Fundamental Project

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EXAMPLE.docx

1

Name of the student

Name of the Institution

Date of Submission

Introduction

A patient's contacts with health care experts are many throughout time. Most of the time, patients feel better after such interactions because of the positive impact they have on their health. There are exceptions to the rule, however, due to a lack of support for medical personnel that allows them to provide the best possible treatment. The committee came up with this scenario to highlight some of the major issues that patients face while seeing a doctor, and to demonstrate the importance of the five key skills listed above in enhancing health care delivery. Rather than being a generalization, this story is designed to illustrate how a variety of factors might contribute to a bad meeting.

Question One

Drug Name Trade & generic name, dose, route & frequency

Pharmacological & therapeutic drug class & Expected action in the body

What medical diagnosis is your patient taking this drug for? How will it help them?

Side Effects & Adverse Reactions/ Complications/Top drug interactions

Nursing Administration Special Instructions and Assessments

Client Education Evaluation of Medication Effectiveness (e.g. Pain Scale)

- dosage:

5mg

- route:

rectally

-frequency:

3 days daily

- generic:

Bisacodyl

-Trade:

Dulcolax

(Gunnström et al., 2022).

- therapeutic:

Fluid is altered

that results in colon.

fluid buildup

- T3 burst

breakage:

-the patient has

agonized injury in the spinal

cord, this

will assist in colon

clearing.

- also the patient has a problem in his

bladder and bowel . This medication

aids in making the bowel soft when he is constipating.

-anxiety, memory loss, blurred vision, insomnia, depression, fatigue, dizziness,

- interactions:

no

applicable drug

interactions

(Vallerand, 2021).

- check Blood pressure

often.

- evaluate

intake and

output ratios in the body.

- do not take the dose twice or skip the dose as prescribed.

- if a dose is

skipped it

ought to be taken immediately and given a duration of 6 hours before the next dosage

(Gunnström et al., 2022).

Trade:

Gablofen,

- route:

Orally.

- dose:

5mg

-frequency:

Daily4 times

- generic:

baclofen

- therapeutic:

Muscle

skeletal

relaxant

- contains

impulses at the

spine.

Therapeutic

effects:

bladder and bowel purpose may

also be enhanced

(Gunnström et al., 2022).

The patient has a problem in his bowel and

Bladder hence the medication may

help mend his

bowel and bladder

function

(Vallerand , 2020).

Side effects

nasal congestion, insomnia, headache, hypotension,

pruritus, and fatigue,

- interactions:

Hypnotics,

Analgesics, and alcohol

(Vallerand, 2020).

- Assess

- Monitor

patient closely

during test

dose.

-preventive

apparatus

ought to be

present for

unendurable

effects in the body

(Gunnström et al., 2022).

- Advice the patient to take medication as prescribed.

- instruct the patient to avoid continuous usage of alcohol while undergoing medication.

(Vallerand, 2020).

Trade:

Sertraline

Dose: 100mg

Frequency: Daily

Generic: Zoloft

- therapeutic:

pharmacologic:

discerning

serotonin

reuptake

inhibitors

-Contains

serotonin in the

CNS hence

Helping Serotonin activities.

Therapeutic

effects:

decreased

incidence of

Panic attacks and Antidepressant

Action

(Vallerand, 2020).

-Patient lives alone and does not have close family members.

-He has

persistent

painful damage which has made him

became paralyzed

from the abdomen

downwards. Sertraline

can assist him in lessening

his depression

and anxiety

(Vallerand, 2020).

Side effects:

nervousness,

Suicidal

thoughts, diabetes and agitation

Interactions:

Simultaneous use

of alcohol is

prohibited

- Monitor

appetite and

nutritional

intake.

- evaluate for

serotonin

syndrome,

particularly in

patients

taking other

serotonergic

drugs

- Evaluate for

suicidal

trends,

specifically

during therapy

(Gunnström et al., 2022).

- Instruct client

to take

medication

regularly

without

missing a dose.

- Advise

patient to

consult the doctor if side effects persist.

- emphasize on alcohol avoidance during therapy sections

(Vallerand ,

2020).

Route: orally

Frequency: after every six hours

Dosage: 5/325

-generic: hydrocodone

-Trade:

Anexsia Norco

-

- therapeutic:

allergy, cold,

and cough

remedies,

opioid

analgesic.

-

Therapeutic

effects:

-Decrease in

rigorousness of

pain and dominance of

the cough

reflex

(Gunnström et al., 2022).

- Patient has a

stage 3 pressure

ulcer to his

coccyx. The hydrocodone will

assist in relieving pain in the body.

-Hydrocodone is

also an

anticholinergic

and could aid

with his urine

incontinence

(Vallerand, 2020).

side effects

-sedation, euphoria, hallucinations, diplopia, dyspepsia,

- interactions:

Use with

benzodiazepines

as alcohol may

cause profound

sedation leading to death

(Vallerand,

2020).

- assess blood pressure before and periodically

in the course of intake.

- check the functioning of the bowel frequently (Vallerand,

2020).

- instruct

patient on how

and when to

ask for and take pain medication.

- recommend to the patient that hydrocodone is a drug to make him heal.

- instruct patient to inform the doctor if pain persists. (Vallerand, 2020).

Frequency: after every three days

Route: Taken Orally

-Trade

ProAmatine

-Generic:

Midodrine

Dosage: 10mg

- therapeutic:

vasopressor

-

pharmacologic:

alpha-1

agonists

-Stimulation of

alpha1-

adrenergic

receptors in veins and

arteries

Therapeutic

effects:

-blood

pressure and

vascular tone

increase

(Vallerand

2020).

Paraplegia:

-This

prescription is

used in the

indicative monitoring of

hypotension in impaired patients.

-Urinary

sickness

this

medicine can

assist in preventing

urinary

incontinence

(Vallerand, 2020).

Side effects

- hypertension, dizziness, urinary urge, nervousness, and confusion

-Drug interaction:

Simultaneous use of alcohol

(Vallerand,

2020).

- check the patients’ blood pressure oftenly.

- analyse if the drug

therapy is

successful in the incidence of reducing

hypotension

- monitor and

report signs of

CNS toxicity

- if the medication is used to

Protect the

Incontinence in the urine,

evaluate the

inconsistency to

assist in

determining if

drug therapy

is effective

- evaluate for

paresthesia

(Gunnström et al., 2022).

- Ask the patient to report cases of side effects in the body

(Gunnström et al., 2022).

Question Two

Labs and Diagnostic Tests

Baclofen may increase glucose levels and sertraline can cause hyperglycemia and diabetes mellitus. A CMP lab test might be considered in order to monitor glucose levels. Normal range would be 65-110 mg/dL if an abnormal finding is seen it could indicate pre-diabetes or diabetes for our client (Rasmussen University, 2021). A CBC could also be considered in this case in order to check his WBC due to his pressure ulcer. White blood cell normally ranges the count between 5,000 to 10,000 mm³ while an eminent white blood cell count ranges more than 11,000 which would indicate inflammation or invasive infection (Rasmussen University, 2021). Diagnostic test could be used to determine the level of depression experienced by the patient.

Most depressed people will score between 50 and 69, if he scores between this ranges he is at greater risk for depression (Gunnström et al., 2022). A CRP test could be ordered in order to determine the amount of CRP in the blood. If our patients CRP is persistently high following his surgery, it could indicate the presence of a postoperative infection.

Conclusion

A set of core competencies can help advance adherence to rules of a newly designed health care system as shown by the report which aims to provide patient-centered treatment, work in multidisciplinary teams, use evidence-based procedure, implement improvement activities, and utilize informatics. Finally, as the committee stresses, narrowing the quality gap can be realized at least in part by transforming health professions education.

References

Gunnström, M., Zdolsek, J. H., & Hahn, R. G. (2022). Plasma volume expansion and fluid kinetics of 20% albumin during general anesthesia and surgery lasting for more than 5 hours. Anesthesia & Analgesia, 134(6), 1270-1279.

Rasmussen University. (2021). Laboratory Values Resources.

Vallerand, A. H. (2020). Davis's Drug Guide for Nurses (17th Edition). F. A. Davis Company.