N213: Health Differences Across the Life Span 3

N213: Health Differences Across the Lifespan 3 Study Guide • Check vital signs, TPR, blood pressure, monitor cardiac output, and peripheral pulses • Give antibiotics per MD order: o Penicillin: First line drug of choice o Erythromycin: Used for those allergic to penicillin o Azithromycin: Shorter therapy duration and can be used in penicillin allergy o Rocephin: Given via injection for prompt treatment • Encourage increased fluids • Offer small, frequent meals and a soft, bland diet • Encourage bed rest • Offer analgesics and antipyretics for pain and fever • Patient and family teaching regarding disease process and treatment • Assist with ADLs • Offer comfort measures for pain and joint stiffness Expected outcomes for rheumatic fever: • Demonstrates body temperature within normal limits • Demonstrates compliance with treatment and antibiotic regimen • Demonstrates stable vital signs • Demonstrates increased activity tolerance • Verbalizes reduction in pain levels and increased comfort • Verbalizes understanding of disease process and treatment

©2017 Achieve Test Prep Page 79 of 204