Pharmacodynamic And Peptic Case Study

As a pharmacist I could calmly and as kindly as possible explain that because the prescription is a controlled medication I would not be able to give them a few days emergency supply. I would recommend that they visit the closest urgent care facility to acquire this prescription.

HISTORY OF PRESENT ILLNESS: This patient is a 57-year-old Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis as an outpatient for many years. Approximately 2 weeks ago she developed a respiratory infection, for which she received antibiotics, and completed that course of antibiotics. She developed some ulcerations of her mouth and was instructed to

The patient was admitted to the hospital by her daughter after discovering that she had abandoned her medication and was significantly experiencing adverse effects from the withdrawal. The patients’ medical history included renal dysfunction, anemia, malnourishment, back pain, and a family history of mental health. The patient has a psychiatric history of being previously placed in the same clinical structure eight months ago due to related issues including the failure to take her medication and increased levels of mental health conditions that led

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

The dosage was to high for the patient because the chart started going over the regular normal level

Outcome 1 – Understand the legislative framework for the use of medication in social care settings.

Patients with long-term, chronic illnesses like Mr. Davis’s, care can be very costly, especially when the patient is unable to maintain routine medical care or visits and medications. Without routine medical care and maintenance medications, patients like Mr. Davis tend to have more frequent emergency room visits and hospitalizations; increasing costs for state and local government as well as tax payers. Though Mr. Davis is able to receive care during an emergency room visit, the providers are not fully aware of his health history and are only able to provide a temporary fix of his symptoms and not address his health care needs.

patient. Mrs. Zwick will also have to pay a percentage of her prescription drug costs or a flat fee

The Spirit Catches You and You Fall Down: A Hmong child, Her American Doctors, and the Collision of Two Cultures written by Anne Fadmin writes “As William Osler once said – or is said to have said – ‘Ask not what disease the person has, but rather what person the disease has” (p. 275). This statement has significant meaning throughout this book especially when it came to the story of Lia. Lia was a young Hmong girl who suffered from Epilepsy. Due the Hmong culture playing a significant role in Lia's care, it caused communication barriers between Lia's parents and the health care professionals dealing this family that led to heartbreaking decisions.

requirement on the medication, and since we haven’t purchased the drug through Humana to this

the care of the patient is better served at another facility that can provide certain services

Improve the safety of using medications. The findings were that often medication error were made because medications and other solutions were removed from their original

He tells her that she believes that the patient has two issues on hand. The first being that the he has been taking too much Acetaminophen and the second the Oxycodone in the Percocet and the high amounts of Diphenhydramine Hcl in his sinus medication is causing increased sedation. According to www.fda.gov the recommended amount of Acetaminophen in 24 hrs is not more that 4000mg or 4 grams. (Use a conversion factor) Taking more that this has been linked to liver disease, which could be the reason for the yellow skin color. Jt has been taking 325mg of Acetaminophen in his Percocet every 4 hrs as well as 650mg of Acetaminophen in his Equate allergy. In combination this places his Acetaminophen dosage at 5,850mg a day which is 1,850mg over the recommended maximum dose. Jt has also been taking 50mg of Diphenhydramine or Benadryl every 4 hrs as well as the narcotic Oxycodone in the Percocet. Both medications are known to make people sleeping, but in combination there will be as increased risk of sedation. While the doctor waits for the lab results he has the staff start and IV and infuses Normal Saline 1000ml over 1 hrs to help dilute the medication in his

Many patients are finding it more difficult to afford their prescription medications. Comparing health care expenditures in the United States, prescription drug costs rank third compared to hospital expenses and physician services (Omojasola, Hernandez, Sansgiry, & Jones, 2012, p. 479). The rising cost of prescription drugs is concerning to many patients. “The high out-of-pocket prescription drug cost is associated with medication non-adherence and adverse health outcomes” Omojasola, et al., 2012, p. 480).

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