactions like anaphylaxis or cardiac arrest. Appropriate equipment allows the nurse to respond swiftly to emergencies, thereby protecting the patient's safety.

Post-administration, Mr. Beatty experiences cardiac arrest. Potential causes include an allergic reaction such as an anaphylactic shock, which can cause airway compromise, hypotension, and cardiac arrest. The administration of penicillin G in a patient with unidentified allergies can provoke such severe hypersensitivity reactions. Other causes could include cardiac toxicity, or underlying electrolyte imbalances exacerbated by his renal impairment. Immediate resuscitation with epinephrine, CPR, and stabilization measures are crucial in these scenarios. Investigation into the event's cause should include allergy assessment and review of patient history to prevent future incidents.

For discharge teaching, the nurse should inform Mr. Beatty about the importance of reporting any signs of allergic reactions, such as difficulty breathing, swelling, or rash, immediately. He should be educated about the potential side effects of penicillin G, including allergic responses, nephrotoxicity, and hypersensitivity. Given his renal condition, he should be instructed to monitor for signs of kidney impairment, such as decreased urine output or swelling. The nurse should also emphasize adherence to prescribed medication schedules, follow-up appointments for renal function monitoring, and provide guidance on avoiding other antibiotics unless prescribed by his healthcare provider.

Paper For Above instruction

Ed Beatty’s case highlights the critical aspects of administering penicillin G to a patient with chronic renal insufficiency. Proper assessment before medication administration involves evaluating renal function, allergy history, and current medications to prevent adverse effects such as toxicity or hypersensitivity reactions. Given his renal impairment, precise laboratory assessments are necessary to tailor the dosage and ensure safety.

The choice of IM injection over oral administration is based on ensuring rapid, complete absorption beneficial for the treatment of streptococcal pharyngitis. Oral forms may be ineffective if gastrointestinal absorption is compromised or if rapid therapeutic levels are required. The nurse must clearly explain this rationale to the patient to alleviate concerns and ensure compliance.

Preparation equipment must include sterile needles, syringes, alcohol swabs, gloves, and emergency response tools such as an epinephrine auto-injector, oxygen, and a defibrillator. These prepare the nurse for immediate intervention during any unforeseen reactions like anaphylaxis or cardiac arrest, which can be life-threatening. Adequate equipment and readiness are vital components of safe medication administration.

The cardiac arrest following penicillin G administration raises concerns of hypersensitivity allergic reactions, including anaphylaxis. Such reactions can induce airway swelling, hypotension, and arrhythmias leading to cardiac arrest. In patients with renal impairment, electrolyte disturbances may also predispose to arrhythmias, emphasizing the need for continuous monitoring. Rapid response actions must include airway management, epinephrine administration, and cardiopulmonary resuscitation.

Discharge teaching must focus on warning signs of allergic reactions, the importance of reporting adverse symptoms promptly, and medication adherence. Patients should be informed about side effects like hypersensitivity, nephrotoxicity, and the necessity of follow-up renal function tests. Educating Mr. Beatty on avoiding future allergenic exposures and understanding his condition empowers him to participate actively in his care and prevent recurrence of severe adverse reactions.

References

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