Bromocriptine Expository Essay

This paper will demonstrate the author’s ability to prescribe safely from the Nurse Prescribing Formulary (NPF 2009-2011). A prescribing situation undertaken by myself while supervised by my mentor will be discussed. The patients name, address, date of birth and GP details have been changed to ensure patient confidentiality in accordance with the Nursing and Midwifery Council (NMC)(2004). The patient therefore will be referred to under the pseudonym Prince Charming.

Dosages of the drug vary from one extreme to another based upon the patients needs.

Everybody knows that obesity is a big factor in developing type-2 diabetes, and that part of coping with this metabolic disorder is lifestyle change. If blood glucose does not go down, then medicines are introduced. Some type-2 diabetics even have to administer insulin in order to keep their blood glucose levels

Possible side effects: “dry mouth, sedation, blurred vision (disturbance of accommodation, increased intra-ocular pressure), constipation, nausea, difficulty with micturition; cardiovascular side-effects (such as ECG changes, arrhythmias, postural hypotension, tachycardia, syncope, particularly with high doses); sweating, tremor, rashes and hypersensitivity reactions (including urticaria, photosensitivity), behavioural disturbances (particularly children), hypomania or mania, confusion or delirium (particularly elderly), headache, interference with sexual function, blood sugar changes; increased appetite and weight gain (occasionally weight loss); endocrine side-effects such as testicular enlargement, gynaecomastia, galactorrhoea; also convulsions (see also Cautions), movement disorders and dyskinesias, dysarthria, paraesthesia, taste disturbances, tinnitus, fever, agranulocytosis, leucopenia, eosinophilia, purpura, thrombocytopenia, hyponatraemia

| | |down the effects, but if in late stages of this disease then it will not be prescribed as it will |

“When breastfeeding is not exclusively practiced, infant formulas are generally used. The World Health Organization International Code of Marketing of Breast-Milk that parents be fully informed about the health hazards of unnecessary or improper use of infant formula”(2).

When Raynaud’s occurs, the body limits only so much blood flow throughout the body. The most common restriction is in the hands and feet. Since the blood flow is restricted, this then causes hands and feet to feel cold. There is a numbing feeling that could occur, that

Make sure you can read the prescription and directions for use. If anything is illegible, ask the prescriber to re-write or type it.

This is also the reason, it’s important to share your medical history and current health routines with your doctor. Over-the-counter medication may contain ingredients that will interact with bliatumomab.

Tests were never carried out on pregnant women or breast-feeding women so it is not advised to use if you fall in this category.

If the doctor has prescribed a different dose from your friend who has type II diabetes and on the medication, take the dose as prescribed; don’t take the drug in larger or smaller quantity or for a longer time than directed. If unclear on the dosage prescribed, contact

| Take them as prescribed by the physician. Know the correct technique to administer herself insulin. Know the signs and symptoms of when to use her inhaler.

All three providers have agreed that prescribing a pharmacologic and non-pharmacologic treatment regimen must result from clinical judgment based on a thorough assessment of the patient and the patient’s environment, present and past medical history, current home medication, the determination of differential diagnosis and appropriate diagnostic procedure, a review of potential alternative therapies and specific knowledge about the drug chosen and the disease process it is designed to treat (Woo & Robinson, 2016; p.6).

Nursing considerations: Obtain baseline data (heart rate and rhythm, blood pressure, and electrolytes) before giving first dose. Dose is adjusted to patient's clinical condition and is monitored by serum levels of cardiac glycoside, calcium, potassium, magnesium, and by ECG. Check for symptoms of toxicity.

She was also aware that breastfeeding decreased the risk of breast cancer and ovarian cancer and this further encouraged her to breastfeed. She also mentioned frequent soreness in her breast that she managed pretty well. In terms of medications, she was only taking citalopram for mild depression, which she had to discontinue and switch to sertraline due to possible transfer into the breast milk. In general she does not like taking medications and was pleased that she did not have to alter much in terms of medications.