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A 55-year-old male client is admitted to the intensive care unit (ICU) with a diagnosis of acute myocardial infarction. He has a T wave inversion and elevation of the ST segment. The EKG indicates myocardial ischemia and necrosis. He is started on lidocaine hydrochloride by IV infusion. He is also given aspirin 325 mg PO, heparin subcutaneous 5,000 units bid, and atenolol (Tenormin) 50 mg PO daily. It should be noted the client received morphine 10 mg IV to relieve chest pain in the emergency room.What assessments should be made prior to administration of these medications?What information about the medications should be explained to the client?For what adverse effects of the medications should the nurse be alert and assess?

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temmydbrain

Answer:

Check the explanation

Explanation:

The Assessments to be made prior to administration of the given medications are:

For Lidocaine Hydrochloride:

• The Assessment ought to be done to know if the patient has any reactions for local anesthesia

For Aspirin:

• Any preceding allergy in respect non steroidal anti-inflammatory medicine should be examined

• The underlying situations of gastrointestinal disorders should be confirmed as aspirin may precipitate these conditions

For Heparin:

• Signs of any Bleeding or hemorrhage should be assessed prior to the usage of heparin. Gums, urine, stool, skin are to be screened to detect out any bleeding signs

• Heparin is not suppose to be given in chronic alcoholics and thus the history of alcohol consumption from the client should be taken

For Atenolol:

• The pulse level and speed should be assessed prior to administering atenolol. Whenever there’s any pulse rate of below 60 bpm then it indicates that the drug should not be administered

For Morphine:

• The respiratory level before administration should be taken note of which will serve as a baseline to observe any toxicity of morphine

• The pulse and blood pressure are to be assessed before any administration takes place

• As the morphine is given before surgery any additional doses during surgery periods must be avoided or reduced doses should be given during surgery to improve the pain tolerance.

shivjimishraVT

When a client is admitted to the ICU with a diagnosis of AMI, he should be administered by medications such as Lidocaine hydrochloride, Aspirin, Heparin, Atenolol, and morphine, and information is also explained to the client about all these medications.

What is Acute Myocardial Infarction?

Acute myocardial infarction, also known as a heart attack, is a life-threatening condition that occurs when blood flow to the heart muscle is abruptly cut off, causing tissue damage.

Lidocaine hydrochloride is used to provide anesthesia by nerve blockade at the various sides of the body.

Aspirin is an anti-inflammatory and anti-allergic drug. It is effective in reducing the blood clots that are blocking a coronary artery during an acute heart attack.

Heparin is used to reduce morbidity and mortality after AMI. It is an anti-coagulant drug used to prevent hemorrhage.

Atenolol is a type of beta-blocker that is used after the AMI. It reduces the heart rate and is useful in treating abnormally rapid heart rhythms.

Morphine is an ideal analgesic. It has innate hemodynamic effects that are beneficial to AMI. It decreases heart rate, blood pressure, venous return, etc.

The information provided to the client about these medications is necessary and said to take rest and informed to doctor urgently if something felt wrong or difficult.

There are a lot of adverse effects with respect to such medications. Like heparin causes skin warmth, unusual bleeding, dizziness. Aspirin causes heartburn, drowsiness, severe nausea, etc. Lidocaine causes difficulty in breathing, chest pain, etc.

Therefore, certain medications and their adverse effects are made prior to the administration to the client.

To learn more about Acute Myocardial Infarction, refer to the link:

https://brainly.com/question/8300907