Efficacy Of Lisinopril

Polypharmacy, described as an individual taking more than four medications, can be concerning with the aging population. Polypharmacy concerns include adverse drug reactions, drug interactions, higher cost, decreased mobility, decreased quality of life and cognition impairment. Those at greater risk of negative polypharmacy consequences include elderly, psychiatric patients, recently hospitalized, individuals with multiple doctors or pharmacies and people with impaired vision or dexterity. There are times that polypharmacy is at times needed to help a person with their diagnosis, an example of this is using multiple medications to treat congestive heart failure which can include digoxin, diuretics, and angiotensin-converting enzyme inhibitors

Medication administration is not just giving medicine to a patient; it also involves observation of how the patient responds to the drug after administration. As a nurse or health professional we’re trained to know medication effects. Knowing how medication move through the body and what effects the medication has or what adverse effects may occur is most important when preventing

It leads to a reduction in supine and standing blood pressure without a compensatory rise in the heart rate (reflex tachycardia). The effect of a single dose is apparent in 1-2 hours and its peak effect is 3-6 hours. The abrupt cessation of Ramipril does not produce a rapid and extreme rebound increase in blood pressure. Ramipril can be used as a therapy for heart failure as the drug has beneficial effects on cardiac haemodynamics. It results in decreased left and right ventricular filling pressures, reduced total peripheral resistance and increased cardiac

Inappropriate prescribing commonly occurs in adults aged 65 or older, who have a higher prevalence of chronic disease, disability, and dependency (Page II, Linnebur, Bryant, & Ruscin, 2010). Exposure to inappropriate medications is associated with increased morbidity, mortality, and health care utilization (Page II, Linnebur, Bryant, & Ruscin, 2010). Below is a list of measures that concentrate on the prescribing of correct medications in the hospital

With the growing reliance on medication therapy as the primary intervention for most illnesses, patients receiving medication interventions are exposed to potential harm as well as benefits. Medicines have proven to be very beneficial for treating illness and preventing disease. This success has resulted in a dramatic increase in medication use in recent times. Unfortunately, this increase in use and expansion of the pharmaceutical industry has also brought with it an increase in hazards, error and adverse events associated with medication use.

This interview will be with subject Jane Doe 67 years of age; Jane Doe has a history of acid reflux, low potassium, high blood pressure, and high cholesterol. Ms. Jane Doe is very much aware of what each medication is used for she was a Geriatric Nursing Assistant and Medicine Aide for a period of thirty-five years at a nursing facility in Southern Maryland. She has been currently using these medications on a daily basis, Protonix 40 mg (generic name pantoprazole sodium), Potassium CL 20 mg, and Atorvastatin Calcium 10mg (generic name Lipitor). Hyzarr HTC.

With increasing clinical complexity of the older patient, increases the need for the intervention of different specialists; and the lack of coordination of care among different providers and potential drug-drug interactions may lead to the occurrence of adverse drug events (17). Certain drugs are considered inappropriate in older patients because of intolerance related to adverse pharmacokinetics and pharmacodynamics as part of the aging process, as

Drugs are a double-edged sword by providing therapeutic effects with the potential to be toxic when it is not used properly. Medication safety has become a concern, especially with the rise in chronic illness and the aging population leading to polypharmacy, where a patient take multiple medications, increasing risk of drug related problems (Kwan & Farrell, 2013). As a solution, the Government of Ontario introduced and funded a pharmacist led medication review program called MedsCheck. Started in 2007, patients who take over three chronic medications are eligible for an annual 30 minute one-to-one medication consultation with the pharmacist to make sure medications are taken properly and safely. This program was expanded in 2010 to include

Adverse reactions to this medication are migraine, speech disorders, rhinitis, sinusitis, hyperglycemia, elevated liver function, elevated serum creatinine level, pancytopenia, bronchitis, dyspnea, toxic epidermal necrolysis, anaphylaxis, elevated creatine kinase, generalized pain, and infection. Nursing considerations with this medication is to have the patient swallow the whole tablet and not to chew. Watch for aspiration while watching the patient take the medication. Educate the patient about the medication and inform them to notify a physician if bleeding

Elderly patients are more at risk for ADEs because of the number of medications that they are on and the effects that they can have (Vejar 72). It is important to educate patients about their prescriptions and over the counter drugs. The patients should know why they are taking each medication and what the side effects of their medications are. This is why it is recommended that patients bring all the medications they are taking with them to their doctor’s appointments so the physician can see exactly what medications they are taking. This can also help to make sure they are not taking too many medications that are supposed to treat the same things. One goal is to have all the patient’s active medications recorded in the EMR (Vejar 74). Improving the rates of medication documentation provided safer and higher quality of care for patients. Some of the most effective outcomes for teaching patients about their medications were found to be reminder notes in the exam rooms talking about how medications react differently when mixed with other medications. Not only is polypharmacy a safety issue, but it is also an example of quality improvement and patient-centered care (Vejar

Polypharmacy is the use of many different drugs concurrently in treating patient who often has several health problems. The growing geriatric population consumes the largest proportion of all medication than of other population groups. In Canada alone, one in three older adults takes more than 8 different drugs each day, and some take as many as 15 or more (Lilley, 2011). Polypharmacy can lead to what is known as the “prescribing cascade”, in which older adults develop adverse effects from one or more of the medications taken and the health care provider then prescribe another drug. The risk for drug interactions, adverse effects, and hospitalization is far greater in this situation. Acknowledging polypharmacy in a patients and

Elderly patients that take several medications compound the risk of developing an adverse drug reaction. Not only does the aging process have an effect on how elderly bodies process medication, but elderly people take more medications than their younger counterparts. According to Conry (2005), the elderly patient takes an average of 5 prescription medications and two non-prescription medications (Conry, 2005). While medications are frequently necessary to enhance the quality of life of the elderly, non-pharmacologic methods should be used whenever possible. Healthcare providers need to understand how aging impacts the body’s response to medications, which drugs pose more risk to

Polypharmacy is primarily defined as the concurrent use of five or more medications by a patient, and is widely seen in older adults. The frequency of polypharmacy in elderly patients likely reflects the necessity to treat acute ailments, chronic disease states and co-morbid conditions. While the use of combination drug therapy is often necessary, the combination of aging, inappropriate prescribing and polypharmacy can result in significant adverse events, drug-drug interactions, increased fall risk and hospitalizations. Studies indicate that approximately 50% of elderly patients are prescribed medications with no clinical benefit or indication.[1]Geriatric patents are more susceptible to adverse drug events due to physiological changes, therefore it is imperative to understand..

Deglin, J.H., & Vallerand, A.H. (2005). Davi’s Drug Guide for Nurses 9th Edition. Philadelphia, PA: F.A. Davis Company.

Other side effects include cloudy urine, proteinuria, irregular heartbeats, and chest pain. Angioedema involving the extremities, face, lips, mucous membranes, tongue, glottis or larynx has been seen in patients treated with ACE inhibitors, including captopril (Capoten, 2014). If these effects happen nurses should be ready to administer epinephrine to reduce swelling. Other adverse effect according to Karch (2014) include, “CV: Tachycardia, angina pectoris, heart failure, MI, Raynouds syndrome, hypotension in salt-or volume depleted patients.”