Final Project- Pharmacology Essay

The author read Mrs. X’s medical notes prior to their initial consultation to afford herself the knowledge she required should she need to prescribe for her when fully qualified. It was evident from reading her medical notes that there were a few considerations to take note of before commencing any treatment, such as her medical history, drug history and allergies. Her past medical history consisted of Type 2 diabetes mellitus, which was diet controlled, hypertension, hypercholesterolaemia, neuropathy, rheumatoid arthritis and raynauds syndrome.

| 1. Fluticasone/salmeterol(Advair) diskus 1 puff every12 hours2. Albuterol (Ventolin) MDI2 puffs every 4 hours prn3. Lisinopril (Prinivil) 10 mg po daily4. Gemfribrozil (Lopid) 600mg po bid5. Diazepam (Valium) 2.5 mg po every 6 hours asneeded6. Triamterene-HCTZ (Dyazide) 1 tab daily

This discussion question is based on a case study. As in all case studies, review the facts of the case and consider the various steps of the nursing process in order to address the critical thinking questions.

Causes of hypersensitivity are unclear, but are possibly attributed to paclitaxel itself (via a non-IgE mechanism) or its excipient Cremophor EL via potential complement activation2. Premedication with dexamethasone, diphenhydramine, and a histamine h2 antagonist can reduce the incidence of such hypersensitivity reactions, but they are not entirely preventative. Boulanger et al3 reported the overall incidence of hypersensitivity reactions varied between 8-45%, where minor reactions occurred in 40% of patients and severe reactions occurred in 1.3% of patients. Such reactions predominantly occurred within the first minutes of infusion and mostly during the first or second infusion. In this study3, hypersensitivity reaction grades were determined utilizing the U.S. National Cancer Institute Grading System. In response to a hypersensitivity reaction, medications such as antihistamines, corticosteroids, epinephrine, bronchodilators, or oxygen can be used to alleviate symptoms3. After resolution of symptoms, paclitaxel can be

This report is Part 1 of assignment for Marketing MBA 565-MBOL1 to Dr. Stephen Baglione

Methaqualone, is also referred to as Disco Biscuits, Down And Dirties, Jekyll-and-Hyde, Joe Fridays, Lemmon 714, Lemons, Lennon's, Lovers, Ludes, Mandies, Mandrake, Q, Qua, Quack, Quad, Quaaludes, Soaper, Supper, Vitamin Q, The Love Drug, Wallbangers, Whore Pills, and Sopor. This list of street names for the drug goes on and on.

Adult: 60-120 mg daily in two-three divided doses. Child (2 years): 7.5 mg two times a day; (2-5 years): 7.5 mg 2 or 3 times a day; (6-12 years): 15mg 2 or 3 times a day.

Social History: Marital status? What does she do for a living? Does the patient drink alcohol or smoke? Does the patient do illicit drugs? Is the patient have any type of stress? How does the patient cope with

My assigned resident for next week is 78- year- old woman. Tricyclic Antidepressant are medicine use to treat mental depression, and this resident is allergic to Tricyclic Antidepressant. She was diagnose with unspecified dementia, which means the symptoms of dementia exists but the cause is unknown. The resident was also diagnosis with cognitive heart failure, which is a weakness of heart meaning that the heart is unable to pump blood normally. Which result of not having enough blood flow to provide the body's organs with oxygen and nutrients. The resident is also diagnosis with diverticular disease of the large intestine. Moreover, resident has anaemia without obstruction. The resident also suffers from Osteoporosis, which is a disorder of thinning of the bones. However, Osteoporosis increase the chance of fractures due to the loss of calcium and other mineral components. Part of the treatment of Osteoporosis

Benadryl 10mg per day as needed. Patient states she does not have any allergies to any

Symptoms and medical history. You will be asked about your symptoms, lifestyle, diet, and any medicines that you may be taking.

In fact, I just thought you would like to know that I applied at Oakland campus for the two missing courses, including pharmacology and pathophysiology.

Janet’s general feeling about her medication regime is that she has made it easy by taking all her medications once daily and with her breakfast. She states she is compliant with her medication regime because without her medication her autoimmune hepatitis would advance and be fatal. She states the cost of her medications are reasonable and affordable for her now due to her having Medicare and supplemental insurance. Janet feels she is knowledgeable about her medications. She reads the pamphlets form the pharmacy and has thoroughly researched her medications on line and in drug manuals at the library. Janet feels she is knowledgeable about the side effects and safety concerns and that she is subject to an increased risk of infection and avoids crowds. She is also aware of the increased risk of cancer with Imuran and increased risk of bleeding with the aspirin. She has a liver ultrasound every six months to monitor the progression of the autoimmune hepatitis and cirrhosis and CBC and Liver Function tests monitored every 3 months. She also has an annual Upper Endoscopy to monitor esophageal varices and bleeding risk. Her physician feels the benefit outweighs the risk for taking a daily aspirin due to her stroke history.

Brian takes routine medications for the following conditions; vitamin supplement, eczema, skin irritations, gastric reflux, and seasonal allergies. Previously, Brian made attempts to exert control during medication administration time (usually in the evenings) by ignoring staff request to come and take his medications. He has shown progress by taking bedtime medications when asked by staff. Brian has prescription for Epipen for anaphylaxis. Once or twice a year over the previous three years, Brian has had allergic reactions where his hands and feet start to tingle and itch, skin reactions, mild swelling in mouth area. He was transported to emergency room each time as a precaution and was better after observation. Tests done by allergy specialists

Please read the following case studies and answer the questions which follow them. The questions may have several right answers; I am looking to see if you have put some thought into the assignment and that you give accurate information in your responses. Please email your answers to me by June 24. If you have any questions about this assignment, please email me before June 24.