A 70-year-old patient with Alzheimer's disease presents with mild cognitive impairment (MMSE score of 23). The patient has been taking donepezil but experiences gastrointestinal side effects, including nausea and vomiting. The patient is also on beta-blockers for hypertension. Should the patient be switched to Exelon Patch or Exelon Capsules? What are the possible adverse effects of the selected medication? Please answer at your own easy words. Answer should be to the point (Specific). Don't use AI answering this question!
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A 70-year-old patient with Alzheimer's disease presents with mild cognitive impairment (MMSE score of 23). The patient has been taking donepezil but experiences gastrointestinal side effects, including nausea and vomiting. The patient is also on beta-blockers for hypertension. Should the patient be switched to Exelon Patch or Exelon Capsules? What are the possible adverse effects of the selected medication?
Please answer at your own easy words. Answer should be to the point (Specific).
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- A 70-year-old patient with Alzheimer's disease presents with mild cognitive impairment (MMSE score of 23). The patient has been taking donepezil but experiences gastrointestinal side effects, including nausea and vomiting. The patient is also on beta-blockers for hypertension. Should the patient be switched to Exelon Patch or Exelon Capsules? What are the possible adverse effects of the selected medication? Please answer at your own easy words. Answer should be to the point (Specific).This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases1. This patient is complaining that her gums are getting larger and are starting to grow over her teeth.What might be causing this?This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastasesWhat is the mechanism of action of sertraline and the common side effects?
- This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases2. The physical therapist comes to you the next afternoon & states that he is unable to arouse thepatient for therapy. You enter the room and discover that the patient has been chewing on an oldfentanyl patch. She has probably overdosed. What medication can be given to this patient?This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases1. This patient is complaining that her gums are getting larger and are starting to grow over her teeth.What might be causing this?2. The physical therapist comes to you the next afternoon & states that he is unable to arouse thepatient for therapy. You enter the room and discover that the patient has been chewing on an oldfentanyl patch. She has probably overdosed. What medication can be given to this patient?3. What are common side effects of fentanyl? How should they be…This patient is a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases The patient started to hallucinate and became combative with the staff. Her physician ordered 5mg ofhaloperidol to be given IM. Later that day the patient came to the nursing station complaining ofsevere spams in her neck and back. What is his happening to her and what is causing it?symptoms?
- Mr. KB is a 56-year-old patient with 3 years history of diabetes mellitus. He is currently receiving glibenclamide. His BP during the present visit is 130/85 mm Hg and PR is 82 bpm. Clinician is planning of starting low dose aspirin in the patient. Junior specialist in Department of Medicine would like to know regarding the latest recommendation on the use of aspirin in patients with Diabetes Mellitus? Whether Mr. KB requires low dose aspirin?A 78-year-old patient with Alzheimer's disease presents with moderate cognitive impairment (MMSE score of 15). The patient has been prescribed memantine. The patient has a history of urinary tract infections (UTIs) and frequently takes antacids to manage occasional heartburn. Should memantine be continued, or should an alternative treatment be considered? Please answer at your own easy words. Answer should be to the point (Specific).OXYTOCIN MEDICATION IN EACH CATEGORY OF DRUGS AND APPLY THE 10 R’S TO MEDICATION Fill out all the the blanks in the table below. CATEGORY 1 : DRUGS USED FOR OB PATIENTS : OXYTOCIN 10 R’s TO MEDICATION BRIEF DISCUSSION OF EACH OF THE 10R’s TO MEDICATION APPLICATION (BASED ON THE DRUG YOU CHOOSE) 1. RIGHT DRUG (OXYTOCIN) 2. RIGHT DOSE 3. RIGHT TIME 4. RIGHT ROUTE 5. RIGHT PATIENT 6. RIGHT TO EDUCATE 7. RIGHT TO REFUSE 8. RIGHT ASSESSMENT 9. RIGHT EVALUATION 10. RIGHT DOCUMENTATION
- Cite reference page(s) from the Rosdahl textbook. Submit responses here. Mr. Weatherman has been admitted to your extended care facility. He is an 89-year-old male with a diagnosis of metastatic cancer of the brain. He has been cared for at home until the primary caregiver also became ill. Currently he is semicomatose. His advanced directive specifies no feeding tube, no intravenous fluids, and no cardiopulmonary resuscitation. Upon admission, you note several areas of skin breakdown. (Learning Objectives 2, 3, 4, 6) What factors placedMr. Weatherman at greater risk for skin breakdown? What should be included in the nursing care plan for Mr. Weatherman to prevent further skin breakdown? Describe the wound healing of a pressure ulcer.According to the general guidelines for recording patient's information, only one of the following documentations is written correctly: O a. 2/5/2021 7:35 am Patient refused to take his medication (Paracetamol) and stated, "this tablet is large will not be able to swallow it", Dr. Osama Omar was informed. S. Ali RN O b. 2/5/2021 Patient complained of severe headache (severity 8/10). Paraketamola PO 500 milligram was given after informing the physician. S. Ali RN O c. 2/5/2021 9:45 pm Patient was given Paracetamol PO 500 milligram. The patient complained of severe headache (severity 7/10) after discussing her son's divorce earlier in the afternoon. S. Ali RN O d. 2/5/2021 8:00 am Patient complained of pain in his right upper arm, a large bruise was found, and the physician was informed. S. Ali RNWhat are the patient teaching for these scenarios - Susan, age 82 years, who takes furosemide daily as part of her treatment for heart failure. She complains of dizziness upon standing.- Eden, age 64 years, who has diabetes and is now taking metolazone for hypertension.- Kevin, who is taking metolazone (Zaroxolyn) for his essential hypertension. He’s also taking digoxin and is allergic to trimethoprim– sulfamethoxazole (Bactrim).- Wilma, who is worried about losing potassium while taking bumetanide. She asks you about ways to increase her intake of potassium and what signs to look for if her potassium “goes too low.”- Micha, who has a cerebral bleed: the indications, safety precautions (filter, crystallization), and expected outcome of receiving mannitol.