The reporting party (RP) stated her 94 year old mother Connie Pineira DOB: 1/20/22 is a resident of the facility. Subsequently the resident in independent requires little or no assistance. The resident resides in her own room and uses a walker for mobility. According to the RP the resident is able to keep and self-administer her medications. Consequently the resident's medication Lorazepam (Ativan) is constantly being stolen. The RP disclosed the medication is prescribed for agitation and anxiety. On one occasion the medication went missing and the RP and 2 other friends searched the entire room and were unable to locate the medication. Walking into the front office the RP informed the administrator she was going to contact the local Police…
used in patients with symptoms of heart failure. They commonly cause peripheral edema and weight…
Greg Wilson, a 65-year-old man, is diagnosed with pneumonia. He has a history of congestive heart failure. His physician has ordered an antibiotic for the pneumonia and he takes digoxin every day.…
4: the high blood pressure and heart rate would contribute to a potential heart attack. The combination of lasix N…
Hi Tamela, great post. You made great points on the different questions we need to ask the patient. I agree with you that she might be experiencing the side effects of the medication. There are times that the patient just take the medication as ordered by the physician but don’t know about the side effects. It is indeed important to educate our patients regarding the possible side effects, drug-drug interactions, herbal-drug interactions, or food-drug interactions. Due to S.P.’s history of MI, it is important that her hypertension and hyperlipidemia be manage properly to prevent recurrent…
The patient has no family history of heart disease or diabetes, however both her parents are on medication for high blood pressure. Her paternal grandmother died of breast cancer at age 47. Her maternal grandmother suffers from severe osteoporosis and her mother is taking prescription medications to slow bone loss.…
Lisinopril is an ACE inhibitor that treats high blood pressure and heart failure. Patient could be taking lisinopril in tandem with nifedipine to manage his hypertension and Coronary Artery Disease.…
Prostacyclin is used in the body to prevent blood cells from clumping and dilates the blood vessels. Thromboxane has the opposite affect and causes the blood to clump together and will constrict the blood vessels. COX-2 inhibitors will only block prostacyclin. This can cause a shift in balance that will favor thromboxane and cause an increase in blood clots. What makes Vioxx mare harmful than other COX-2 inhibitors is the fact that it has one of the longest half-lives and will highly target COX-2. These two factors may be the cause to the cardiovascular problems.…
describe the effect that pilocarpine had on the heart and why it had this effect…
Calcium channel blockers may work better for older people and African-Americans than do ACE inhibitors alone. Renin inhibitors slow down the production of renin, an enzyme produced by your kidneys that starts a chain of chemical steps that increases BP. There a risk of serious complications, including stroke, if taking renin inhibitors with ACE inhibitors or ARBs. If taking at least three different types of high BP drugs does not work you may have resistant HTN. People who have controlled high BP but are taking four different types of medications at the same time to achieve that control also are considered to have resistant HTN. Having resistant HTN means that you may have to fine-tune your medications to come up with the most effective combination and doses. Beyond medications, lifestyle changes can also help lower BP. These include: eating a healthier diet with less salt, exercising regularly, quitting smoking, limiting alcohol intake, and maintaining a healthy weight or losing weight if you're overweight or obese. To help treat high BP, health care providers recommend that you limit sodium and salt intake, increase potassium, and eat foods that are heart…
Clopidogrel is an antiplatelet agent and it belongs to the drug class of thienopyridines. It is used in the secondary prevention of atherosclerotic events in patients who have recently had a myocardial infarction, stroke, or have established peripheral arterial disease. It is also used in patients presenting with acute coronary syndrome, including patients with unstable angina who are to be managed medically or managed with coronary revascularization, such as the placement of an intracoronary stent.Clopidogrel administered as a pro-drug is largely (~85%)…
References: Cutting,K. White,R. Edmunds,M. (2007) The safety and efficacy of dressings with silver- addressing clinical concerns. International Wound Journal.4 p.177-184…
It is common practice in a hospital setting as well as in an outpatient basis for physicians to prescribe an antiemetic medication to patients experiencing nausea. The favorite drug of choice is Boise, an anti-nausea medication produced by Essie Pharmaceuticals. Unfortunately, it was recently discovered that Boise has been associated with potential life threatening cardiac dysrhythmias in patients with compromised cardiac function. This side effect was recently brought to light by postoperative patients who had received this medication after a surgery, but also by a significant public figure that experienced negative side effects from this medication, and publically announced his concern. Over the past several weeks Essie Pharmaceuticals has been scrutinized by the media for the negative effects Boise poses on vulnerable patients that receive this medication. Essie Pharmaceutical’s communication coordinator has been assigned the task of addressing the unlabeled side effects of this medication to healthcare professionals, the media, as well as the general public. Our immediate goal is to investigate and educate the public about the risks and unlabeled adverse effects associated with the antiemetic drug Boise. Essie Pharmaceutical prides themselves on having patient safety their number one priority, and is committed to resolve the issue.…
Hello sir, the doctor wanted me to come in and talk to you for a minute. I understand that u have just been diagnosed with hypertension. I want to make sure you understand what that is and what goes along with it. Hypertension is just our fancy word for high blood pressure. Blood pressure is the amount of pressure that your blood is putting on the walls of your arteries. Now most people don’t even realize they have high blood pressure because more often than not, there are no signs or symptoms going along with it. Now, when checking your blood pressure we put on the blood pressure cuff and then we listen for your heart beat. There are two stages we get, one is as we release the pressure of the cuff, at a certain pressure we will hear your heart beat, and we record the pressure level, and that’s called systolic. As the pressure continues to be released, we can no longer hear your heart beat, and we record that pressure level, and that’s called diastolic. Normal blood pressure is about 120 over 80 or 120 systolic and 80 diastolic. Now there is something going on that either your body is unable to tell your brain that there is a problem here and your blood pressure is too high OR your body is just unable to control it on its own, so a medication will be used to help correct the problem. So what happens if you don’t take your medicine and you let this go untreated? Well, nothing good. Your high blood pressure can lead to heart attack, stroke, aneurysm (you get a bulge in your arteries and it blows up like a balloon), heart failure, vision loss, kidney could shut down, and the list goes on.…
Within this assignment it is intended to present an example of a prescribing situation that arose in practice, to ensure prescribing issues are illustrated. The rationale for the decisions reached will also be discussed. A brief overview of the nurse prescribing initiative and how it developed will be addressed. The importance of ethical principles, accountability and legal issues that surround nurse prescribing will be demonstrated. As a patient will be addressed in the example, a pseudonym will be used.…