Health Pharmacology Case Studies

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.

As the brand manager for Allround cold medicine, there were many decisions regarding product formulation, strategy, line extensions and product launches over the company’s last 10 periods. The brand was focused on remaining a profitable, mature product family within the cold medicine category, but also maintaining a premium brand image.

* Origin of Drug: Dutch word droog meaning dry for dried herbs and plants that were the 1st medicine.

Mr. and Mrs. Lawson brought their 4-year-old adopted daughter, Clara, to see Dr. Mason, a psychiatrist. Clara was polite in greeting Dr. Mason, but did not smile and kept her gaze down as she took a seat. Mr. and Mrs. Lawson sat next to Clara and began explaining their concerns. They described Clara as a quiet child who has recently begun throwing temper tantrums, during which she is inconsolable. Her sleep and eating patterns have changed, and she no longer wants to go to preschool.

Abuse is a pattern of substance use that results in negative consequences and impairment (Bukstein and Nquyen). Misuse is the use for a purpose not consistent with medical guidelines or without a prescription for the individual using the medication (Bukstein and Nquyen). Abuse of prescription opioids has been cited as the fastest growing drug problem in the United States, and has surpassed the use of cocaine and heroin combined as a cause of mortality (Singhal ). In 2013 alone, nearly two million Americans abused prescription opioids and 16,235 deaths were caused by prescription opioids representing almost a fourfold increase since 1999 (Singhal ). Two million people reported using

The patient is a 76-year-old Hispanic gentleman brought to the ED by his wife because the patient has been anxious for 2 weeks and now unable to sleep much of the night. He denies any chest pain but has had on-and-off palpitations that seemed not to be related to activity or a particular time of day. He denies any shortness of breath, lightheadedness or loss of consciousness. He had two episodes of syncope three years ago. He was diagnosed with having an MI. He was at that time treated at St. Mary's Hospital in Passaic and underwent cardiac catheterization and he has had some stenting done to his coronary arteries. He saw his PMD approximately a week ago who prescribed some sleeping medicine and neurology consult which the patient has

Chloe suffers from immediate effects, such as behavioural changes, likewise she has had changes with sleeping, and therefore she is hyper active

Action: CSP and MHS discussed changes in daily schedule because of Ayden’s surgery and foster brother’s surgery. Ayden has medical appointments during the week foster brother’s plan recovery from heart surgery. Ayden has upcoming appointments to replace his feeding tube, pulmonologist and pre-op for ear surgery on 11-23-15. CSP encouraged the MHS to continue the great work getting the children to all medical and DSS appointments. There are no family visits scheduled with bio-parents. Ayden continues to respond to the school staff and his motor skills are improving.

Apart from having low blood pressure towards the end of her pregnancy, Tori’s mother had a normal pregnancy. However, Tori’s clavicle was broken during child birth. Tori’s mother reported that the majority of Tori’s developmental milestones were delayed. At the age of four, Tori was diagnosed with Autism. However, a psychoeducation evaluation in second grade indicated she no longer met diagnostic criteria for Autism, and she was diagnosed with ADHD. Tori was also diagnosed with major depressive disorder in August of 2018. She currently takes medication for ADHD and depression.

The Parker Lee Project is an organization in Ennis, Texas that is dedicated to help families with special needs children's to obtain medical supplies and equipment that they need. They also provide educational resources for families and provide emotional support for families struggling to care for their special child. This agency helps the clients obtain medical supplies that are not covered through insurance. They help the client maintain their health and independence by getting supplies that are consider “luxury” but are actually essential for the well being of the child. This agency also helps the parents of the child with education resources such as help to find agencies to help their child and finding the therapies that are needed.

She did not greet the examiners upon initial meeting in the waiting room, which could be attributed the language barrier, as she was greeted in English. Wismely exhibited a crouched gait while walking to the evaluation room. She was alert, exhibited use of flexible eye gaze, and was cooperative during the evaluation and participated in feedings. Aversive reaction (i.e., crying, moving face) was noted during the oral-motor examination, especially when attempting to elicit a gag reflex. Wismely spoke in Spanish and answered simple yes/no questions and labeled food presented to her. Moreover, she was observed to suck her finger and place her bracelet in her

They showed signs of issuing one medicine in double doses or not administrating the medication at all. (Fadiman, Chapter 5 page 58). It was Foua who was the primary issue and Neil was aggravated with the disorderly conduct from Foua. Then again, regardless of how disappointed the doctors felt, they never gave up of Lia's case. By May 1, 1985, it was clear that the Lees were presently declining the Tegretol and they even halted the Phenobarbital. Neil felt he had no way out and reported Lia's case to the Health Department and Child Protective Services. Neil recommended that Lia be put in a foster home so that Lia could receive her medication properly and on a consistent basis. The Superior Court of the State of California instantly followed up on his appeal and announced that Lia ought to be expelled from the care of her parents. (Fadiman, Chapter 5 page

It is my greatest pleasure to take this opportunity to recommend Daliana Alcantara AAMC ID: 13246303. I have had the honor of worked with Dr. Alcantara when she was volunteering at the pediatric department of my hometown hospital. We were glad to receive the assistance of a doctor like Alcantara. She is fulfilled with integrity, humanism and excellent interpersonal relationships. She is a high energy individual, committed to her patient’s well-being, with a strong understanding of clinical knowledge and great capacity of integrating and making diagnosis combine with a natural leadership ability.

Elizabeth is taking many medications at once. She is experiencing blurred vision, orthostatic hypotension, and dizziness. Since she's always sucking on hard candies, this it is safe to say she has dry mouth also. What Elizabeth is experiencing are anticholinergic effects from one of her medications, or a drug interaction from them. There are also many other problems with the medications Elizabeth is taking.