Skip to Main Content

++

Introduction

++

Six pharmacotherapy careplans based on cases in the book have been provided so the student will have a better understanding of the structure and content of typical careplans. Note that some information has been left out of these examples so you will not have all the 'answers' for your own workup of these cases. As discussed in Chapter 1, the careplan forms are meant to be a guide in structuring your thoughts and information, and there is no single correct way to do it. As you gain more experience, developing the elements of the care plan will become more intuitive. Remember, your most important job is to provide the best possible drug therapy for the patient.

++

28: Euvolemic Hyponatremia: Example Careplan with Missing Data

++

Image not available.

++

Image not available.

++

Table Graphic Jump Location
Favorite Table | Download (.pdf) | Print
Prioritized Medical Problem List Medication Profile
Intracranial pressure Nicardipine IV infusion to keep systolic BP <160 mm?Hg
Codeine 15–30 mg IV q 8 h as needed for cough
Euvolemic hyponatremia 3% NaCl initiate at 15 mL/h
___________________ Piperacillin–tazobactam 3.375 g IV q 6 h
Levofloxacin 500 mg IV q 24 h
Vancomycin 1 g IV q 24 h
HTN Nicardipine IV drip to keep BP <160 mm Hg
History of GERD/stress ulcer prophylaxis Pantoprazole 40 mg IV daily
Nausea/vomiting Metoclopramide 10 mg IV q 6 h as needed
Verification of medication allergies, intolerances

The form is from ASHP National Clinical Skills Competition Case Documents, Copyright 2009, American Society of Health-System Pharmacists, Bethesda, MD (www.ashp.org). Adapted with permission.

++

Table Graphic Jump Location
Favorite Table | Download (.pdf) | Print
Vital Signs, Laboratory Data, and Diagnostic Test Results
Date 6/16/2012 at 0600 6/16/2012 at 2000 6/17/2012 at 0745
Weight (lb/kg) 155.5 (70.7)
Temperature (°C) 37.4 36.5
Blood pressure (mm Hg) 148/83 147/60
Pulse 120 71
Respiratory rate 19 20

Na

135–145 mEq/L (135–145 mmol/L)

119 125 129

K

3.3–4.9 mEq/L (3.3–4.9 mmol/L)

3.7 3.6 4.1

Cl

97–110 mEq/L (97–110 mmol/L)

84 84 87

CO2/HCO3

22–26 mEq/L (22–26 mmol/L)

27 27 23

BUN

8–25 mg/dL (2.9–8.9 mmol/L)

16 (5.7) 26 (9.3) 20 (7.1)

Creatinine (adult)

Male 0.7–1.3 mg/dL; female 0.6–1.1 mg/dL (male 62–115 μmol/L; female 53–97 μmol/L)

1.0 (88) 1.0 (88) 1.3 (115)

Creatinine clearance (adult)

85–135 mL/min (1.42–2.25 mL/s)

Glucose (fasting)

65–109 mg/dL (3.6–6.0 mmol/L)

186 (10.3) 171(9.5) 160 (8.9)

Total Ca

8.6–10.3 mg/dL (2.15–2.58 mmol/L)

8.3 (2.08) 8.5 (2.13) 8.6 (2.15)

Mg

1.3–2.2 mEq/L (0.65–1.10 mmol/L)

PO4

2.5–4.5 mg/dL (0.81–1.45 mmol/L)

Hemoglobin

Male 13.8–17.2 g/dL; female 12.1–15.1 g/dL (male 138–172 g/L; female 121–151 g/L; male 8.57–10.68 mmol/L; female 7.51–9.38 mmol/L)

12.9 (129; 8.01)

Hematocrit

Male 40.7–50.3%; female 36.1–44.3% (male 0.407–0.503; female 0.361–0.443)

31.2 (0.312)

MCV

80.0–97.6 μm3 (80.0–97.6 fL)

WBC

4–10 × 103/mm3 (4–10 × 109/L)

12.9
Differential

Platelet

140–440 × 103/mm3 (140–440 × 109/L)

182

Albumin

3.5–5.0 ...

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.