There is some missing information from her medication history regarding her compliance. It would be helpful to know her drugs allergy (if she has them), her baseline blood pressure, and average blood glucose level before breakfast, lunch, and dinnertime to confirm that 32 units of NPH insulin is sufficient to keep her blood glucose level within normal limit. Since she mentioned that she really does not like those shots (I assume it is about insulin), there is a concern if she is compliant. She also mentioned that she sometimes runs out of her asthma medications, and she states she doesn’t always take the medications every day. The question arises if she takes Albuterol more often than four times a day because she has difficulty of breathing due to continuous cigarettes smoking, or she does not refill on time to continue treatment uninterrupted, and what is the reason behind? We also do not know if she space her eye drops between each kind about 10 minutes apart as recommended? There is also concern if she supposed to take her Timolol ophthalmic, since it is not …show more content…
Age-related physiological changes in the gastrointestinal (GI) tract include decrease in GI motility and intestinal blood flows, elevated gastric pH, delayed gastric emptying, and decrease the absorptive surface area. What it means? The reduced secretion of gastric acid can reduce solubility of basic drugs. The delay in gastric emptying allows for a longer contact with the lining of the stomach and medication like ibuprofen or other NSAIDs can potentially harm the stomach. Increased concentrations of NSAIDs have been associated with a higher incidence of gastric bleeding from peptic ulcers (Miller, 2012). Delay in emptying can also increase absorption of poorly soluble
According to the member’s insurance plan, the preferred short-acting insulin analog of choice is Humalog. They note that Novolog is covered if “the member has had previous treatment, contraindication, or intolerance to Humalog.” It further states that this needs to be documented by filling out a specific form. Per the records submitted, no such documentation of “previous treatment, contraindication, or intolerance to Humalog” had been
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.
In an emergency situation, why is a drug most commonly delivered via injection versus an oral route?
She has also been taking Minocin for rosacea, 50 mg twice weekly. She has been on higher doses of Tetracycline in the past with out problem.
For adults and children 12 years of age and older, the recommended dosage is 0.63 mg three times daily, given every 6 to 8 hours (maximum 1.25 mg three times a day).
Changes due to the aging process also need to be addressed. Calcium reabsorption increases especially in women after the menopause, this decreases bone density. Lean tissue decreases as fat increases with age; there is also a decline in the percentage of body water meaning that body temperature is more difficult to control. Thirst decline and decreased renal function means that older people can become dehydrated (Copeman 1999). The function of the bowel reduces, meaning that the elderly are more susceptible to indigestion and constipation. The risk of constipation is also increased with Parkinson’s disease (Parkinson’s UK 2011). The final consideration is the deterioration of the sensory system. Taste, smell, vison, pain and touch all decline meaning that food may not be as appealing (Copeman 1999).
First, the medical assistant should convert the doctor’s prescription into layman’s terms for Doris. Medication A is two teaspoons by mouth every four hours. Medication B is 2.5 milliliters by mouth three times daily (Fulcher, Fulcher, & Soto, 2012, p. 1b). Doris should be cautious of confusing her medication dosages as that could lead to possible overdose. If Doris is afraid of mixing her medications, the medical assistant should convert to the unit that Doris is more comfortable with. For example, if Doris prefers milliliters, she should take around 9.8 milliliters of medication A. Alternatively, medication B could be taken at .5 teaspoons (Fulcher, Fulcher, & Soto, 2012, p. 131). Patients taking multiple medications should have a medication
Further, Mrs. Freel has Type 2 Diabetes, however, she has not taken her medicine within the past 24 hours. This has affected her endocrine system, leading to her experiencing elevated blood sugar
The Alabama Counterdrug Program supports federal, state and local law enforcement agencies in a multi-front battle against drugs and drug-related violence. The program provides high-quality military personnel and equipment to support agencies throughout the state at no cost who provide analytical, operational, and technical case support.
If you're not familiar with asthma, asthma is a type of breathing problem, this condition is where your airways become narrowed and start to swell, doing so, you produce extra mucus which can make breathing difficult, this could trigger coughing, wheezing, and shortness in your breath. That is why people have inhalers, the inhalers have a type of medication that sprays out as a mist, the mist is called Albuterol Sulfate. What Albuterol Sulfate does, is opens up your airways to help you be able to breathe a lot better. To use the inhaler you shake it up very well and take two hits of it.
as far as weight loss is concerned, the simpler you make it the easier you will achieve you will be able to your goals. You can start by brisk walking and combine this with the right eating plan. Soon you will realise that you are on your way to get rid of unwanted pounds. However it is advised to stay away from prohibited use of Clenbuterol. Whenever you take a health supplement it is advised to consult with your physical instructor about its usage.
Warnings/Precaution: Excessive use of Albuterol can cause Paradoxical bronchospasm and this can be a fatal reaction. Use with caution in diabetes mellitus patient; beta2-agonist may increase serum glucose and worsen preexisting
Physiologic effects of the aging process change the way the body processes drugs. Pharmacokinetics and pharmacodynamics are both influenced by the aging process. Pharmacokinetics involves how the body interacts with the drug, and pharmacodynamics describes the effect of the drug on the body (Adams, Holland Jr., & Urban, 2011).
Adverse drug events are hard to predict because every patient has an individual situation where different accommodations are required. It will take 12 months for an informational pamphlet to be made and for pre intervention to take place. Professionals will educate patients on their illness and what they are able to do for themselves. Patients are able to take care of themselves if they are more knowledgeable about lifestyle changes and necessary medications (Bigelow 2005). The actual time where patients and medical professionals will change their actions regarding medicine changes and increasing staff will take about 24 months. Post intervention will take another 12 months and during this period, surveys and follow ups will happen to prevent
The absorption of drugs differ in the elderly than they do in adults. Absorption primary occurs in the gastrointestinal system. The pH in the gastro intestinal system is higher because of the reduction in acid production in the stomach. Emptying is also decreased; this does not allow the drug to move on further into the system to be absorbed. Blood flow to the gastrointestinal system is reduced by 40-50% because of the decrease in cardiac output and decreased perfusion. The reduction of blood flow causes the villi in the stomach lining to become blunt and flattened. The reduction in blood flow and surface area results in the decreased absorption of drugs. (Lilley, Collins, and Snyder