Administer the prescribed enoxaparin (Lovenox).
- The anticoagulant enoxaparin sodium is sold under brand names such as Lovenox. It is used to treat and prevent pulmonary embolism and deep vein thrombosis, especially during pregnancy and after some types of surgery.
- Heart attacks and acute coronary syndromes are also treated. A prescription drug called Lovenox is used to treat and prevent signs and symptoms of chest pain and blood clots (deep vein thrombosis or DVT) (angina). Lovenox can be taken alone or with other medicines.
- Lovenox belongs to a class of drugs known as cardiovascular and blood anticoagulants. Tell your doctor if you have side effects that bother you or that don't go away.
Therefore, enoxaparin must be injected in such cases.
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The nurse administers cimetidine to a 75-year-old client diagnosed with a Gastric ulcer the nurse should monitor the client for the following adverse reactions Headache, Sleepiness, Confusion, Dizziness, Nausea which contribute for the change in Metal status.
- Cimetidine is a H
Receptor Antagonist. - Gastric partial cells contains receptors for Histamine.
- Histamine is released from the Enterochromaffin cells upon the stimulation from food intake or from Vagus nerve stimulation.
- Thus Histamine released from Enterochromaffin cells binds to H receptors on the parietal cells and increases the secretion of HCl.
- Cimetidine has totally opposite effect and decreases the secretion of HCl from the parietal cells.
- Not only on gastric cells H receptors are also present in CNS where they stimulate brain cells.
- The above point justifies the adverse effects of Cimetidine.
- Patients over the age of 50 or those who are severely ill may experience transient confusion while taking H
blockers, particularly cimetidine.
Hence from these points we can conclude that patients who are above 50 years and receiving Cimetidine medication for gastric ulcer should be monitored for the above mentioned adverse reactions.
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Answer:
1 to 4 g magnesium sulfate
Explanation:
magnesium sulfate injection may be given intravenously in 10% to 20% solution, but only with great caution; the rate should not exceed 1.5 mL of 10% solution or equivalent per minute until relaxation is obtained.
