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Pharmacology Case study final 123 , the best paper in 2021 latest update

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1. A nurse is caring for a patient taking three over-the-counter medications for pain and insomnia. The primary care provider has prescribed a generic drug for the patient for asthma. The patient requests information from the nurse about over-the-counter medications and the difference between generic and brand-name drugs. (Learning Objectives 4 and 5) A. Although over-the-counter drugs have been found to be safe when taken as directed, what should the nurse consider telling the patient about problems related to over-the-counter drugs? It depends on what over the counter medication the patient is currently taking. Too many drugs (polypharmacy) can cause an alteration in the way the drug will actually work. If the patient takes the drug other than the way it was intended it can cause more harm than good. B. What should the nurse tell the patient about the differences between generic and brand-name drugs? The main difference is the cost of the drug for the patient because brand names drugs are more expensive than the generic drug. The generic drug has the same active ingredient that the brand name has. The generic drug differs in taste, shape, color and filler ingredients. Case Study, Chapter 2, Drugs and the Body 1. A nurse is caring for a patient taking a drug that is metabolized in the liver. Additionally, the patient has been prescribed to receive two drugs that are both excreted from the same sites in the kidney. (Learning Objectives 1, 3, 4, and 5) a. When the nurse is reviewing a drug to be given, the nurse notes that the drug is metabolized in the liver. What data can be gathered based on the nurse’s assessment of the patient? b. When considering the pharmacodynamics and pharmacokinetics of a drug, what key points would the nurse tell the patient? Well inform them that pharmacodynamics is how the drugs will work on the body and pharmacokinetics is the study of the way in which drugs move through the body during absorption, distribution, metabolism and excretion. c. When assessing a patient for potential drug–drug interactions, what questions should the nurse ask when caring for this patient? The nurse should know what medications the patient is currently taking. d. The patient is taking 20 mg of drug with a half-life of 4 hours, what amount of medication will remain 4 hours after medication administration? 10mg of the drug will remain which is 50%. Case Study, Chapter 6, Challenges to Effective Drug Therapy 1. A patient tells the nurse that the information about the new over-the-counter drug on an Internet site is overwhelming, causing the patient to question the information available at the site. The patient wants to know if the medication will interfere with her herbal therapy for lowering cholesterol. The information includes the phrase off-label use of a drug on the Internet site. (Learning Objectives 1, 2, 3, and 4) a. What questions should the nurse tell the patient to consider when evaluating the Internet site? Tell the patient to research the website information for accuracy because it could be false information and that would be very misleading to the patient. Another question would be what is the web site purpose for you, is it trying to give you a false hope or is it giving factual based info. Another question would be does the website have information to prove what they are informing us about, do they have citations or articles that was published in medical journals. b. When taking the patient’s health history, why should the nurse ask specific questions about the use of over-the-counter drugs and herbal therapies? Because OTC drugs can mask the signs and symptoms of a certain disease and can also have a bad adverse reaction with prescription drugs. Some patients

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