Pharmacology Mediation Assignment

Pharmacology Mediation Assignment

· The purpose of this assignment is to develop a working knowledge of medications and practice research skills utilizing your drug book/textbook and other resources, such as the (E)CPS and the internet/medical dictionary to look up terms and also to make drug cards as evidence of this research.

· To apply knowledge and critical thinking skills from your research through a case study scenario.

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· You must also include a reference list and write your answers in APA format which includes title page, double spaced and reference page. Include your Rubric with the assignment.  Present answers in a table format that is clear and concise. ( see attached tables)

Drug Research Assignment

 

 

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Case Study

Mary is an 87 year old woman who has been living alone in her home since her husband died 10 years ago.  She had a fall and broke her wrist and is no longer able to safely care for herself at home.  She is being transferred to a care home from the hospital.  The LPN must ensure that pertinent information is obtained to ensure that Mary is given the best care possible.  The doctor provides the current list of medications as well as a summary of her medical history.

Mary’s current conditions include hypertension, Chronic Obstructive Pulmonary Disease (emphysema) from years of smoking,osteoarthritisand shehaspatches of eczemaon her lower legs and arms.  While being treated for her fractured wrist, she received narcotics that caused her to be constipated and in addition she was diagnosed withAlzheimer’s disease.

Mary’s medication list:  8 medications

betamethosone 0.1% cream BID to affected areas                                                                                acetaminophen 650mg po q4-6h prn                                                                                                                                  colace 100mg po BID prn                                                                                                                        hydrochlorothiazide 25 mg po daily at 0800                                                                                                                        metoprolol 50mg poBID                                                                                                                                                                Aricept  (donepezil) 5 mg po daily at HS                                                                                                                                                  ventolin (salbutamol) inhaler(MDI) 2 puffs BID and Q4H prn                                        flovent ( fluticasone) inhaler(MDI) 1 puff BID

 

 

 

  1. ( Includes 2 Questions ) Total: ______/30

Answer the following questions using the information provided in the case study about Mary.

 use the chart on MOODLE to organize your research for the first 2 questions

 

  1. Describe each of Mary’s (5) health problems that are highlighted in the scenario by explaining the pathophysiology of the condition, causesand the signs and symptoms that would be seen clinically as a result of each condition. (3 marks for each condition)

 

  1. State what medication Mary is taking for each condition highlighted in the scenario and explain why she is taking it.Be sure to show the link between how the condition affects the body and how the drug works to relieve the symptoms. (3 marks for each condition)

 B: (Includes 9 questions)           Total: ________/45Answer the following questions using the case study about Mary as a guide.

  1. For each drug listed for Mary, use a table toshow the classification, the safe dosage range including maximum daily dose and special considerations for disease and age. Indicate if the prescribed dose for Mary is within the safe dosage range for her. (16 marks)

Use chart provided

 

  1. Describe the actions you would take as an LPN if the medications that were ordered were not in the safe dosage range.(2 marks)

 

  1. For each of the following medications, describe the desired effect that the LPN would expect to see after giving the medication to Mary. State also how long after administration of the drug that the effects can be expected. Ventolin puffer, hydrochlorothiazide, acetaminophen, betamethasone cream, Aricept.(10 marks)

 

  1. Why does Mary have two inhalers prescribed? In which order would you administer the inhalers and why?(3 marks)

 

  1. While providing mouth care, Mary was found to have a white plaque coating on her tongue and cheeks that does not come off with brushing her teeth. What would be the cause for this change in her mouth and why? What can you do to prevent this? (2 marks)

 

  1. Prior to giving Mary her daily hydrochlorothiazide and metroprolol what assessments would the LPN performfor each drug? (What is the nurse looking for?)(4 marks)

 

  1. With information obtained from the case study, the medication list and knowledge about betamethasone cream, describe the assessments prior to application, procedure you would use to apply the cream. Where and when would this cream be administered to Mary?  (3 marks)

 

  1. What will you assess Mary for to ensure that the acetaminophen is effective for her condition? When will you perform this assessment? (2 marks)

 

  1. According to the bowel record Mary has not had a bowel movement for 5 She has an order for a Dulcolax (bisacodyl) suppository prn every 4 days.
    1. Describe the assessments the LPN would do prior to administration of a suppository? (1 mark)
    2. Describe the drug action of a bisacodyl suppository and a glycerine suppository? (2 marks)

 

 

 

Hints to make this exercise useful to your practice:

  • Make sure answers are in your own words
  • Number your answers
  • Make sure you are looking at the right route when answering the questions: PO, topical, inhaled…. Pediatric vs adults…..
  • Look at EDMUNDS chapter 7 to see the various ways medications are delivered
  • Know all the terms you are using or look them up
  • Think about patient teaching- counseling
  • Drug-drug, drug-food, homeopathic interactions
  • Pay attention to bolded highlighted or red writing HIGH ALERTS
  • READ ALL INSTRUCTIONS CAREFULLY
  • PROOFREAD YOUR ANSWERS

USE THE TABLES PROVIDED

Use chartson Moodleto organize research for questions 1 and 2 (Part A)and  1 Part B                             and question 3