iHuman patient Amka Oxendine
Prework
1. What are your primary concerns for this patient and what assessments and interventions
would be associated with your concerns and why? Denies SOB, vomiting, palpitations, chest
pain, or unusual bleeding. Patient feels “overwhelmed and alittle stressed.” I feel so alone” I
have not been out with friends.”
My primary concern with this patient would be to check if she has any difficulty breathing at this
time, or palpitations, or chest pain. Any unusual bleeding would be one of my priority as well.
Next I would do a neuro check to make sure perrla is noted. I would also assess for anorexia,
nausea, vomiting, malaise, excessive sweating and confusion which could be signs of liver failure.
Interventions:
• Assess time of ingestion and reason why it was ingested (time medication is ingested is
very important when deciding the right treatment)
• Complete drug history to make sure of any other medication that could have been
ingested as well
• Assess patient for malnutrition and alcohol use (increase risk of hepatotoxicity)
• In case the patient is in distress restore airways by oxygen therapy
• Give fluid as prescribed
• Use appropriate antidote as prescribed such as N-acetylcysteine
Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L. (2017). Medical surgical nursing: Assessment
and management of clinical problems (10th ed.). Mosby.
2. What medications do you anticipate the health care provider would prescribe while the
patient is in the hospital and why?
a. Acetylcysteine to stop the effect of the overdose. It preventssome of problems caused
by an overdose.
b. Cimetidine to slow the effect of acetaminophen
c. Emetics
d. Activated charcoal to help soak up the acetaminophen that is still in her stomach.
e. 0.9% saline
Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L. (2017). Medical surgical nursing: Assessment
and management of clinical problems (10th ed.). Mosby.