Answered: Develop a nursing care plan based on…

Understanding Health Insurance: A Guide to Billing and Reimbursement

14th Edition

ISBN:9781337679480

Author:GREEN

Publisher:GREEN

Chapter7: Cpt Coding

Section: Chapter Questions

Problem 8R

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Question

Develop a nursing care plan based on the nursing process for patients using central nervous system stimulants and related drugs

Expert Solution

Step 1

Central nervous system stimulants are psychoactive drugs which are prescribed to enhance the sensory and motor activities. For example: Amphetamines, anorexiants, Modafinil and so on.

Therapeutic indications

Attention deficit hyperactive disorder
Narcolepsy
Neonatal apnea
Drug induced respiratory depression
Psychopathic personality
History of suicidal tendency
Postural orthostatic tachycardia syndrome.

Classification

Analeptic stimulant
Psychomotor stimulants
Methylxanthines.

Step 2

Central nervous system stimulants side effects

These drugs cause many side effects when use in therapeutic doses, such as,

Moderate dose causes anorexia, anxiety and agitation.
High doses cause emesis and convulsion.
Lethal dose may be associated with cardiac arrhythmia.
Abrupt use of these drugs lead to lethargy, irritability and headache.

Nursing care plan mainly focuses on the following, for the patient who are using central nervous system stimulants.

Sleeping pattern
Nutrition
Vital signs

Assessment

Diagnosis

Planning

Intervention

Rationale

Evaluation

Objective data:

Assess for dizziness, insomnia, headache, blood pressure, and vital signs.

Decreased cardiac output

Assess for cold calmly skin, hypoxia and restlessness.
Monitor patient periodically for weak pulse and fluid retention.
Monitor intake and output chart.
Auscultate for heart sounds.
Provide recommended position, for example supine position.
Assist in activities of daily living.

Proper assessment helps to identify decreased perfusion symptoms early.

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